In Re: Pharmacy Benefit v. ( 2012 )


Menu:
  •                                      PRECEDENTIAL
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    ____________
    No. 12-1430
    _____________
    IN RE: PHARMACY BENEFIT MANAGERS ANTITRUST
    LITIGATION
    (MDL 1782)
    BELLEVUE DRUG CO; ROBERT SCHREIBER INC,
    d/b/a BURNS PHARMACY; REHN-HUERBINGER DRUG
    CO., d/b/a PARKWAY DRUGS #4, on behalf of themselves
    and all others similarly situated; PHARMACY FREEDOM
    FUND; NATIONAL COMMUNITY PHARMACISTS
    ASSOCIATION
    v.
    CAREMARKSPCS, f/k/a ADVANCEPCS
    (D.C. Civil No. 03-cv-04731)
    BELLEVUE DRUG CO.,
    ROBERT SCHREIBER, INC., d/b/a BURNS
    PHARMACY; REHN-HUERBINGER DRUG CO., d/b/a
    PARKWAY DRUGS #4, on behalf of themselves
    and all others similarly situated,
    Appellants
    ______________
    APPEAL FROM THE UNITED STATES DISTRICT
    COURT FOR THE EASTERN DISTRICT OF
    PENNSYLVANIA
    (D.C. Civil No. 03-cv-04731)
    District Judges: Honorable Eduardo C. Robreno
    Honorable C. Darnell Jones, II
    ____________
    H. Laddie Montague, Jr., Esq (Argued)
    David A. Langer, Esq.
    Martin I. Twersky, Esq.
    Berger & Montague
    1622 Locust Street
    Philadelphia, PA 19103
    Counsel for Appellants
    Michael D. Leffel, Esq. (Argued)
    Foley & Lardner
    150 East Gilman Street
    Suite 5000
    Madison, WI 53703
    -and-
    Robert H. Griffith, Esq.
    Foley & Lardner
    321 North Clark Street
    Suite 2800
    Chicago, IL 60654
    Counsel for Appellee
    ____________
    Argued: September 10, 2012
    ____________
    Before: SCIRICA, ROTH and BARRY, Circuit Judges
    (Opinion Filed: November 15, 2012)
    ____________
    OPINION OF THE COURT
    ____________
    BARRY, Circuit Judge
    Plaintiffs Bellevue Drug Co., Robert Schreiber, Inc.,
    and Rehn-Heurbinger Drug Co. (collectively “Plaintiffs”)
    appeal the District Court’s order granting Defendant
    2
    AdvancePCS’s motion to compel arbitration. Plaintiffs argue
    that the District Court erred in ordering them to arbitrate their
    antitrust claims because: (1) AdvancePCS waived its right to
    arbitrate by actively litigating the case in federal court for
    more than ten months prior to demanding arbitration; and (2)
    the arbitration clause is unenforceable because it limits the
    remedies that Plaintiffs can receive under the Sherman Act,
    and contains a fee-shifting provision that deters Plaintiffs
    from proceeding in arbitration. Because we agree with
    Plaintiffs that AdvancePCS waived its right to arbitrate, we
    will reverse the order of the District Court compelling
    arbitration, and need not reach those issues addressed to the
    clause itself.
    I. Background
    The factual and procedural background underlying this
    case was extensively summarized in this Court’s precedential
    decision disposing of an earlier appeal, In re Pharmacy
    Benefit Managers Antitrust Litigation, 
    582 F.3d 432
     (3d Cir.
    2009). We will not reprise the entire background here, but
    will set forth those facts necessary to our analysis of the
    waiver issue, and most particularly those facts preceding
    AdvancePCS’s motion to compel arbitration.
    AdvancePCS is a prescription benefits manager
    (“PBM”) for drug benefit plans sponsored by employers,
    unions, government agencies, insurance plans and others
    (“Plan Sponsors”). PBMs are retained by Plan Sponsors to
    efficiently manage their benefit plans and to achieve cost
    savings for Plan Sponsors and plan members. PBMs achieve
    efficiencies and cost savings in a variety of ways, including
    negotiating discounts or rebates from drug manufacturers,
    providing mail order prescription service to plan members,
    contracting with retail pharmacies for reimbursement when
    prescriptions are filled for plan members, and electronic
    processing and paying of claims.
    Plaintiffs are retail pharmacy businesses that entered
    into written Pharmacy Provider Agreements (“the
    Agreements” or “PPA”) with AdvancePCS to provide
    3
    prescription drugs and related pharmacy services to persons
    covered by drug benefit plans administered by AdvancePCS.
    The PPA establishes the terms and conditions under which the
    Plaintiffs were to provide prescription drugs and services to
    plan members, and sets forth an agreed reimbursement rate
    that AdvancePCS will pay to the pharmacies. The PPA also
    contains an arbitration clause which provides:
    Arbitration. Any and all controversies in
    connection with or arising out of this
    Agreement will be exclusively settled by
    arbitration before a single arbitrator in
    accordance with the Rules of the American
    Arbitration Association. The arbitrator must
    follow the rule of law, and may only award
    remedies provided in this Agreement. The
    award of the arbitrator will be final and binding
    on the parties, and judgment upon such award
    may be entered in any court having jurisdiction
    thereof. Arbitration under this provision will be
    conducted in Scottsdale, Arizona, and Provider
    hereby agrees to such jurisdiction, unless
    otherwise agreed to by the parties in writing or
    mandated by Law, and the expenses of the
    arbitration, including attorneys’ fees, will be
    paid by the party against whom the award of the
    arbitrator is rendered. This Section 9.5 and the
    parties’ rights hereunder shall be governed by
    the Federal Arbitration Act, 
    9 U.S.C. §§ 1
     et
    seq.
