Relating to financial or product assistance for prescription drugs

Summary

The bill forces health insurers, pharmacy benefit managers (PBMs) and third‑party administrators to include any copay, coinsurance or deductible that a patient or a third party pays when calculating the patient’s share of costs. It also extends the federal annual limit on cost‑sharing to every health plan in West Virginia and prohibits insurers from altering coverage because a prescription drug has financial or product assistance. The goal is to make cost‑sharing calculations fairer for patients and to align state rules with federal law.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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