Published July 23, 2026
On June 3, 2026, U.S. District Judge J. Philip Calabrese, who oversees the federal Suboxone tooth decay litigation in the Northern District of Ohio, compelled a group of third parties — pharmacies and other record-holders — to turn over outstanding prescription and treatment records, and scheduled a contempt hearing for July 1, 2026 for any that still hadn't complied by then. It's a procedural order, not a ruling on the merits, but it highlights how much of this litigation currently runs through the unglamorous work of getting records into evidence.
The litigation, consolidated as MDL 3092, involves claims that Indivior, the maker of Suboxone film, failed to adequately warn patients and prescribers that the dissolvable, sublingual film formulation — which sits under the tongue for several minutes at a time — could cause serious dental problems, including tooth decay, cavities, and tooth loss. The FDA added a warning about these dental risks to Suboxone's label in 2022. Proving an individual claim generally requires connecting a specific patient's Suboxone prescription history to their subsequent dental treatment records, which is exactly the kind of documentation that pharmacies, dental offices, and treatment providers hold — and exactly what this order is aimed at collecting.
As of early July 2026, more than 17,900 individual claims have been filed against Indivior in the MDL, though the court's active docket count is lower because the court has permitted "block filings" that group up to 100 individual plaintiffs into a single submission. That volume is part of why the court has been aggressive about enforcing document production deadlines — with tens of thousands of claims depending on individualized medical evidence, delays with even a handful of record-holders can ripple across the litigation's broader schedule.
If you or a family member used Suboxone film and later experienced significant tooth decay, cavities, or tooth loss, this order is a reminder of how document-heavy these claims are — the sooner your dental and prescription records are gathered, the less likely your case is to get caught up in exactly the kind of records disputes now playing out in court. See Atumio's Suboxone case page for a free eligibility review, or start your case review directly.