    (App. 381-82.) The PPA also includes a severability clause,
    which provides:
    Lawful Interpretation. Whenever possible,
    each provision of this Agreement will be
    interpreted so as to be effective and valid under
    applicable Law, but if any provision of this
    Agreement should be rendered unenforceable or
    invalid under applicable Law, that provision
    will be ineffective to the extent of such
    4
    unenforceability   or    invalidity   without
    invalidating the remaining provisions of this
    Agreement.
    (App. 381.)
    On August 15, 2003, Plaintiffs filed a putative class
    action lawsuit on behalf of themselves and all other similarly-
    situated pharmacies that contracted with AdvancePCS to sell
    drugs for a prescription drug benefit plan. The complaint
    asserted an antitrust claim against AdvancePCS, alleging that
    it had engaged in an unlawful conspiracy with its Plan
    Sponsors to restrain competition in violation of the Sherman
    Act, 
    15 U.S.C. § 1
    . In particular, Plaintiffs alleged that
    AdvancePCS used the combined economic power of its Plan
    Sponsors to reduce the contractual amount it pays to retail
    pharmacies below the levels that would prevail in a
    competitive marketplace. Plaintiffs also alleged that the
    Agreements impose certain limitations on drug refills and co-
    payment charges to plan members. The complaint sought
    treble damages, injunctive relief, attorneys’ fees, and costs.
    The case was initially assigned to Judge Eduardo C. Robreno.
    As noted at the outset, for more than ten months
    following the filing of the complaint, AdvancePCS actively—
    and, indeed, aggressively—litigated the case without
    mentioning arbitration, much less filing a motion to compel
    arbitration. On September 25, 2003, more than a month after
    the complaint was filed, AdvancePCS filed a nineteen-page
    motion to dismiss the complaint under Fed. R. Civ. P.
    12(b)(6), arguing that Plaintiffs suffered no antitrust injury,
    failed to allege a per se price-fixing agreement, and failed to
    allege any rule of reason price-fixing agreement. With the
    motion, AdvancePCS submitted a binder of allegedly
    judicially-noticeable exhibits—as “thick as the yellow pages,”
    we are told, including three lengthy government-sponsored
    studies of the efficiency enhancing effects of PBMs, as well
    as AdvancePCS’s own annual report to the SEC (Form 10-K),
    and other materials. Plaintiffs submitted a thirty-one page
    response brief, and AdvancePCS filed a seventeen-page reply
    brief, expanding upon its earlier presentation as it argued that
    5
    no antitrust injury had been alleged; that no per se price-
    fixing agreement had been alleged because the complaint
    lacked allegations of horizontal conspiracy, monopsony
    power, and supra-competitive output pricing; that Plaintiffs
    incorrectly interpreted materials of the U. S. Department of
    Justice and Federal Trade Commission (“FTC”); that price-
    fixing agreements by sellers should be treated differently; that
    Plaintiffs’ authorities on monopsony power were inadequate;
    that buyer cartel cases were inapposite; and that the complaint
    failed to state a rule of reason antitrust violation.
    On February 5, 2004, Judge Robreno held a hearing on
    the motion to dismiss, and on March 2, 2004, denied the
    motion in a detailed sixteen-page opinion, rejecting each of
    AdvancePCS’s substantive antitrust arguments—Plaintiffs,
    the Court concluded, had standing and had alleged facts
    sufficient to state an antitrust claim. Two weeks later, on
    March 16, 2004, AdvancePCS filed a twelve-page motion to
    reconsider the denial of its motion to dismiss, or to certify it
    for interlocutory appeal pursuant to 
    28 U.S.C. § 1292
    (b). The
    motion to reconsider again urged dismissal based on the
    results of a recent FTC investigation into the acquisition of
    AdvancePCS by Caremark, Inc. Plaintiffs filed a fifteen-page
    response brief, and AdvancePCS replied.
    At the same time in March 2004 as it filed its motion
    for reconsideration, AdvancePCS filed an answer to the
    complaint, and asserted a host of affirmative defenses,
    including failure to state a claim, lack of standing, lack of
    antitrust injury, laches, estoppel, waiver, failure to mitigate,
    failure to plead with particularity, and failure to join necessary
    and indispensable parties. On April 20, 2004, new counsel
    for AdvancePCS entered their appearances. A hearing was
    subsequently held on the motion for reconsideration, and on
    May 14, 2004, the motion was denied. Also on May 14,
    2004, Judge Robreno ordered the parties to submit a
    discovery plan and a proposed case management order, and
    scheduled a pretrial conference for June 15, 2004. On
    consent, the conference was rescheduled to July 6, 2004.
