Become a member of WVIPA
Join WVIPA to support pharmacy transparency, fair reimbursement, and improved patient care in your community.
Join WVIPA to support pharmacy transparency, fair reimbursement, and improved patient care in your community.
In 2017, using actual acquisition cost as the basis for its reimbursement methodology. Remember, NADAC is a benchmark developed by consistently surveying retail community pharmacies across the country, collecting data on outpatient drug ingredient costs. It’s been around since 2013 and is often updated on a weekly basis.
A quick note: If NADAC is not available for a drug, the law calls for Wholesale Acquisition Cost (WAC) to be the reimbursement methodology. PBMs and insurance companies may claim that increased dispensing fees are the driver of higher pharmacy costs, but this is a red herring. The real drivers of higher pharmacy costs are PBMs and their spread pricing tactics, which means charging a health plan more for a drug than the pharmacy is paid. If your company has a health plan, ask your PBM if your health plan is being charged the same amount for your drugs that the pharmacy is being paid. If not, your plan is being taken advantage of.

The West Virginia Independent Pharmacy Association and the National Community Pharmacists Association are applauding HB 4112, a patient choice bill signed into law last week by Gov. Jim Justice (R). HB 4112 gives patients greater authority to choose which in-network pharmacy fills their prescriptions and would address the arbitrary “specialty” designation that pharmacy benefit managers use to steer patients to PBM-owned pharmacies.
Thank you. My name is Matt Walker, representing the Western Independent Pharmacy Association and the West Virginia Primary Care Association today.
Chairman: Matt, please raise your right hand for me. Do you swear the testimony you give will be the truth, the whole truth, and nothing but the truth, so help you God?
Matt Walker: Yes, sir, I do.
Chairman: Okay, thank you. Senator, the junior senator from the 8th, would you like the floor?
Senator: Sure, sure. Thank you, Mr. Chairman. I think Ms. Ellinger did a good job explaining the bill. I’ll throw the ball to you, Matt. Why is this bill needed?
Matt Walker: Thank you, Senator. Thank you, Mr. Chairman. I think this bill is necessary to promote transparency around the complex issue of pharmacy and pharmaceuticals. I categorize the provisions into four buckets:

On behalf of the West Virginia Independent Pharmacy Association (WVIPA) and the National Community Pharmacists Association (NCPA), we express our gratitude for your support and the signing of HB 4112 into law. Your commitment to locally owned pharmacies and patient access has solidified West Virginia’s reputation for having some of the strongest pharmacy and patient protections in the nation.
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