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.
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:
Apply/Renew for licensure as an Auditing Entity:
Required Reporting for PBMs.
PBM corporate change information should be reported within 30 days of change.