    Five weeks after Judge Robreno’s latest order, and
    6
    after more than ten months of active and wholly unsuccessful
    litigation, on June 21, 2004, AdvancePCS filed a motion to
    compel arbitration asking the District Court, for the first time,
    to enforce the arbitration clause in the PPA and enter an order
    compelling arbitration of the case. Plaintiffs opposed the
    motion, arguing that AdvancePCS waived any right to
    arbitrate by actively litigating the case in federal court for as
    long as it did, and that the arbitration agreement was
    unenforceable for various reasons.
    On August 24, 2004, Judge Robreno granted the
    motion to compel arbitration and stayed the District Court
    action. He concluded that Plaintiffs had entered into
    enforceable arbitration agreements that encompassed the
    antitrust claims, and that AdvancePCS had not waived its
    right to seek arbitration. Plaintiffs filed a motion for
    reconsideration or, in the alternative, for certification of an
    interlocutory appeal pursuant to 
    28 U.S.C. § 1292
    (b). Judge
    Robreno denied reconsideration and certification, and ordered
    that the case remain stayed in accordance with the Federal
    Arbitration Act (“FAA”).
    Plaintiffs, however, did not thereafter initiate
    arbitration proceedings. Rather, on May 19, 2006, Plaintiffs
    filed a motion to lift the stay and dismiss the complaint. In
    the motion, Plaintiffs represented that they did not intend to
    arbitrate their claims, and instead wished to dismiss the
    complaint so that they could pursue an appeal of the decision
    to compel arbitration. While this motion was pending, the
    case was transferred by the Judicial Panel on Multidistrict
    Litigation to Judge John P. Fullam for consolidated pretrial
    proceedings with five other similar antitrust actions against
    PBMs.
    On December 7, 2006, Judge Fullam convened a status
    conference in the MDL proceedings and heard argument on
    the motion to lift the stay and dismiss the complaint.
    Following the conference, Judge Fullam sua sponte issued an
    order vacating Judge Robreno’s order compelling arbitration,
    concluding that “the parties never intended this type of
    litigation to be submitted to arbitration,” and “that the
    7
    Arbitration Agreement is unenforceable because it violates
    public policy.” (App. 309.) Judge Fullam thus denied as moot
    the Plaintiffs’ motion to dismiss their complaint to seek
    appellate review.
    AdvancePCS filed an immediate appeal to this Court
    pursuant to 
    9 U.S.C. § 16
    (a)(1)(A) & (B). Concluding that
    Judge Fullam’s order violated the law of the case doctrine, we
    vacated that order, and remanded with directions to reinstate
    Judge Robreno’s order compelling arbitration.
    On November 5, 2009, following remand, Plaintiffs
    renewed their motion to dismiss their complaint to permit an
    immediate appeal of Judge Robreno’s reinstated order
    compelling arbitration. While this motion was pending, the
    case was reassigned to Judge C. Darnell Jones. The parties
    were ordered to submit supplemental briefs, and oral
    argument was held. On January 27, 2012, Judge Jones
    granted Plaintiffs’ motion and dismissed their claims with
    prejudice. Plaintiffs appealed.
    II. Jurisdiction
    AdvancePCS questions our jurisdiction to hear this
    appeal. Under the FAA, a party may generally not appeal
    from an interlocutory order “compelling arbitration” or
    “granting a stay” pending arbitration. 
    9 U.S.C. § 16
    (b)(1) &
    (b)(3). Thus, Judge Robreno’s order compelling arbitration
    was, at least initially, non-reviewable. In an effort to
    circumvent the nonappealabilty of Judge Robreno’s order,
    Plaintiffs sought several times, and eventually obtained, an
    order lifting the stay and dismissing their complaint with
    prejudice.
    The FAA provides that an “appeal may be taken from
    . . . a final decision with respect to an arbitration that is
    subject to this title.” 
    Id.
     § 16(a)(3). Where a district court
    compels arbitration and dismisses the federal lawsuit (rather
    than staying it), the Supreme Court has held that is a “final
    decision with respect to an arbitration,” and an appeal may
    then be taken challenging the order compelling arbitration.
    8
    Green Tree Fin. Corp.-Alabama v. Randolph, 
    531 U.S. 79
    , 89
    (2000). This is true whether the dismissal of the case is with
    or without prejudice. Blair v. Scott Specialty Gases, 
    283 F.3d 595
    , 600-02 (3d Cir. 2002). The Supreme Court reasoned that
    the phrase “final decision with respect to an arbitration” has
    the same meaning as “final decision” in other contexts, and
    refers to a decision that “‘ends the litigation on the merits and
    leaves nothing more for the court to do but execute the
    judgment.’” Randolph, 
    531 U.S. at 86
     (quoting Digital
    Equip. Corp. v. Desktop Direct, Inc., 
    511 U.S. 863
    , 867
    (1994) and Coopers & Lybrand v. Livesay, 
    437 U.S. 463
    , 467
    (1978)). The “judgment” to be executed upon is not the
    underlying complaint, but a “new” and “separate” proceeding
    in the District Court to enter judgment on the arbitration
    award or vacate or modify that award.
