OMS Pharmacy, Inc., d/b/a The Pharmacy at Midtown; and Hannah D. Browne <strong>v</strong>. Nationwide Property and Casualty Insurance Company; Baldo-Downs Insurance, LLC; and Roger Downs, Inc.

10/9/2026
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[[COURTLISTENER_SUBOPINION {"id":"11491964","type":"010combined","part":"opinion","author":null,"source_field":"html_with_citations"}]]
Rel: October 9, 2026




Notice: This opinion is subject to formal revision before publication in the advance sheets of Southern
Reporter. Readers are requested to notify the Reporter of Decisions, Alabama Appellate Courts,
300 Dexter Avenue, Montgomery, Alabama 36104-3741 ((334) 229-0650), of any typographical or other
errors, in order that corrections may be made before the opinion is printed in Southern Reporter.




         SUPREME COURT OF ALABAMA
                             OCTOBER TERM, 2026-2027

                                _________________________

                                      SC-2025-0165
                                _________________________

    OMS Pharmacy, Inc., d/b/a The Pharmacy at Midtown; and
                     Hannah D. Browne

                                                  v.

Nationwide Property and Casualty Insurance Company; Baldo-
       Downs Insurance, LLC; and Roger Downs, Inc.


                       Appeal from Tuscaloosa Circuit Court
                                  (CV-14-901325)

STEWART, Chief Justice.
SC-2025-0165

     Hannah D. Browne obtained a $4.75 million judgment against OMS

Pharmacy, Inc. ("OMS"), in the Tuscaloosa Circuit Court ("the trial

court") after she was injured by a medication that had been improperly

compounded by OMS. This appeal arises from a separate related action

to determine whether Browne's claim, and subsequent judgment, is

covered under a liability-insurance policy issued to OMS by Nationwide

Property and Casualty Insurance Company ("Nationwide") and, if not,

whether Roger Downs, Inc., and/or Baldo-Downs Insurance, LLC ("the

agency defendants"),1 were negligent or wanton in failing to procure the

proper insurance coverage for OMS. The trial court entered separate

summary judgments in favor of Nationwide and the agency defendants.

Browne and OMS appeal from those judgments. We affirm.

                     Facts and Procedural History

     The basic underlying facts are undisputed. OMS was founded and

incorporated by Tim Wright, an Alabama-licensed pharmacist, and it




     1Roger  Downs, Inc., is the agency that obtained the Nationwide
policy for OMS, and it was dissolved in 2021. OMS contends that Baldo-
Downs Insurance, LLC, is a successor to Roger Downs, Inc.

                                   2
SC-2025-0165

began its compounding-pharmacy business in 1984.2 For 22 years OMS

operated as a franchise of The Medicine Shoppe. By the year 2008, OMS

had become an independent pharmacy doing business as The Pharmacy

at Midtown.

     In March 2013, Browne's doctor prescribed her a "pink cocktail"

liquid medication for the treatment of stomach pain. As prescribed, the

medication was to be composed of equal parts phenobarbital, maalox, and

belladonna. In 2013, OMS's supplier had discontinued its commercial

generic version of the "pink cocktail," known as Donnatal. Thus, about

two weeks before receiving Browne's prescription, OMS had entered the

formula for the "pink cocktail" into its computer system so that it would

be able to easily compound future prescriptions for the medication.

Unfortunately, the OMS pharmacy technician who entered the "pink

cocktail" formulation into the computer system made an error and

entered the belladonna component of the formula in grams instead of

milligrams.    That formula was followed when OMS's pharmacy

technician compounded the "pink cocktail" prescription for Browne, and,




     2Itappears that, at all relevant times, Wright was OMS's sole
shareholder.
                                  3
SC-2025-0165

thus, the belladonna contained in the medication provided to Browne was

one-thousand times stronger than prescribed. Browne consumed one

tablespoon of the improperly compounded "pink cocktail," which caused

her to suffer belladonna poisoning. Browne was treated in the intensive-

care unit of a hospital, underwent a laparoscopic cholecystectomy, and

suffered other serious complications from her consumption of the

compound.

     In October 2013, Browne sued OMS and Wright in the Tuscaloosa

Circuit Court ("the Browne action"). Browne's complaint, as amended,

included the following factual allegations:

           "7. … Dr. Philpot … ordered a 'pink cocktail' mixture
     of Phenobarbital, Belladonna, and Maalox in an effort to give
     [Browne] some relief from her symptoms. Dr. Philpot's office
     called in the compound prescription to a compound pharmacy,
     [OMS], in Tuscaloosa on or about March 4, 2013. Dr. Philpot's
     office also noted the dosage to be taken as one-half (1/2)
     teaspoon every 12 hours.

           "8. [OMS] accepted the compound prescription for
     [Browne] on March 4, 2013 and prepared the prescription and
     label. [Browne] picked up the prescription on or about March
     6, 2013. The label on the prescription stated to take 1
     TABLESPOONFUL by mouth as directed 4 TIMES A DAY for
     2 WEEKS.

          "9. [Browne] took the one (1) tablespoon dosage on
     March 6, 2013 and within an hour of taking the dosage, she
     began suffering from nausea, vomiting, hallucinations,
                                    4
SC-2025-0165

     convulsions, bloodshot eyes, confusion, and ultimately became
     unresponsive. [Browne] was transported … to DCH Regional
     Medical Center.

          "….

           "12. [OMS & Wright] should never have instructed
     [Browne] to take one (1) tablespoon of the compound produced
     by Defendant Wright containing Belladonna. [Browne]
     suffered from Belladonna poisoning after consuming one
     tablespoon of the pink cocktail. Upon information and belief,
     Dr. Philpot will testify that the compounded drug Defendant
     Wright produced, and the instructions provided to [Browne],
     were not in accordance with what Dr. Philpot prescribed and
     told the representatives of the pharmacy to give to [Browne].

           "13. Upon information and belief, Defendant Wright
     negligently    and/or    wantonly  formulated,    adopted,
     implemented, supervised, oversaw, and otherwise approved
     the compound drug given to [Browne] discussed herein in his
     role as the pharmacist in charge."

