Please note: the reports below are posted in order to be in compliance with WV §33-51-12(d) and are for references purposes only. For questions regarding specific member, group, or benefit information please contact the ProAct helpdesk.
Chapter 33 of Article 51 of the Code of West Virginia includes provisions pertaining to reporting requirements of pharmacy benefit managers relating to reimbursement of pharmacy claims. Specifically, on a quarterly basis, pharmacy benefit managers must provide reporting of all drugs reimbursed either 10% above or below the national average drug acquisition cost standard (NADAC). The Code also requires these reports be published on the pharmacy benefit manager’s website for a specified period of time. Below are the reports required to be posted by West Virginia Offices of the Insurance Commissioner.
