Offices of the Insurance Commissioner
Allan L. McVey
Insurance Commissioner
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 

Licensing 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.

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

  1. Complete the PBM Licensing application.
  2. West Virginia PBM Bond Form.
  3. Include an initial application fee of $2,500, payable to: WVOIC with the completed application and bond form. 

Apply for licensure as an Auditing Entity:

Mail to:   Financial Conditions Unit, WVOIC PBM Licensing, PO Box 50540, Charleston, WV  25305-0540

For more information Contact:  OICPBM@wv.gov 


 FAQs for PBM Licensing  


Reporting Forms and Changes

Required Reporting for PBMs.

Changes to the network

  • More information will provided


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


Annual Report 

  • more information to be provided