Browne asserted against OMS and Wright a negligence/wantonness

claim, a products-liability claim, a claim alleging a breach under the

Alabama Extended Manufacture's Liability Doctrine ("AEMLD"); a claim

alleging breach of the implied warranty of merchantability; and a claim

alleging failure to warn.   Browne's complaint included the following

negligence/wantonness allegations:

           "16. Defendant Wright had a duty under the standard
     of care of a pharmacist to ensure that any medications and
     instructions regarding the consumption of said medications
     were safe and would not cause harm to [Browne] when
                                     5
SC-2025-0165

     consumed.      Defendant Wright and/or [OMS and its
     employees] negligently and/or wantonly breached the
     standard of care by failing to follow the order of Dr. Craig
     Philpot in producing the compounded drug and/or in
     instructing [Browne] of the amount of said drug that she
     should consume …. Defendant Wright … failed to ensure that
     the compounded drug and the instructions given to [Browne]
     were safe for [Browne]'s consumption of said drug.

          "17. Defendants were negligent and/or wanton in the
     breach of the standard of care in compounding, design,
     manufacture, testing, warning, distribution, labeling and/or
     sale of the prescription that is the subject matter of this
     lawsuit."

Browne's product-liability claim and AEMLD claim alleged that OMS

and Wright had "manufactured, compounded, formulated" a product in a

"dangerous and defective condition" and that the product was caused to

be defective "because of [their] work in manufacturing the product

specially for [Browne]." Browne further alleged that the medication "as

manufactured by [OMS and Wright] was not of merchantable quality,

was unsafe, and unsuitable for the purposes for which it was intended."

Finally, Browne alleged that OMS and Wright had failed to warn her

about the dangers inherent in the compounded drug.

     OMS's insurer, Nationwide, declined to defend OMS and Wright in

the Browne action. The Nationwide policy was a general-liability policy,

which did not provide professional-liability coverage, and it contained a
                                   6
SC-2025-0165

professional-services exclusion, which excluded coverage for bodily injury

and property damage arising out of "the rendering of, or failure to render,

any professional service, treatment, advice or instruction," including

"[s]ervice, treatment, advice or instruction in the practice of pharmacy."

Nationwide contended that coverage for Browne's injuries was excluded

under the professional-services exclusion. The Nationwide policy was

obtained for OMS by Roger Downs, Inc., in 2008, and it replaced an

insurance policy issued to OMS by Zurich American Insurance Company

("the Zurich policy"). Unlike the Nationwide policy, the Zurich policy had

not excluded coverage for bodily injury caused by professional

pharmacological services.

     On April 29, 2015, Browne, OMS, and Wright reached a settlement

of the Browne action, and, as part of that settlement, a consent judgment

in the amount of $4,750,000 was entered in favor of Browne and against

OMS. Browne's claims against Wright were dismissed.

     On November 11, 2014, while the Browne action was pending, OMS

commenced in the trial court a seperate action against Nationwide

alleging breach of contract and bad faith ("the insurance action").

Alternatively, it sued the agency defendants alleging negligent and/or


                                    7
SC-2025-0165

wanton failure to procure insurance.       In June 2015, Browne was

permitted to intervene in the insurance action for the purpose of

asserting a direct action against Nationwide pursuant to § 27-23-2, Ala.

Code 1975, and she sought to have Nationwide pay the judgment entered

against OMS in the Browne action.

     In 2016, the agency defendants filed a motion for a summary

judgment, which was denied. In 2018, the parties filed cross-motions for

a summary judgment as to the insurance-coverage issues. Those motions

were denied in January 2020. Nationwide and the agency defendants

renewed their respective summary-judgment motions in 2022.            On

September 21, 2022, the trial court entered a summary judgment in favor

of Nationwide, concluding that Browne's claims against OMS fell within

the scope of the Nationwide policy's professional-services exclusion and

that, therefore, the Nationwide policy did not provide coverage to OMS

for Browne's claims. On August 10, 2023, the agency defendants again

renewed their motion for a summary judgment.3 On February 6, 2025,




     3In  response to the agency defendants' renewed motion for a
summary judgment, OMS's counsel submitted an affidavit pursuant to
Rule 56(f), Ala. R. Civ. P., seeking additional time to complete discovery
and noting that Roger Downs had not yet been deposed. On appeal, OMS
                                      8
SC-2025-0165

the trial court entered a summary judgment in favor of the agency

defendants, concluding that, because OMS had received the Nationwide

policy that, the trial court concluded, unambiguously excluded coverage

for professional services, OMS's claims alleging negligent and/or wanton

failure to procure such coverage was precluded by Alabama law. This

appeal followed.

                             Standard of Review

                         " ' "This Court's review of a
                   summary judgment is de novo.
                   Williams v. State Farm Mut. Auto. Ins.
                   Co.,
886 So. 2d 72, 74
(Ala. 2003). We
                   apply the same standard of review as
                   the trial court applied. Specifically, we
                   must determine whether the movant
                   has made a prima facie showing that no
                   genuine issue of material fact exists
                   and that the movant is entitled to a
                   judgment as a matter of law. Rule
                   56(c), Ala. R. Civ. P.; Blue Cross & Blue
                   Shield of Alabama v. Hodurski,
899 So.
                   2d 949, 952-53
(Ala. 2004). In making
                   such a determination, we must review
                   the evidence in the light most favorable
                   to the nonmovant. Wilson v. Brown,
496 So. 2d 756, 758
(Ala. 1986). Once
                   the movant makes a prima facie
                   showing that there is no genuine issue
                   of material fact, the burden then shifts


does not challenge the trial court's failure to grant it additional time for
discovery.
                                     9
SC-2025-0165

                   to the nonmovant to produce
                   'substantial evidence' as to the
                   existence of a genuine issue of material
                   fact. Bass v. SouthTrust Bank of
                   Baldwin Cnty.,
538 So. 2d 794, 797-98
(Ala. 1989); Ala. Code 1975, § 12-21-
                   12."

              " 'Dow v. Alabama Democratic Party,
897 So. 2d
              1035, 1038-39
(Ala. 2004).'

        "Tender Care Veterinary Hosp. Inc. v. First Tuskegee Bank,
168 So. 3d 33, 37
(Ala. 2014). 'When a trial court interprets
        an insurance policy as a matter of law, that interpretation is
        subject to a de novo review.' Hartford Cas. Ins. Co. v.
        Merchants & Farmers Bank,
928 So. 2d 1006, 1009
(Ala.
        2005)."