    AdvancePCS attempts to distinguish Randolph and
    Blair, arguing that those cases involved involuntary
    dismissals of the plaintiffs’ claims simultaneous with the
    order compelling arbitration, whereas Plaintiffs sought a
    voluntary dismissal of their complaint after the fact.
    AdvancePCS contends that Plaintiffs are thus seeking an “end
    run” around the nonappealability of Judge Robreno’s order.
    If Judge Robreno had dismissed Plaintiffs’ claims at the same
    time he compelled arbitration, there would be no doubt as to
    our jurisdiction under Randolph and Blair.
    In essence, though, Judge Jones’ dismissal order
    modified Judge Robreno’s order by substituting a dismissal
    for the stay, thus putting Plaintiffs in a functionally-identical
    position to the plaintiffs in Randolph and Blair. Just as in
    those cases, the ultimate dismissal was an order that ended the
    litigation on the merits and left nothing more for the District
    Court to do but execute the judgment. It is thus a “final
    decision with respect to an arbitration” within the meaning of
    
    9 U.S.C. § 16
    (a)(3). The fact that Plaintiffs obtained the
    dismissal in a different manner is irrelevant because, as we
    have noted, “[t]he [Randolph] decision draws a distinction
    between dismissals and stays, but does not draw any
    distinctions within the universe of dismissals.” Blair, 
    283 F.3d at 602
    . Accordingly, we have subject matter jurisdiction.
    9
    III. Discussion
    Congress enacted the FAA in 1925 to counteract “the
    traditional judicial hostility to the enforcement of arbitration
    agreements.” Alexander v. Anthony Intern., L.P., 
    341 F.3d 256
    , 263 (3d Cir. 2003). “Under the FAA, such agreements
    are enforceable to the same extent as other contracts.” Parilla
    v. IAP Worldwide Servs., VI, Inc., 
    368 F.3d 269
    , 275 (3d Cir.
    2004) (internal quotation marks omitted). There is a strong
    federal policy in favor of arbitration, and a “party to a valid
    and enforceable arbitration agreement is entitled to a stay of
    federal court proceedings pending arbitration as well as an
    order compelling such arbitration.” Alexander, 
    341 F.3d at 263
    ; see also Howsam v. Dean Witter Reynolds, Inc., 
    537 U.S. 79
    , 83 (2002) (noting that “the Court has also long
    recognized and enforced a liberal federal policy favoring
    arbitration agreements”). When a federal court addresses a
    motion to compel arbitration, it is “limited to a narrow scope
    of inquiry.” Gay v. CreditInform, 
    511 F.3d 369
    , 386 (3d Cir.
    2007) (internal quotation marks omitted). The court may
    consider only narrow “gateway matters” that touch on the
    question of arbitrability, such as whether an arbitration
    agreement applies to a particular controversy, or whether the
    parties are bound by the arbitration clause.               Certain
    Underwriters at Lloyd’s London v. Westchester Fire Ins. Co.,
    
    489 F.3d 580
    , 585 (3d Cir. 2007). “Thus, only when there is a
    question regarding whether the parties should be arbitrating at
    all is a question of arbitrability raised for the court to resolve.
    In other circumstances, resolution by the arbitrator remains
    the presumptive rule.” 
    Id.
     (internal citation and quotation
    marks omitted).
    Plaintiffs concede that the PPA contains a broadly-
    worded arbitration clause that applies to “[a]ny and all
    controversies in connection with or arising out of th[e]
    Agreement.” Moreover, Plaintiffs do not seriously dispute
    that their antitrust claim against AdvancePCS is a controversy
    arising out of the PPA and thus falls within the scope of the
    10
    arbitration clause. 1 Rather, Plaintiffs argue that Judge
    Robreno incorrectly decided several questions of arbitrability
    and erred in granting the motion to compel arbitration
    because: (1) AdvancePCS waived its right to arbitrate; and (2)
    the arbitration clause is unenforceable. As noted above, we
    agree on the waiver issue and thus do not reach the issue of
    enforceability.
    Plaintiffs’ primary argument on appeal is that Judge
    Robreno erred in compelling arbitration because AdvancePCS
    waived its right to arbitrate by actively litigating the case in
    federal court for more than ten months while remaining silent
    about arbitration. Judge Robreno concluded that the issue of
    waiver was for the arbitrator (not the Court) to decide and
    that, in any case, Plaintiffs had failed to show prejudice
    resulting from AdvancePCS’s delay in asserting the
    arbitration clause. We exercise plenary review over the
    question of “whether a party through its litigation conduct,
    waived its right to compel arbitration.” Gray Holdco, Inc. v.
    Cassady, 
    654 F.3d 444
    , 451 (3d Cir. 2011) (internal quotation
    marks omitted). To the extent that a district court makes
    factual findings in making this determination, we review its
    findings for clear error. 
    Id.
