A Texas bankruptcy judge has approved the Chapter 11 plan for CVS subsidiary Omnicare, marking the latest turn in a restructuring shaped by both an asset sale and a settlement with the U.S. Department of Justice. The confirmation is notable not just because it advances Omnicare’s exit from bankruptcy, but because it shows how a company facing major healthcare-related liabilities can use Chapter 11 to resolve overlapping business, litigation, and government enforcement problems in a single forum.

The Omnicare case drew attention after the company was hit with a massive fraud judgment, creating pressure on its balance sheet and forcing hard questions about how private claimants, federal enforcement interests, and the debtor’s remaining enterprise value could be reconciled.