St. Paul Fire & Marine Ins. Co. v. Britt,
203 So. 3d 804, 809
(Ala. 2016).

                                  Analysis

                   Coverage Under the Nationwide Policy

        We first address the summary judgment as to the claims seeking

coverage under the Nationwide policy. The Nationwide policy at issue is

a standard-form "premier businessowners" liability policy that includes

coverage for bodily injury caused by an "occurrence." The basic insuring

agreement contained in the Nationwide policy provided, in pertinent

part:

        "I.   COVERAGES


                                     10
SC-2025-0165

     "A. COVERAGE A -- BODILY INJURY AND PROPERTY
     DAMAGE LIABILITY

     "1.   INSURING AGREEMENT

           "a.   We will pay those sums up to the applicable Limit
                 of Insurance that the insured becomes legally
                 obligated to pay as damages because of 'bodily
                 injury' or 'property damage' to which this
                 insurance applies. We will have the right and duty
                 to defend the insured against any 'suit' seeking
                 those damages for which there is coverage under
                 this policy. HOWEVER, we will have no duty to
                 defend the insured against any 'suit' seeking
                 damages for 'bodily injury' or 'property damage' to
                 which this insurance does not apply.

                 "….

           "b.   This insurance applies to 'bodily injury' and
                 'property damage' only if:

                 "(1) The 'bodily injury' or 'property damage' is
                      caused by an 'occurrence' that takes place in
                      the 'coverage territory'; and

                 "(2) The 'bodily injury' or 'property damage'
                      occurs during the policy period …."

(Capitalization in original.) An "occurrence" is defined in the policy as

"an accident, including continuous or repeated exposure to substantially

the same general harmful conditions."

     The trial court concluded that Browne's claims fell within the

Nationwide policy's basic insuring agreement. Nevertheless, it concluded
                                   11
SC-2025-0165

that those claims were excluded from coverage by the professional-

services exclusion contained in the Nationwide policy. That exclusion

provides, in pertinent part:

     "2.   EXCLUSIONS

           "This insurance, including any duty we have to defend
           'suits', does not apply to:

           "….

           "v.   Professional Services

                 " 'Bodily injury' or 'property damage' that arises
                 out of or is a result of the rendering of, or failure to
                 render, any professional service, treatment, advice
                 or instruction. This exclusion includes, but is not
                 limited to, any:

                 "....

                 "(9) Service, treatment, advice or instruction in
                      the practice of pharmacy.

                 "….

           "This exclusion applies even if the claims allege
           negligence or other wrongdoing in the supervision,
           hiring, employment, training or monitoring of others by
           an insured, if the 'occurrence' which caused the 'bodily
           injury' or 'property damage' involved the rendering or
           failure to render of any professional service."

(Capitalization in original.)



                                     12
SC-2025-0165

     On appeal, Browne and OMS challenge the trial court's conclusion

that Browne's claims against OMS fell within the professional-services

exclusion.     In analyzing an insurance policy, we apply the following

principles:

                    " 'When analyzing an insurance policy, a
              court gives words used in the policy their common,
              everyday meaning and interprets them as a
              reasonable person in the insured's position would
              have understood them. Western World Ins. Co. v.
              City of Tuscumbia,
612 So. 2d 1159
(Ala. 1992); St.
              Paul Fire & Marine Ins. Co. v. Edge Mem'l Hosp.,
584 So. 2d 1316
(Ala. 1991). If, under this
              standard, they are reasonably certain in their
              meaning, they are not ambiguous as a matter of
              law and the rule of construction in favor of the
              insured does not apply. Bituminous Cas. Corp. v.
              Harris,
372 So. 2d 342
(Ala. Civ. App. 1979). Only
              in cases of genuine ambiguity or inconsistency is it
              proper to resort to rules of construction. Canal Ins.
              Co. v. Old Republic Ins. Co.,
718 So. 2d 8
(Ala.
              1998). A policy is not made ambiguous by the fact
              that the parties interpret the policy differently or
              disagree as to the meaning of a written provision
              in a contract. Watkins v. United States Fid. &
              Guar. Co.,
656 So. 2d 337
(Ala. 1994). A court must
              not rewrite a policy so as to include or exclude
              coverage that was not intended.            Upton v.
              Mississippi Valley Title Ins. Co.,
469 So. 2d 548
(Ala. 1985).'

     "B.D.B. v. State Farm Mut. Auto. Ins. Co.,
814 So. 2d 877
, 879-
     80 (Ala. Civ. App. 2001). However, if a provision in an
     insurance policy is found to be genuinely ambiguous, 'policies
     of insurance should be construed liberally in respect to
                                       13
SC-2025-0165

     persons insured and strictly with respect to the insurer.'
     Crossett v. St. Louis Fire & Marine Ins. Co.,
289 Ala. 598, 603
,
269 So. 2d 869, 873
(1972)."

State Farm Mut. Auto. Ins. Co. v. Brown,
26 So. 3d 1167, 1169-70
(Ala.

2009). Furthermore,

     " '[e]xceptions to coverage must be interpreted as narrowly as
     possible in order to provide maximum coverage for the
     insured, and must be construed most strongly against the
     company that drew the policy and issued it.' Alliance Ins. Co.
     v. Reynolds,
494 So. 2d 609, 612
(Ala. 1986). Where there is
     no ambiguity in the terms of an insurance contract, the
     language must be enforced as written, and courts cannot
     defeat express provisions in a policy, including exclusions
     from coverage, by making a new contract for the parties;
     however, ' "when ambiguity exists in the language of an
     exclusion, the exclusion will be construed so as to limit the
     exclusion to the narrowest application reasonable under the
     wording." ' Carpet Installation & Supplies of Glenco v. Alfa
     Mut. Ins. Co.,
628 So. 2d 560, 562
(Ala. 1993) (quoting St. Paul
     Mercury Ins. Co. v. Chilton-Shelby Mental Health Ctr., 595
     So. 2d [1375,] 1377 [(Ala. 1992)]."

