Two Walgreens pharmacists filed suit last week in a Minnesota federal district court challenging the drug chain's refusal to accommodate their religious objections to dispensing drugs that facilitate gender transitions. Walgreens took the position that plaintiffs' long-standing arrangement to refer such prescriptions to other pharmacists to fill was now illegal under Minnesota law as administered by the state Board of Pharmacy.
The complaint (full text) (exhibits to complaint) in Scott v. Minnesota Board of Pharmacy, (D MN, filed 8/22/2025), alleges in part:
3. Walgreens was wrong about the law. Minnesota administrative rules require pharmacists to dispense or compound only those drugs that “may reasonably be expected to be compounded or dispensed in pharmacies by pharmacists.” Reasonable people understand that not every pharmacist or pharmacy sells every drug, for various reasons including supply shortages, insurance reimbursement rates, lack of demand in the community—or a pharmacist’s conscientious objections.
4. Plaintiffs asked the State Board of Pharmacy to clarify that this is the correct interpretation of the Board’s rules. The Board refused, leaving Plaintiffs and other pharmacists like them in legal limbo and subject to adverse actions from employers like Walgreens.
5. To any extent that Minnesota law does purport to require Plaintiffs to violate their religious convictions by dispensing or compounding certain drugs, it violates the Free Exercise Clause of the U.S. Constitution and the free exercise protections of Minnesota’s Constitution. Forcing individual pharmacists to violate their religious beliefs by dispensing drugs that are readily available from many other pharmacists is not narrowly tailored to advance any compelling government interest. Moreover, Minnesota permits many non-religious exceptions to any “must dispense” requirement, including for economic reasons and based on a pharmacist’s professional judgment about the risks and efficacy of a prescription. Refusing to allow religious accommodations therefore is neither neutral nor generally applicable.
KSTP News reports on the decision. [Thanks to Thomas Rutledge for the lead.]
