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
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:
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
Required Reporting for PBMs.
Changes to the network
PBM corporate change information should be reported within 30 days of change.
Annual Report