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Medical Daily
Medical Daily
Health
Joseph James

Kroger Will Pay $17 Million Over Prescription Pricing, and Insured Customers Have Until December to Claim

Anyone who filled a prescription at a Kroger pharmacy using insurance in the past seven and a half years may be entitled to money from a $17 million class action settlement, and the window to file closes on December 21, 2026.

The case is Kirkbride et al. v. The Kroger Co., No. 2:21-cv-00022, in the U.S. District Court for the Southern District of Ohio. Plaintiffs allege that Kroger inflated the usual and customary prices it reported to insurers by omitting lower prices available through its Savings Club program, and that insured customers paid more as a result. Kroger denies wrongdoing and says it correctly reported its retail prices. The court has not decided who is right, and the settlement carries no finding of liability.

That legal ambiguity does not affect eligibility. What matters for a household is narrower: whether someone paid, in whole or in part, for a prescription at a Kroger pharmacy using insurance during the covered period.


The Billing Practice at the Center of the Case

Usual and customary price is a term most patients never encounter, yet it governs much of what they pay.

When a pharmacy fills an insured prescription, it reports to the insurer or pharmacy benefit manager what it would charge a cash-paying customer for that drug. That reported figure is the usual and customary price. Many plans calculate a member's cost as the lower of the negotiated rate and the usual and customary price, so a patient with a percentage coinsurance or an unmet deductible can end up paying an amount that directly tracks to it.

The dispute is over whether discount club prices count. Plaintiffs say those were the prices Kroger actually charged to large numbers of customers and should have been reflected. Kroger argues that prices available only to people who join a program, pay an annual membership fee, and meet other conditions are not its usual or customary prices.

Plaintiffs brought claims for fraud, negligent misrepresentation, and unjust enrichment, according to the court-approved notice. Similar cases have been filed against other pharmacy chains over the past decade.


The Eligibility Rules in Plain Terms

The settlement class covers all individuals in the United States and its territories who, at any point between December 9, 2018 and August 23, 2026, paid, in whole or in part, for one or more prescription drugs from Kroger using their insurance.

Three points do most of the work. The purchase had to be made through insurance, so cash and discount card purchases outside insurance are not covered. Paying in part counts, meaning a copay or coinsurance qualifies. And Kroger here refers to the parent company and all pharmacies owned or operated by it or its affiliates, which includes a long list of regional supermarket banners. The authoritative list appears as Exhibit A to the Plan of Allocation, available on the official settlement website, and anyone unsure whether their pharmacy counts should check it rather than guess based on the storefront name.

Several groups are excluded, including the presiding judges, their families, and staff; company officers and directors; people who have already sued or arbitrated against Kroger over its usual and customary pricing in connection with the Savings Club; and anyone who formally opts out.

Payments will be pro rata. Each approved claimant's share equals their recognized claim divided by the total recognized claims of all approved claimants, then multiplied by the net settlement fund. Attorneys' fees of up to one third of the fund, litigation expenses up to $610,325.71, service awards up to $5,000 per named plaintiff, and notice and administration costs all come out of the $17 million before distribution.


Documentation and the Deadlines That Matter

The claim form asks claimants to attest to estimated or actual payments to Kroger for prescriptions filled with insurance during the class period. Most people will not need receipts.

Documentation is required in two situations. Anyone claiming a total of $8,000 or more must submit supporting records sufficient to identify their payments. Anyone claiming less than $8,000 who does not appear on Kroger's list of known purchasers will be contacted by the administrator and asked for the same. People who received a notice with a claim identification number are already on that list.

Pharmacy payment histories are typically available on request from the pharmacy, and insurers and pharmacy benefit managers can usually produce a claims history covering several years. Both take time, which argues for starting well before the deadline.

Three dates govern the case. October 22, 2026 is the deadline to exclude yourself or to object. December 21, 2026 is the claim deadline. The fairness hearing, where Judge Algenon L. Marbley decides whether to approve the settlement, is scheduled for January 11, 2027, at 10 a.m. Eastern in Columbus. The court warns that the hearing date and time may change, so the settlement site remains the place to check.

Doing nothing has consequences. Class members who neither file nor opt out receive no payment and still waive their right to sue Kroger over these claims. Opting out preserves the right to sue but forfeits any payment, and it must be done by mail with a signature and specified information. The frequently asked questions page walks through each option.


Timing, Realistic Amounts, and Avoiding Scams

Payment will not be fast. The initial distribution occurs within 120 days of the effective date, which occurs only after final approval and any appeals are resolved. The notice states plainly that an appeal could take several years.

Nobody should expect a large check. With $17 million split among a potentially enormous class after fees and costs, individual payments are frequently modest. The reason to file anyway is that it costs nothing and takes minutes.

Two cautions. Claim filing is free, and any third party demanding a fee to submit a claim on your behalf is worth avoiding. And settlement administrators do not call or text asking for bank details out of the blue. Questions can go to the administrator at (888) 535-4262, and the notice asks people not to telephone the court or the clerk's office about claims.

This is a consumer legal matter rather than a medical one, and nothing here is legal advice. Anyone with a complicated situation, such as a claim on behalf of a deceased relative or a very large claim amount, may want to read the full set of court documents or consult an attorney.


Key Questions Answered

Who qualifies? Anyone in the United States or its territories who paid in whole or in part for one or more prescription drugs at a Kroger-owned or- operated pharmacy using insurance between December 9, 2018 and August 23, 2026.

What is the case about? Plaintiffs allege Kroger inflated its reported usual and customary prices by excluding Savings Club prices, causing insured customers to pay more. Kroger denies wrongdoing, and the settlement includes no finding of liability.

When is the deadline? Claims are due December 21, 2026. The deadline to opt out or object is October 22, 2026. A fairness hearing is set for January 11, 2027.

Do I need receipts? Not usually. Documentation is required for claims totaling $8,000 or more, and for smaller claims from people the administrator cannot match to Kroger's list of known purchasers.

Which pharmacies count? All pharmacies owned or operated by Kroger or its affiliates, which includes multiple regional supermarket banners. The full list is Exhibit A to the Plan of Allocation on the settlement website.

How much will I get? Payments are pro rata, based on each claimant's contribution relative to all approved claimants, after fees and costs are deducted from the $17 million. Individual amounts are likely to be modest.

What if I do nothing? You receive no payment and still give up the right to sue Kroger over these claims, unless you formally exclude yourself by the October deadline.

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