Semiconductor device and methods of forming same

A method of forming a semiconductor device, includes forming an active region; forming first, second and third metal-to-drain/source (MD) contact structures which extend in a first direction, and correspondingly overlap and electrically couple to the active region; forming a via-to-via (V2V) rail which extends in a second direction perpendicular to the first direction, overlaps at least the first MD contact structure and the third MD contact structures; forming a first via-to-MD (VD) structure over, and electrically coupled to, the first MD contact structure and the V2V rail; and forming a first conductive segment which overlaps the V2V rail, is in a first metallization layer, and is electrically coupled to the first VD structure.