The Ohio counties of Lake and Trumbull late Tuesday defended their milestone $650 million opioid trial win over pharmacy giants CVS, Walgreens and Walmart, telling the Sixth Circuit that their claims that the pharmacies created a public nuisance by "egregious" opioid dispensing aren't barred by federal law.

The trial in November 2021 marked the first pharmacy-focused verdict in a bellwether trial selected to lead the way for pharmacies implicated in the national multidistrict litigation over the opioid crisis.

This past November, following the August 2022 award in that case, CVS, Walmart and Walgreens each announced settlements in the billions of dollars to put an end to the many pending cases over the prescription painkillers.

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