Porterfield v. Audubon Indem. Co.,
856 So. 2d 789, 806
(Ala. 2002).

     The Nationwide policy does not expressly define the term

"professional services." The fact that the policy does not define a term,

however, does not render it inherently ambiguous. See Safeway Ins. Co.

of Alabama, Inc. v. Herrera,
912 So. 2d 1140, 1143
(Ala. 2005). One

frequently cited decision has explained the term "professional services"

as used in an insurance policy as follows:
                                   14
SC-2025-0165

     "The act or service must be such as exacts the use or
     application of special learning or attainments of some kind.
     The term 'professional' in the context used in the policy
     provision means something more than mere proficiency in the
     performance of a task and implies intellectual skill as
     contrasted with that used in an occupation for production or
     sale of commodities. A 'professional' act or service is one
     arising out of a vocation, calling, occupation, or employment
     involving specialized knowledge, labor, or skill, and the labor
     or skill involved is predominantly mental or intellectual,
     rather than physical or manual."

Marx v. Hartford Accident & Indem. Co.,
183 Neb. 12, 13-14
,
157 N.W.2d

870, 871-72
(1968).    Importantly in this case, the Nationwide policy

identifies the practice of pharmacy as a profession within the meaning of

the term "professional services." The policy expressly provides that the

term "professional services" includes "[s]ervice, treatment, advice or

instruction in the practice of pharmacy."4 Further, the word "service" is

generally understood as "the performance of some useful act or series of

acts for the benefit of another, usu[ally] for a fee," or as "an intangible

commodity in the form of human effort, such as labor, skill, or advice."

Black's Law Dictionary 1647 (12th ed. 2024).




     4Alabama    also recognizes the practice of pharmacy as a
"profession." See § 34-23-1(20), Ala. Code 1975.
                                    15
SC-2025-0165

     Furthermore, the compounding of medicine is acknowledged as

being a traditional component of the practice of pharmacy. See, e.g.,

Thompson v. Western States Med. Ctr.,
535 U.S. 357, 360-61
(2002)

("Drug compounding is a process by which a pharmacist or doctor

combines, mixes, or alters ingredients to create a medication tailored to

the needs of an individual patent. … It is a traditional component of the

practice of pharmacy, … and is taught as part of the standard curriculum

at most pharmacy schools.").        Indeed, compounding practices are

regulated as part of Alabama's statutory scheme regulating the

profession of pharmacy,5 and the compounding of medication in Alabama




     5Alabama    law defines the term "pharmacy" as a place where
"prescriptions, drugs, [and] medicines … are sold, offered for sale,
compounded, or dispensed," § 34-23-1(21), Ala. Code 1975 (emphasis
added), and it defines "compounding" as "[t]he preparation, mixing,
assembling, packaging, and labeling of a drug or device as the result of a
licensed practitioner's prescription drug order or initiative based on the
practitioner/patient/pharmacist relationship in the course of professional
practice." § 34-23-150(3), Ala. Code 1975. Further, under Alabama law,
a compounding pharmacist has the responsibility to, among other things:

           "(1)   Verify all prescriptions.

           "(2) Approve or reject all components of the
     compounded product, drug product containers, closures, and
     labeling.

                                    16
SC-2025-0165

may only be performed by, or under the supervision of, a licensed

pharmacist. See § 34-23-151, Ala. Code 1975.

     In the Browne action, Browne specifically alleged that OMS and

Wright had breached the professional standard of care by improperly

compounding and labeling her prescription, which, she said, proximately

resulted in her injuries.   Clearly, such claims relate directly to the

practice of the profession of pharmacy. Moreover, her claims specifically

arose out of the compounding of medication -- an act recognized as

involving professional skill and training in the practice of pharmacy and

required by Alabama law to be performed by, or under the supervision of,



          "(3) Prepare and review all compounding records to
     assure that no errors have occurred in the compounding
     process."

§ 34-23-151(c), Ala. Code 1975. Alabama law also charges the Alabama
State Board of Pharmacy to establish written procedures for the
compounding of drug products. § 34-23-156, Ala. Code 1975.

     "Components shall be accurately weighed, measured, or
     subdivided, as appropriate. The operations shall be checked
     and rechecked by the compounding pharmacist at each stage
     of the process to ensure that each weight and measure is
     correct as stated in the written compounding procedures."

Id. See also Ala. Admin. Code, (State Bd. of Pharmacy) r. 680-X-2-.14(1)
("The practice of pharmacy shall mean … the compounding, dispensing,
administering and labeling of drugs ….").
                                  17
SC-2025-0165

a licensed pharmacist. Furthermore, it is undisputed that the act of

compounding the medication was performed in direct response to

Browne's request that OMS fill her prescription.            Under these

circumstances, we recognize that the compounding of medication is a

"professional service" and that Browne's bodily injury claims "arise[] out

of or [are] a result of the rendering of … [s]ervice, treatment, advice or

instruction in the practice of pharmacy."6 See Cincinnati Ins. Co. v.

Quorum Mgmt. Corp.,
186 F. Supp. 3d 1307
(M.D. Fla. 2016) (excluding

coverage under professional-services exclusion based on pharmacy's

error in compounding veterinary nutritional supplement that led to

death of 21 horses); and Philadelphia Indem. Ins. Co. v. Ronin Staffing

LLC, No. 3:20-CV-00374-FDW-DSC, Mar. 3, 2022 (W.D. N.C. 2022) (not

reported in Federal Supplement) (excluding coverage under professional-

services exclusion based on pharmacy technician's error in compounding




     6Browne argues that her claims are based on a "keyboarding error"

in entering the compounding formula into the computer, which, she
posits, is not a "professional" act. We disagree. As set out above, and
consistent with the allegations of Browne's complaint, it is within a
pharmacist's professional responsibility to confirm that medications are
correctly compounded as prescribed.
                                     18
SC-2025-0165

saline bag; the compounding required professional skill and training and

was intended for patient's treatment).

     Browne, however, argues that, even if the professional-services

exclusion applies to her claims asserting professional negligence, it does

not bar coverage for her defective-product claims. Browne notes that

such claims are related to her purchase of a product and not the rendition

of a service and that the defective-product claims do not require proof of

professional negligence.   She, therefore, argues that product-liability

claims never fall within the scope of a professional-services exclusion.