    At the time Judge Robreno issued his order compelling
    arbitration, the law was unclear as to whether waiver was an
    issue that should be decided by the district court or the
    arbitrator. Several years after that order, however, we made
    clear that “waiver of the right to arbitrate based on litigation
    conduct remains presumptively an issue for the court to
    decide.” Ehleiter v. Grapetree Shores, Inc., 
    482 F.3d 207
    ,
    221 (3d Cir. 2007). The only question, then, is whether Judge
    1
    Plaintiffs do argue that “[t]he express terms of the
    [arbitration] clause demonstrate that the parties did not intend
    to arbitrate antitrust claims.” (Appellants’ Br. at 48.) To the
    extent this is intended as an argument that the antitrust claims
    do not fall within the plain language of the arbitration clause,
    that argument has been waived because it was not raised
    before the District Court. (App. 120-46, arguing only waiver
    & unenforceability).
    11
    Robreno erred in finding that Plaintiffs had failed to establish
    waiver.
    A.     Legal Standard for Assessing Waiver
    “‘Consistent with the strong preference for arbitration
    in federal courts, waiver is not to be lightly inferred,’” and
    “‘will normally be found only where the demand for
    arbitration came long after the suit commenced and when
    both parties had engaged in extensive discovery.’” Nino v.
    Jewelry Exch., Inc., 
    609 F.3d 191
    , 208 (3d Cir. 2010)
    (quoting PaineWebber Inc. v. Faragalli, 
    61 F.3d 1063
    , 1068-
    69 (3d Cir. 1995)). A court may, however, refuse to enforce
    an arbitration agreement where a “party has acted
    inconsistently with the right to arbitrate, and we will not
    hesitate to hold that the right to arbitrate has been waived
    where a sufficient showing of prejudice has been made by the
    party seeking to avoid arbitration.” 
    Id.
     (internal citations and
    quotation marks omitted).
    “[P]rejudice is the touchstone for determining whether
    the right to arbitrate has been waived by litigation conduct.”
    Zimmer v. CooperNeff Advisors, Inc., 
    523 F.3d 224
    , 231 (3d
    Cir. 2008) (internal quotation marks omitted). To aid the
    analysis of waiver questions, we have “identified six
    nonexclusive factors to guide the prejudice inquiry:”
    (1) timeliness or lack thereof of the motion to
    arbitrate; (2) extent to which the party seeking
    arbitration has contested the merits of the
    opposing party’s claims; (3) whether the party
    seeking arbitration informed its adversary of its
    intent to pursue arbitration prior to seeking to
    enjoin the court proceedings; (4) the extent to
    which a party seeking arbitration engaged in
    non-merits motion practice; (5) the party’s
    acquiescence to the court’s pretrial orders; and
    (6) the extent to which the parties have engaged
    in discovery.
    Gray Holdco, 
    654 F.3d at
    451 (citing Hoxworth v. Blinder,
    12
    Robinson & Co., Inc., 
    980 F.2d 912
    , 926-27 (3d Cir. 1992)).
    These are known as the Hoxworth factors, and they are
    “generally . . . indicative of whether a party opposing
    arbitration would suffer prejudice attributable to the other
    party’s delay in seeking arbitration.” 
    Id.
     The factors,
    however, are “nonexclusive” and “not all the factors need be
    present to justify a finding of waiver.” Nino, 
    609 F.3d at 209
    .
    Rather, “the waiver determination must be based on the
    circumstances and context of the particular case.” 
    Id.
    (internal quotation marks omitted).
    B.     Application of the Hoxworth Factors
    This first Hoxworth factor to consider is the timeliness
    of the motion to arbitrate. In this case, AdvancePCS filed its
    motion to compel arbitration on June 21, 2004, over ten
    months after Plaintiffs filed their complaint in federal court.
    A ten month delay is significantly longer than the cases in
    which we have found no waiver, see Palcko v. Airborne
    Express, Inc., 
    372 F.3d 588
    , 598 (3d Cir. 2004) (38 days);
    PaineWebber, 
    61 F.3d at 1069
     (two months); Wood v.
    Prudential Ins. Co. of Am., 
    207 F.3d 674
    , 680 (3d Cir. 2000)
    (one-and-a-half months); Gavlik Constr. Co. v. H.F. Campbell
    Co., 
    526 F.2d 777
    , 783–84 (3d Cir. 1975) (arbitration motion
    made “immediately” after removing case to federal court),
    and sits at the low end of the cases in which we have found
    waiver, see Gray Holdco, 
    654 F.3d at 454
     (ten months);
    Hoxworth, 
    980 F.2d at 925
     (11 months); Nino, 
    609 F.3d at 210
     (15 months); Ehleiter, 
    482 F.3d at 223
     (4 years).
    Furthermore, AdvancePCS has not offered any satisfactory
    explanation for its delay in asserting arbitration other than the
    fact that the motion was made (more than two months, we
    note) after it retained new counsel. Gray Holdco, 
    654 F.3d at 454
     (finding significant that the party offered no explanation
    for its ten month delay). Therefore, this factor weighs in
    favor of finding waiver.
    The second Hoxworth factor is the extent to which the
    party seeking arbitration has contested the merits of the
    opposing party’s claims. In this case, prior to seeking
    arbitration, AdvancePCS filed thirty-eight pages of briefing
    13
    on its motion to dismiss for failure to state a claim—a motion
    which directly addressed the merits of Plaintiffs antitrust
    claims—and supported that briefing with a binder of materials
    and studies. After a hearing was held and the motion to
    dismiss was denied, AdvancePCS next filed a twelve-page
    motion for reconsideration, essentially re-urging dismissal
    based on the results of a recent FTC investigation. After
    holding a second hearing, the District Court denied the
    motion.
