WEST VIRGINIA
Offices of the Insurance Commissioner
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Allan L. McVey
Insurance Commissioner
Contact Information
Telephone:
  Toll Free 1-888-TRY WVIC (888-879-9842)
  (304) 720-8584
Facsimile:
  304-558-4965
E-Mail:
  OICPBM@wv.gov
Correspondence:
  WV Offices of the Insurance Commissioner
  ATTN: PBM Unit
  PO Box 50540
  Charleston, West Virginia 25305-0540
Physical Address:
  900 Pennsylvania Ave.
  Charleston, West Virginia 25302
  (Mon-Fri) 8:30 am - 4:30 pm
       Eastern Standard Time
Complaint Form
Pharmacy Benefit Managers and Auditing Entities

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 03/10/2025

All PBM correspondence should be directed to: OICPBM@wv.gov.

Licensing/Renewal Requirements

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. Further, a PBM shall renew every two years from the date of initial licensure.

Here are the steps to apply/renew for licensure as a PBM:

  1. Complete the PBM Licensing application.
  2. Complete the West Virginia PBM Bond Form.
  3. Complete the PBM Pharmacy Provider Location Template and the PBM Network Template.
  4. Remit an initial application fee of $5,000 (by check payable to WVOIC or via our online payment portal). 
  5. Mail the completed application and bond form to: WVOIC, PO Box 50540, Charleston, WV 25305-0540
  6. The templates may be submited by email to: OICPBM@wv.gov. 

Apply/Renew for licensure as an Auditing Entity:
Change Report

Required Reporting for PBMs.

PBM corporate change information should be reported within 30 days of change.