Browne cites several cases for the proposition that the sale of a product

does not constitute a "professional service" within the meaning of a

professional-services exclusion.   See North Carolina Mut. Wholesale

Drug Co. v. Federal Ins. Co.,
687 F. Supp. 3d 689
(M.D. N.C. 2023)

(holding   that   commercial   distribution   of   opioid   pharmaceutical

commodities by pharmaceutical wholesaler to pharmacies was not a

professional "service" and that the wholesaler's internal compliance

reviews were done to meet its own regulatory obligations and were not

provided to the customer in exchange for a fee); Hartford Cas. Ins. Co. v.

Dental Org. for Conscious Sedation, LLC, Civil Action No. 10-3483, Apr.


                                   19
SC-2025-0165

1, 2011 (E.D. Pa. 2011) (not reported in Federal Supplement) (holding

that the marketing and sale of dentistry sedation products did not fall

within a professional-services exclusion); Nationwide Mut. Ins. Co. v.

Kavanaugh Supply, LLC, Civil Action No. 2:11-CV-232-KS-MTP, Feb. 26,

2013 (S.D. Miss. 2013) (not reported in Federal Supplement) (holding

that, because insured was seller/renter of medical equipment who did not

provide home-health services, coverage for claims against insured for

failure of ventilator were not barred under a professional-services

exclusion); Leverence v. United States Fid. & Guar.,
158 Wis. 2d 64
,
462

N.W.2d 218
(Ct. App. 1990) (holding that coverage for claims arising out

of the defective manufacture of a prefabricated home was not barred by

a professional-services exclusion).

     Those cases cited by Browne are distinguishable.      Those cases

involved the sale or distribution of existing commercial commodities. In

contrast, the act of compounding the medication for Browne required the

use of professional skill and training and was performed solely for the

purpose of filling Browne's immediate need for a prescription -- facts

underlying all of Browne's claims.




                                      20
SC-2025-0165

      Furthermore, the policy language does not except product-liability

claims from the scope of the professional-services exclusion.          To the

contrary, the professional-services exclusion excludes coverage for all

" '[b]odily injury' or 'property damage' that arises out of or is a result of

the rendering of, or failure to render, any professional service."

(Emphasis added.)        The "arises out of" language is broad, but

unambiguous, and it encompasses all claims for bodily injury arising

from the rendering of a professional service, regardless of the claimant's

theory of recovery. See, e.g., Taliaferro v. Progressive Specialty Ins. Co.,
821 So. 2d 976, 980
(Ala. 2001) (recognizing that the phrase "arising out

of," as used in an insurance policy, has been defined to mean

" ' "origination from," "having its origin in," "growing out," or "flowing

from" ' "), and State Farm Fire & Cas. Co. v. Erwin,
393 So. 2d 996, 998
(Ala. 1981) (recognizing that "[t]he phrase 'arising out of' has been

broadly construed" and is ordinarily understood to mean " ' "originating

from," "having its origin in," "growing out of" or "flowing from" ' " (citation

omitted)). Here, all of Browne's claims -- even her defective-product

claims -- have their origin in, grow out of, or flow from OMS's error in

compounding her prescription medication. Thus, they fall within the


                                      21
SC-2025-0165

plain language of the professional-services exclusion.     We, therefore,

affirm the summary judgment entered in favor of Nationwide.

                    Failure-to-Procure-Insurance Claims

         Having determined that the Nationwide policy does not provide

coverage for Browne's claims, we next turn to OMS's claims against the

agency defendants alleging negligent and/or wanton failure to procure

insurance. With regard to those claims, we note the following additional

facts.

         OMS had, for many years, been operated as a franchise of The

Medicine Shoppe. Wright testified that The Medicine Shoppe's insurance

department had recommended and approved the Zurich policy and had

represented to him that it provided specialized coverage for pharmacies.

Wright testified that, in the years after OMS had become an independent

pharmacy, he had become dissatisfied with the way Zurich had handled

claims made by OMS. In 2008, Wright asked Roger Downs, an insurance

agent with Roger Downs, Inc., and a regular customer of OMS, to replace

the Zurich policy with like coverage. It is undisputed that Wright at least

provided Downs with a two-page policy-declarations form for the Zurich

policy. The evidence is disputed as to whether Wright provided Downs


                                    22
SC-2025-0165

with a copy of the Zurich policy, but there is no dispute that Wright would

have made that policy available for Downs to review had he sought it.

Ultimately, Roger Downs, Inc., procured the Nationwide policy for OMS

in 2008.

     The Zurich and Nationwide policies differed in at least one critical

respect that was not evident from a mere review of the policies'

declarations pages.    Although both polices were commercial general-

liability policies containing a professional-services exclusion, the Zurich

policy's professional-services exclusion had expressly excepted and did

not apply to certain pharmacological services -- "[t]his exclusion does not

apply to … [p]harmacological services if … [y]ou do business as a retail

drug store and do not manufacture or compound in bulk pharmaceuticals

for sale by others." The Nationwide policy, on the other hand, expressly

excluded coverage for bodily injury and property damage arising out of

"[s]ervice, treatment, advice or instruction in the practice of pharmacy."

Although Wright received a copy of the Nationwide policy in 2008, and at

each subsequent renewal period, he admitted that he did not read the

policy exclusions until after Browne's 2013 injury.       Wright did read

portions of the policy "on occasions," and he testified that he believed that


                                     23
SC-2025-0165

the policy had provided coverage for products made by OMS, like

compounded medications. The Nationwide policy was renewed each year

between 2008 and the 2013 injury to Browne. Wright never requested

any change in coverage during that time.

     " '[W]hen an insurance agent or broker, with a view to

compensation, undertakes to procure insurance for a client, and

unjustifiably or negligently fails to do so, he becomes liable for any

damage resulting therefrom.' "     Highlands Underwriters Ins. Co. v.

Elegante Inns, Inc.,
361 So. 2d 1060, 1065
(Ala. 1978). This Court has

recognized that a claim alleging the negligent failure of an insurance

agent to procure insurance " 'requires demonstration of the classic

elements of a negligence theory, i.e., "(1) duty, (2) breach of duty, (3)

proximate cause, and (4) injury." ' " Alfa Life Ins. Corp. v. Colza,
159 So.

