Patients win as West Virginia implements first-in-nation share the savings policy

Reid Porter
Reid Porter July 8, 2022

Patients win as West Virginia implements first-in-nation share the savings policy.

Share This

West Virginia took a big step towards making insurance work like it should last week. As of July 1, thanks to bipartisan state legislation passed and signed by the Governor in 2021, insurers and their pharmacy benefit managers (PBMs) are required to share the savings they negotiate on medicines directly with West Virginia patients. This makes the Mountain State the first in the nation to answer the question: If health insurance companies and middlemen don’t pay the full price for medicines, why are you?

Recent polling by Morning Consult shows that Americans want policymakers to see lowering out-of-pocket costs for health care as a top priority. In fact, 80% of West Virginians support requiring health insurance companies and PBMs to pass along the rebates and discounts they receive from manufacturers so that patients pay less for their prescription medicines at the pharmacy counter.

Seven months into the year, this new law could mean big savings for West Virginians who have not yet met their deductible. For those who have met their deductible, savings should be coming in January of 2023. Not a bad way to kick-off a new year.

No one should struggle to access or afford the medicines they need. Lower out-of-pocket costs can help to bring more predictability for patients, improve medication adherence and health equity, resulting in better health outcomes for West Virginians. That’s worth celebrating.

Want to learn more about the multiple ways to help patients better access and afford medicines in your state?

PhRMA recently launched the State Policies and Issues landing page at PhRMA/States. We hope that you’ll use this new resource to stay updated on the latest data and insights we have available, like more information about polling data and patient-focused solutions that states can enact to help patients pay less.

Topics: Health Insurance, Out-of-Pocket Costs, Pharmacy Benefit Managers, Policy Solutions