The West Virginia Pharmacy Audit Integrity Act applies to pharmacy benefit managers that perform pharmacy benefit management for covered entities and persons or companies that perform pharmacy audits.
List of Licensed PBM's as of 2/19/21
West Virginia's Pharmacy Audit Integrity Act was enacted by the 2019 legislature. The Act requires that effective October 1, 2020, Pharmacy Benefit Managers (PBM) and Auditing Entities must be licensed in order to operate within the state of West Virginia.
Here are the steps to apply for licensure as a PBM:
Apply for licensure as an Auditing Entity:
FAQs for PBM Licensing - Updated November 23, 2020
The PBM must provide an adequate and accessible pharmacy network that meets the requirements of West Virginia Code §33-51-8(d). Applicants need to submit information through our portal: Instructions for Using PBM Network Portal
PBM Network Portal
Required Reporting for PBMs.
Changes to the network
PBM corporate change information should be reported within 30 days of change.