3d 1240, 1248
(Ala. 2014) (quoting Kanellis v. Pacific Indem. Co.,
917 So.

2d 149, 153
(Ala. Civ. App. 2005), quoting in turn Albert v. Hsu,
602 So.

2d 895, 897
(Ala. 2002)). Furthermore, as is true regarding any other

type of negligence claim, contributory negligence is a complete defense to

a negligent-failure-to-procure-insurance claim. Colza,
159 So. 3d at 1248
.

     "With regard to establishing contributory negligence as a
     matter of law, this Court has stated:
                                    24
SC-2025-0165


           " 'The question of contributory negligence is
           normally one for the jury. However, where the
           facts are such that all reasonable persons must
           reach the same conclusion, contributory
           negligence may be found as a matter of law.
           Brown [v. Piggly-Wiggly Stores,
454 So. 2d 1370,
           1372
(Ala. 1984)]; see also Carroll v. Deaton, Inc.,
555 So. 2d 140, 141
(Ala. 1989).

                 " 'To establish contributory negligence as a
           matter of law, a defendant seeking a [judgment as
           a matter of law] must show that the plaintiff put
           himself in danger's way and that the plaintiff had
           a conscious appreciation of the danger at the
           moment the incident occurred. See H.R.H. Metals,
           Inc. v. Miller,
833 So. 2d 18
(Ala. 2002); see also
           Hicks v. Commercial Union Ins. Co.,
652 So. 2d
           211, 219
(Ala. 1994). The proof required for
           establishing contributory negligence as a matter of
           law should be distinguished from an instruction
           given to a jury when determining whether a
           plaintiff has been guilty of contributory
           negligence. A jury determining whether a plaintiff
           has been guilty of contributory negligence must
           decide only whether the plaintiff failed to exercise
           reasonable care.        We protect against the
           inappropriate use of a summary judgment to
           establish contributory negligence as a matter of
           law by requiring the defendant on such a motion
           to establish by undisputed evidence a plaintiff's
           conscious appreciation of danger. See H.R.H.
Metals, supra.
'

     "Hannah v. Gregg, Bland & Berry, Inc.,
840 So. 2d 839
, 860-
     61 (Ala. 2002)."

Colza, 159 So. 2d at 1248-49.
                                   25
SC-2025-0165

     OMS argues that it was not contributorily negligent as a matter of

law because, it says, even if Wright had read the entire Nationwide

policy, it would not have been clear to him that the policy did not provide

coverage for product-liability claims. Indeed, Wright recalled that he had

seen language in the Nationwide policy relating to "products" and

thinking that such language potentially covered losses arising from

medications compounded by OMS. Presumably, Wright was referencing

policy language related to the "products-completed operations hazard."

Generally, provisions regarding the products-completed operations

hazard contemplate liability coverage for bodily injury or property

damage caused by an insured's products or completed work and occurring

away from the insured's premises.7 Although OMS concedes that liability

coverage for the products-completed operations hazard remained subject

to the general bodily injury and property-damage liability exclusions,

including the professional-services exclusion, it argues that Wright

should not have been expected to understand the import of such

language.


     7The  declarations page for the Nationwide policy provided a
separate aggregate policy limited regarding the products-completed
operations hazard.
                                26
SC-2025-0165

     In addressing OMS's argument, we note that this case is similar to

Hickox v. Stover,
551 So. 2d 259
(Ala. 1989). In Hickox, an insurance

agent represented to an insured that he could replace the insured's

existing policy insuring oilfield equipment with identical coverage at a

lower premium. The replacement policy, however, had a different co-

insurance requirement than the insured's original policy, and, when the

insured suffered a loss to the oilfield equipment, the replacement

insurance covered only one-third of the loss. The insured sued the agent

alleging negligent failure to procure insurance. The trial court entered a

summary judgment in favor of the agent on the negligent-procurement

claim, in part because it concluded that the insured had been

contributorily negligent. This Court reversed the summary judgment

because, even though the insured's manager had received the policy and

a letter from the agent referencing the co-insurance provision, the

insured's manager had testified that he had not understood them.

           "[The insured] argues on appeal that the question of
     whether [its manager] and, through [its manger], the
     [insured] was contributorily negligent for failing to take some
     action or to investigate further so as to learn that [its new]
     policies differed from the [replaced] policy in an unfavorable
     way is a question of fact that precludes summary judgment on
     the contributory negligence issue. We have held that '[t]he
     burden of proving contributory negligence and that it
                                   27
SC-2025-0165

      proximately caused the injury is on the defendant, and [that]
      a determination of the existence of contributory negligence is
      for the jury when there is a scintilla of evidence to the
      contrary.' Hatton v. Chem-Haulers, Inc.,
393 So. 2d 950, 954
(Ala. 1981) (citing Elba Wood Products, Inc. v. Brackin,
356
      So. 2d 119
(Ala. 1978)). We hold that the defendants have
      failed to carry their burden of proving that, as a matter of law,
      [the insured's manager] and [the insured] were guilty of
      contributory negligence. [The insured's manager] presented
      testimony indicating that he did not understand the letter
      from [the agent] or the policy endorsements. Moreover,
      neither the April 4 letter nor the receipt of the policy, as
      shown above, triggered a conclusion that the plaintiffs' claim
      for negligence is barred as a matter of law."
551 So. 2d at 265
.8

      In
Colza, supra,
this Court sharply criticized the above holding in

Hickox, essentially finding it inconsistent with a plaintiff's " 'general duty

… to read the documents received in connection with a particular

transaction,' " which was recognized in Foremost Insurance Co. v.

Parham,
693 So. 2d 409
(Ala. 1997), and its progeny.
159 So. 3d at 1251
(citation omitted). The Court in Colza explained:

      "[T]he Hickox Court effectively held that the defendants had
      not established contributory negligence as a matter of law
      because the insured had submitted evidence that its manager
      did not understand a letter from the selling agent and the
      terms of the actual insurance policy -- which explained the
      extent of the insurance coverage actually procured by the

      8Section 12-21-12, Ala. Code 1975, abolished the "scintilla rule"
referenced in Hickox in favor of the substantial-evidence rule.
                                    28
SC-2025-0165

     agent for the insured and revealed that the coverage was not
     equivalent to the coverage the insured alleges he charged the
     agent to procure.

