The lawsuit sought judicial review of a final agency decision by the Medicare Appeals Council on Medicare Part D enrollee Dobson’s claim for coverage of a particular off-label use of a prescription drug. The case turned on the reading of an entry in the DRUGDEX, a pharmacological compendium. Although the District Court (SDFL) upheld the decision of the Medicare Appeals Council, Dobson subsequently received a favorable ruling, on appeal, from the Court of Appeals for the Eleventh Circuit.