    In sum, AdvancePCS directly contested the merits of
    Plaintiffs’ case through what was, in essence, two motions to
    dismiss, with ample briefing and supporting documentation,
    and raised issues outside of the scope of the pleadings. This
    is significantly more activity on the merits than in cases in
    which we found no waiver, see Palcko, 
    372 F.3d at 598
    (motion to dismiss but only for insufficient service of
    process); PaineWebber, 
    61 F.3d at 1069
     (no briefing on the
    merits); Wood, 
    207 F.3d at 680
     (a motion to dismiss); Gavlik,
    526 F.2d at 783-84 (no contest on the merits), and appears to
    be at least comparable to (or stronger than) the cases in which
    we have found waiver, see Nino, 
    609 F.3d at 210-11
     (no
    motions on the merits); Ehleiter, 
    482 F.3d at 223
     (motion for
    summary judgment); Hoxworth, 
    980 F.2d at 925-26
     (motion
    to dismiss for failure to state a claim, and opposition to
    motion for class certification); Gray Holdco, 
    654 F.3d at 456
    (motion for preliminary injunction with evidentiary hearing,
    and opposition to motions to dismiss). This factor thus
    weighs in favor of finding waiver.
    The third factor is whether the party seeking arbitration
    informed its adversary of its intent to pursue arbitration prior
    to filing the motion to compel. Here, AdvancePCS gave no
    prior indication to Plaintiffs of its intent to arbitrate, and
    arbitration was not raised as a defense in its answer to the
    complaint or elsewhere. The facts of this case are thus
    stronger than the cases in which we have found no waiver, see
    Palcko, 
    372 F.3d at 598
     (requested arbitration from opposing
    party before filing motion to compel); PaineWebber, 
    61 F.3d at 1065
     (objected that claims were subject to arbitration 21
    days after the filing of the plaintiff’s state court complaint);
    14
    Wood, 
    207 F.3d at 680
     (raised arbitration in joint discovery
    plan before bringing motion to compel), and are comparable
    to or stronger than the cases in which we have found waiver,
    see Nino, 
    609 F.3d at 211
     (included mandatory arbitration as
    one of ten affirmative defenses in its answer); Ehleiter, 
    482 F.3d at 210-11
     (no advanced notice); Gray Holdco, 
    654 F.3d at 457
     (no advanced notice). This factor, too, weighs in favor
    of finding waiver.
    The fourth Hoxworth factor is the extent to which the
    party seeking arbitration engaged in non-merits motion
    practice. AdvancePCS’s non-merits motions dealt mostly
    with administrative and scheduling matters, such as motions
    for admission pro hac vice, for leave to file a reply brief, and
    to continue the pretrial conference. These motions were not
    contested. In addition, however, AdvancePCS also filed
    (together with its motion for reconsideration) a motion for
    certification of an interlocutory appeal pursuant to 
    28 U.S.C. § 1292
    (b) seeking immediate appellate relief that likely would
    not have been available to it in the arbitral forum. These facts
    are stronger than the facts in those cases in which we have
    found no waiver, see Palcko, 
    372 F.3d at 598
     (no non-merits
    motions mentioned); Wood, 
    207 F.3d at 680
     (same); Gavlik,
    526 F.2d at 783-84 (same); but see PaineWebber, 
    61 F.3d at 1069
     (motion to dismiss non pros, i.e., for lack of
    prosecution), and sit near the low end of what we have found
    to support waiver in the past, see Ehleiter, 
    482 F.3d at 223
    (motion to implead third party). Admittedly, however, the
    cases in which we have found waiver have tended to have
    somewhat more significant non-merits motion practice. See
    Nino, 
    609 F.3d at 212
     (opposed three motions to compel
    discovery); Hoxworth, 
    980 F.2d at 925-26
     (filed motions to
    disqualify counsel and stay discovery, and opposed motions to
    compel discovery). In any event, this factor is not an absolute
    requirement, and we have found waiver even where no
    significant non-merits motion practice occurred. See Gray
    Holdco, 
    654 F.3d at 456
    . Ultimately, however, this factor
    weighs slightly in favor of waiver or is (at worst) neutral.
    The fifth factor is the party’s acquiescence in a court’s
    pretrial orders. Judge Robreno entered orders setting hearings
    15
    on AdvancePCS’s motion to dismiss and motion for
    reconsideration. AdvancePCS attended and participated in
    these hearings. It also entered orders setting dates for the
    pretrial conference, and instructing the parties to submit a
    discovery plan and proposed case management order. Prior to
    filing its motion to compel arbitration, AdvancePCS did not
    object to any of these orders. Cases in which we have found
    no waiver generally were not litigated long enough to feature
    any acquiescence in pretrial orders, see PaineWebber, 
    61 F.3d at 1065
    ; Gavlik, 526 F.2d at 783–84; but see Wood, 
    207 F.3d at 680
     (filed a joint discovery plan), and AdvancePCS’s
    actions in this case are at the low end of the level of
    acquiescence that has supported waiver in our other
    precedents, see Gray Holdco, 
    654 F.3d at 459-60
     (attended
    three status conferences and a court-ordered mediation
    without objection, and filed a Rule 26(f) report); Hoxworth,
    
    980 F.2d at 925
     (participated in “numerous” pretrial
    proceedings); Nino, 
    609 F.3d at 212
     (participated in ten
    pretrial conferences); Ehleiter, 
    482 F.3d at 223
     (“scrupulously
    assented” to the trial court’s orders, certified readiness for
    trial, and later sought a continuance and proposed new trial
    dates). Thus, this factor weighs somewhat in favor of waiver.
