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A federal jury on Tuesday ruled pharmacies run by CVS, Walgreens and Walmart helped fuel opioid abuse in two Ohio counties, the first ruling involving thousands of nationwide lawsuits over the opioid addiction crisis involving pharmacy chains.

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Jurors in Cleveland ruled in favor of Ohio’s Trumbull and Lake Counties, which sued CVS Health, Walgreens Boots Alliance and Walmart over their handling of prescription opioid painkillers, plaintiffs attorney Mark Lanier confirmed. Businesshala,

The counties alleged that pharmacy chains contributed to public nuisance by “flooding the country with prescription opioids,” failing to root out questionable or illegitimate prescriptions, and allowing potent, addictive drugs to be diverted and abused.

CVS, Walgreens and Walmart sharply criticized the decision in statements Businesshala, arguing that they were not responsible for manufacturing or misprescribing the opioids.

Walmart also claimed that the case was “filled with notable legal and factual inaccuracies,” and Walgreens called the plaintiffs’ use of public nuisance laws “misleading and untenable.”

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