2026 Regular Session
SB 907
Relating to pharmacy benefit managers and state pharmacy purchasing
In Committee
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Sign in to take action- Introduced
- Passed Senate
- Passed House of Delegates
- To Governor
- Became Law
Bill overview
This bill aims to regulate pharmacy benefit managers (PBMs) and state pharmacy purchasing in West Virginia. It requires an annual study of pharmacy dispensing fees, limits the charges PBMs can impose, and prohibits certain contracts with Medicaid and the Public Employees Insurance Agency. The bill also mandates the implementation of a pharmacy cost containment tool to promote lower drug costs.
Key provisions
- Requires an annual dispensing fee study to assess pharmacy costs.
- Limits the amounts charged by pharmacy benefit managers.
- Prohibits certain pharmacy benefit manager contracts with West Virginia Medicaid and the Public Employees Insurance Agency.
- Mandates the implementation of a pharmacy cost containment tool.
- Requires pharmacies, pharmacists, and technicians to provide information to individuals about lower-cost alternatives.
- Establishes a process for pharmacies to challenge excessive charges from PBMs.
- Requires PBMs to reimburse pharmacies at least the national average drug acquisition cost plus a dispensing fee.
- Requires PBMs to offer a health plan the option of charging the same price for prescription drugs as they pay pharmacies.
Who is affected
- Pharmacy Benefit Managers (PBMs)
- West Virginia Medicaid
- West Virginia Public Employees Insurance Agency
- Pharmacies
- Pharmacists
Notable changes
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