    The sixth and final factor is the extent to which the
    parties have engaged in discovery. Plaintiffs concede that no
    discovery took place, which is identical to those cases in
    which no waiver was found. See Palcko, 
    372 F.3d at 598
    ;
    PaineWebber, 
    61 F.3d at 1069
    ; Wood, 
    207 F.3d at 680
    ;
    Gavlik, 526 F.2d at 784. Our cases finding waiver have
    uniformly featured significant discovery activity in the district
    court. See Nino, 
    609 F.3d at 213
     (parties engaged in
    “significant discovery,” including interrogatories, disclosures,
    requests for production and depositions of four witnesses, as
    well as “significant discovery related motion practice”);
    Ehleiter, 
    482 F.3d at 224
     (parties engaged in “extensive
    discovery,” exchanging several sets of interrogatories,
    production requests, and expert reports, and deposing
    “numerous witnesses”); Hoxworth, 
    980 F.2d at 925-26
    (parties engaged in several depositions, answered several
    discovery requests, and litigated discovery disputes); Gray
    Holdco, 
    654 F.3d at 460
     (parties engaged in discovery related
    16
    to a preliminary injunction hearing, including eight
    depositions, extensive written discovery responses, and the
    exchange of over 20,000 pages of documents). Therefore,
    this factor cuts significantly against a finding of waiver.
    On the whole, there is significantly more to support
    waiver here than in our cases in which the argument was
    rejected, but less overall to support waiver than in those cases
    in which waiver was found. In rejecting Plaintiffs’ waiver
    argument, Judge Robreno relied heavily on the fact that no
    discovery had taken place. It is true that we have arguably
    placed special emphasis on this factor in the past. See, e.g.,
    PaineWebber, 
    61 F.3d at 1068-69
     (stating that “waiver will
    normally be found only where the demand for arbitration
    came long after the suit commenced and when both parties
    had engaged in extensive discovery”). We have also
    repeatedly stated, however, that the Hoxworth factors are
    nonexclusive, and no one factor is determinative of the
    prejudice inquiry. See, e.g., Nino, 
    609 F.3d at 209
     (“As is
    evident by our repeated characterization of these factors as a
    nonexclusive list, not all the factors need be present to justify
    a finding of waiver . . . .”). Indeed, our sister circuits have
    found waiver even in cases where no discovery has taken
    place. 2 See, e.g., La. Stadium & Exposition Dist. v. Merrill
    Lynch, Pierce, Fenner & Smith Inc., 
    626 F.3d 156
    , 159 (2d
    Cir. 2010) (noting that “[n]o discovery took place” in the
    eleven months before arbitration was sought, “but the
    litigation was hardly dormant”); Khan v. Parsons Global
    Servs., Ltd., 
    521 F.3d 421
    , 428 (D.C. Cir. 2008) (noting that
    the defendant’s non-pursuit of discovery was not dispositive,
    especially where discovery would likely focus on matters in
    2
    Plaintiffs cite South Broward Hosp. Dist. v. Medquist, Inc.,
    258 F. App’x. 466, 468 (3d Cir. 2007), noting that the fact
    that the parties did not engage in discovery normally
    precludes a finding of waiver, but here it is outweighed by
    AdvancePCS’s tactical decision to litigate extensively in
    federal court, including two motions to dismiss, before
    seeking to compel arbitration. Under our Internal Operating
    Procedures, we do not cite to our not precedential opinions,
    and do not do so here.
    17
    the defendant’s possession and control).
    Moreover, Judge Robreno gave little weight to
    AdvancePCS’s motion to dismiss the case (and motion for
    reconsideration), concluding that “the Court’s ruling on [those
    motions] dealt only with pleading issues of law placing the
    parties back at the starting gate of the litigation.” Thus, he
    reasoned that “the case stands essentially as it did ten months
    ago, i.e., with the pleadings now completed and the matter
    ready to proceed to discovery.” While he may be correct that
    Plaintiffs’ legal position was not compromised as a result of
    AdvancePCS’s motions, in the years since that 2004 ruling we
    have reiterated that the prejudice needed to show waiver need
    not necessarily be “‘substantive prejudice to the legal position
    of the party claiming waiver,’ but also extends to ‘prejudice
    resulting from the unnecessary delay and expense incurred by
    the plaintiffs as a result of the defendants’ belated invocation
    of their right to arbitrate.’” Nino, 
    609 F.3d at 209
     (quoting
    Ehleiter, 
    482 F.3d at 224
    ). For example, we have stated that:
    ‘[W]here a party fails to demand arbitration
    during pretrial proceedings, and, in the
    meantime, engages in pretrial activity
    inconsistent with an intent to arbitrate, the party
    later opposing . . . arbitration may more easily
    show that its position has been compromised,
    i.e., prejudiced,’ because under these
    circumstances we can readily infer that the party
    claiming waiver has already invested
    considerable time and expense in litigating the
    case in court, and would be required to
    duplicate its efforts, to at least some degree, if
    the case were now to proceed in the arbitral
    forum. Prejudice of this sort is not mitigated by
    the absence of substantive prejudice to the legal
    position of the party claiming waiver.