          "However, when Hickox was overruled by Foremost
     Insurance Co.[ v. Parham], [
693 So. 2d 409
(Ala. 1997),] this
     Court held that, with regard to a fraud claim, a

          " 'trial court can enter a judgment as a matter of
          law in a fraud case where the undisputed evidence
          indicates that the party or parties claiming fraud
          in a particular transaction were fully capable of
          reading and understanding their documents, but
          nonetheless made a deliberate decision to ignore
          written contract terms.'

     "
693 So. 2d at 421
. The Foremost Court also recognized a
     plaintiff's 'general duty … to read the documents received in
     connection with a particular transaction,' along with a duty to
     inquire and investigate.
Id.
In Ex parte Caver,
742 So. 2d
     168, 172
(Ala. 1999), we subsequently summarized the effect
     of Foremost by noting that 'Foremost ended the era of
     "ostrichism" ' that had begun with Hickox. We have since
     applied Foremost in numerous cases to justify a judgment as
     a matter of law when plaintiffs have ignored clear written
     terms in documents provided them in association with a
     transaction. …

           "As evidenced by … Foremost's … progeny, we have
     essentially held that it is almost never reasonable for an
     individual to ignore the contents of documents given him or
     her in association with a transaction. Although the Foremost
     line of cases deals primarily with fraud claims, there is no
     reason this principle should not apply to other claims as well."

Id. at 1251-52 (footnote omitted).      Thus, Colza pronounced the rule

authorizing "a judgment as a matter of law in favor of an agent on a
                                   29
SC-2025-0165

negligent-procurement claim when documents available to the insured

clearly indicate that the insurance in fact procured for the insured is not

what the insured subsequently claims he or she requested the agent to

procure." Id. at 1255.

     Having reaffirmed an insured's duty to read the documents, the

Court in Colza reversed a judgment entered on a jury verdict in favor of

the plaintiffs on a negligent-failure-to-procure-insurance claim when the

documents provided to the plaintiffs upon their application for life

insurance clearly apprised them that immediate coverage was not

guaranteed. The Court reasoned:

     "The documents in this case clearly apprised the Colzas that
     Dante was not guaranteed immediate coverage upon
     submitting his application for life insurance to [the agent]. By
     not reading the documents, they took a risk and put
     themselves in danger's way. We do not think it unreasonable
     to conclude as a matter of law that, in this day and age, any
     adult of sound mind capable of executing a contract
     necessarily has a conscious appreciation of the risk associated
     with ignoring documents containing essential terms and
     conditions related to the transaction that is the subject of the
     contract. Thus, we … hold that, because the Colzas ' " 'put
     [themselves] in danger's way' " and had a " 'conscious
     appreciation of the danger' " of suffering a monetary loss,'
     Kanellis[ v. Pacific Indem. Co.], 917 So. 2d [149,] 155[ (Ala.
     Civ. App. 2005)], in the event Dante died before conditions for
     immediate coverage were met, any negligent-procurement
     claim is barred by the doctrine of contributory negligence."


                                    30
SC-2025-0165

Id. at 1252-53 (footnote omitted).

     The Court in Colza also adopted the analysis of the Court of Civil

Appeals in
Kanellis, supra.
In Kanellis, the plaintiffs obtained insurance

on a valuable sports car. When the car was damaged in an accident, the

insurer paid to have the car repaired, but the policy did not cover the loss

of value to the car resulting from its having been wrecked and repaired.

The plaintiffs sued their insurance agent alleging that it had negligently

failed to procure insurance that would have covered the car's diminution

in value. The Court of Civil Appeals affirmed a summary judgment

entered in favor of the insurance agent on the basis that the plaintiffs

had been contributorily negligent as a matter of law.            The court

explained:

           "In this case, the Kanellises were issued a policy of
     insurance by [the insurer] that provided that [the insurer]'s
     sole duty, in the event of a collision that caused the Kanellises'
     Porsche automobile to be 'partially damaged,' was to 'pay the
     amount required to repair or replace, whichever is less, the
     damaged part(s) without deduction for depreciation, up to the
     amount of coverage.' … There is no language in the … policy
     that would tend to indicate that [the insurer] would pay the
     Kanellises a separate benefit to compensate them for any
     depreciation in the value of the Porsche that might result
     from a collision, and a review of the policy would have
     revealed that no such depreciation coverage was afforded
     thereunder. Moreover, the Kanellises adduced no evidence
     that would tend to indicate that they were anything less than
                                     31
SC-2025-0165

     'competent in intelligence and background to understand
     insurance policy language.' Allstate Ins. Co.[ v. Ware], 824
     So. 2d [739,] 745 [(Ala. 2002)].

           "…     [A]s a matter of law, the Kanellises ' "put
     [themselves] in danger's way" ' and had a ' "conscious
     appreciation of the danger" ' of suffering a monetary loss in
     the event of a collision involving the Porsche automobile
     resulting in a diminution of the value of the Porsche. See
     Hannah v. Gregg, Bland & Berry, Inc.,
840 So. 2d 839, 860
(Ala. 2002)."
917 So. 2d at 154-55
.

     More recently, in Crook v. Allstate Indemnity Co.,
314 So. 3d 1188
(Ala. 2020), a property owner, through his insurance agent, obtained

property insurance on his lake front home and other structures.

Coverage A of the policy covered the home and attached structures, and

Coverage B covered structures separated by a "clear space" from the

home.   Coverage B had significantly lower policy limits.     After the

property owner's boat dock and deck structures were damaged in a storm,

the insurer determined that the policy limit for Coverage B applied. The

property owner sued, alleging, among other claims, a breach-of-contract

claim against the insurer and a negligent-failure-to-procure-insurance

claim against the agent. On appeal from a summary judgment entered

in favor of the insurer and the agent, this Court, as a matter of first


                                  32
SC-2025-0165

impression, held that the boat dock and deck, which were connected to

the home by a wooden staircase, were not attached structures under the

plain language of the policy. This Court also affirmed the summary

judgment as to the negligent-procurement claim. Id. at 1202. Applying

the holdings of Colza and Kanellis, the Court concluded that the property

owner had been contributorily negligent as a matter of law because he

had not read the policy.

           "In the present case, it is undisputed that [the property
     owner] did not read the policy or the numerous policy-renewal
     notices sent to him from 2006 to 2015 that explicitly set forth
     the policy limits and explicitly requested that he read them.
     Had he done so, [the property owner] would have discovered
     that the policy limit for Coverage B was only $11,455 and
     could have, had he desired, requested additional coverage.
     [The property owner] failed to do so and thus, ' " 'put [himself]
     in danger's way' " and had a " 'conscious appreciation of the
     danger' " of suffering a monetary loss.' Kanellis,
917 So. 2d at
     155
. [The property owner] was contributorily negligent as a
     matter of law."
Id.
The Court rejected the property owner's argument that his failure to

read the policy was irrelevant because he could not have known whether

the boat dock and deck would be covered under Coverage A or Coverage

B; despite the issue of first impression as to coverage, the Court held that

the plain language of the policy provided that Coverage B applied to those

structures.
Id.
33
SC-2025-0165

     Applying the holdings of Colza, Kanellis, and Crook to the facts of

this case, we conclude that OMS was contributorily negligent as a matter

of law. It is undisputed that Wright did not read the coverage-exclusions

portion of the Nationwide policy. Had he done so, he and OMS would

have discovered that the policy did not provide coverage for bodily injury

or property damage that "arises out of or is a result of the rendering of,

or failure to render, any professional service," including "[s]ervice,

treatment advice or instruction in the practice of pharmacy." (Emphasis

added.) Indeed, the professional-services exclusion contains the only

direct reference to the practice of pharmacy in the Nationwide policy.9

Discovering that the Nationwide policy excluded coverage for bodily

injury or property damage arising from "[s]ervice, treatment, advice or

instruction in the practice of pharmacy" would have provided Wright and

OMS with a clear indication that the Nationwide policy did not provide

the same coverage as the Zurich policy, i.e., the coverage OMS had

engaged Roger Downs, Inc., to procure. By failing to fully read the policy,

Wright placed OMS " ' "in danger's way" ' and had a ' "conscious


     9An  identically worded professional-services exclusion applies to
Coverage B of the Nationwide policy relating to liability coverage for
personal and advertising injuries.
                                   34
SC-2025-0165

appreciation of the danger" ' of suffering a monetary loss." Kanellis,
917

So. 2d at 155
. Accordingly, we affirm the summary judgment entered in

favor of the agency defendants regarding OMS's negligent-failure-to-

procure claim.

     Finally, OMS challenges the summary judgment regarding its

wanton-failure-to-procure-insurance      claim    against    the   agency

defendants. Our Court has defined "wantonness" as "the conscious doing

of some act or the omission of some duty while knowing of the existing

conditions and being conscious that, from doing or omitting to do an act,

injury will likely or probably result." Ex parte Essary,
992 So. 2d 5, 9
(Ala. 2007). Here, OMS argues that the evidence indicating that Downs

agreed to replicate the coverage provided to OMS by the Zurich policy

without seeking to actually review the Zurich policy constituted sufficient

evidence of wanton conduct to warrant submission of that claim to a jury.

We note that the undisputed facts also indicate that Downs did review

the declarations page for the Zurich policy but that the difference in each

policy's professional-services exclusion was not evident from a mere

review of the declarations pages. Furthermore, Wright testified that he

did not believe that Downs had had any malicious intent in failing to


                                    35
SC-2025-0165

procure the requested coverage. Based on our review of the record, we

agree with the trial court that OMS did not offer substantial evidence

demonstrating that Downs or the agency defendants acted or failed to act

while being conscious that injury to OMS would likely or probably result.

Accordingly, we affirm the summary judgment as to OMS's wanton-

procurement claim.

                              Conclusion

     Based on the foregoing, we affirm the trial court's summary

judgments in favor of Nationwide and the agency defendants.

     AFFIRMED.

     Wise, Bryan, Sellers, Mendheim, Cook, and McCool, JJ., concur.

     Parker, J., concurs in part and concurs in the result, with opinion.

     Shaw, J., recuses himself.




                                   36
SC-2025-0165

PARKER, Justice (concurring in part and concurring in result).

     I concur in the main opinion's result and in most of its reasoning. I

write separately to clarify why the circuit court correctly entered

summary judgment in favor of the agency defendants on OMS's claim

that those defendants "wantonly" failed to procure insurance.

     The main opinion appears to correctly state the standard for

wantonness. It properly focuses on the state of the defendant's actual

knowledge or consciousness -- that is, whether the defendant was truly

aware that the plaintiff would likely be injured by the defendant's acting

or failing to act in a certain way. See Ex parte Dixon Mills Volunteer Fire

Dep't,
181 So. 3d 325, 333
(Ala. 2015); Bishop v. Poore,
475 So. 2d 486,

487
(Ala. 1985). But under this standard, it should not matter whether,

as the main opinion puts it, Downs "had any malicious intent in failing

to procure the requested coverage." __ So. 3d at ___. Indeed, we have

specifically held that wantonness does not require proof of intentional

conduct. See Mazda Motor Corp. v. Hurst,
261 So. 3d 167, 189
(Ala. 2017)

(quoting Wal-Mart Stores, Inc. v. Thompson,
726 So. 2d 651, 654
(Ala.

1998)).




                                    37
SC-2025-0165

     It is more relevant that a reasonable observer could not have

perceived any differences in the old (Zurich) policy and the new

(Nationwide) policy from a "mere review of the [two policies'] declarations

pages." ___ So. 3d at ___. But even that point does not account for the

possibility that Downs may have received OMS's old insurance policy for

review in determining proper insurance coverage. To be clear, I take no

position on whether OMS presented substantial evidence of this fact; its

pharmacist, Wright, testified only that he could not remember whether

he had given the old policy to Downs or had merely offered it to him.

Either way, though, the focus must remain on what Downs actually knew

about the likely consequences of his conduct. And on this front, OMS has

simply presented no substantial evidence.




                                    38
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Case Information

Decision Date
October 9, 2026
Citation
Status
Precedential