    Ehleiter, 
    482 F.3d at 224
     (quoting Hoxworth, 
    980 F.2d at 926
    ). “In other words, the investment of considerable time
    and money litigating a case may amount to sufficient
    prejudice to bar a later-asserted right to arbitrate.” Nino, 609
    18
    F.3d at 209. This is because arbitration is meant to streamline
    proceedings, reduce costs, and conserve resources, and none
    of these purposes are served “when a party actively litigates a
    case for an extended period only to belatedly assert that the
    dispute should have been arbitrated, not litigated, in the first
    place.” Id. Thus, the mere fact that the motions to dismiss
    merely placed the parties “back at the starting gate of the
    litigation” is not dispositive.
    In sum, aside from the lack of discovery, this case
    bears little resemblance to the cases in which we have found
    no waiver, and shares substantial similarity to the cases in
    which waiver was found. Plaintiffs made a showing on five
    of the six Hoxworth factors, and most notably demonstrated a
    delay approaching one year during which AdvancePCS
    aggressively sought a resolution on the merits. Ehleiter, 
    482 F.3d at 223
     (finding waiver where the defendant “require[ed
    plaintiff] to defend his claims on the merits and invit[ed] final
    resolution of the case in a judicial forum”). AdvancePCS’s
    motions were not based solely on the pleadings, but were
    supported with substantial materials and facts outside the
    scope of the pleadings. We cannot ignore the time, expense,
    and legal fees Plaintiffs invested in defending their claims
    against these multiple attacks. Gray Holdco, 
    654 F.3d at
    458-
    59 (“[W]e cannot ignore the legal expenses Cassady incurred
    while Gray sat on its arbitration rights”). This prejudice to
    Plaintiffs is illustrated by the fact that they chose to dismiss
    their complaint rather than arbitrate. If AdvancePCS had
    moved to compel arbitration immediately after the filing of
    the complaint, Plaintiffs would have been spared the time and
    expense of litigating for the next ten months because they
    would not have proceeded in arbitration and never would
    have had to face AdvancePCS’s various motions, including its
    comprehensive motion to dismiss.
    Judge Robreno issued the order compelling arbitration
    almost eight years ago, and did not have the benefit of our
    more recent decisions on waiver, such as Gray Holdco and
    Nino. Nevertheless, he put undue emphasis on the lack of
    discovery and did not conduct a proper “totality of the
    circumstances” analysis and weighing of the six Hoxworth
    19
    factors. The end result, as we stated in Nino, was that he
    “gave insufficient consideration . . . to the more practical
    question of whether [defendant] has acted inconsistently with
    the right to arbitrate.” Nino, 
    609 F.3d at 209
     (internal
    quotation marks omitted). A party such as AdvancePCS
    “should not be allowed to delay its demand for arbitration and
    use federal court proceedings to test the water before taking a
    swim,” especially where the only explanation for the change
    in strategy from litigation to arbitration is that AdvancePCS
    “substituted attorneys.” Gray Holdco, 
    654 F.3d at 453, 461
    (internal quotation marks omitted). We acknowledge that
    “any doubts concerning the scope of arbitrable issues,”
    including waiver, “should be resolved in favor of arbitration,”
    
    id. at 451
    . Given the extent of AdvancePCS’s litigation in
    federal court, however, and the fact that our review is de
    novo, 3 we do not doubt that the order compelling arbitration
    should be reversed.
    IV. Conclusion
    For the foregoing reasons, we conclude that
    AdvancePCS waived its right to arbitrate, and we thus will
    3
    AdvancePCS seems to contend that the conclusion that
    Plaintiffs had suffered no prejudice is a factual finding that
    should be reviewed under the clear error standard.
    (Appellee’s Br. at 24.) While a district court’s factual
    findings on any one of the individual Hoxworth factors are
    reviewed for clear error, the question of whether the factors in
    the aggregate amount to prejudice (and therefore waiver) is
    properly reviewed de novo. Gray Holdco, 
    654 F.3d at 451
    (“We exercise plenary review over . . . [the question of]
    whether a party ‘through its litigation conduct, waived its
    right to compel arbitration,’” quoting Nino, 
    609 F.3d at 200
    (reversing a district court’s finding of no waiver without
    mentioning that the court clearly erred); Kawasaki Heavy
    Indus., Ltd. v. Bombardier Recreational Prods., Inc., 
    660 F.3d 988
    , 994 (7th Cir. 2011) (“While the factual findings that led
    to the district court’s conclusion of waiver are reviewed for
    clear error, the question of whether [a party’s] conduct
    amounts to waiver is reviewed de novo.”).
    20
    reverse the order of the District Court compelling arbitration.
    21