West Virginia § 33-54-4 Health benefit plan issuer reporting requirements

West Virginia Statutes

§ 33-54-4 — Health benefit plan issuer reporting requirements

West Virginia·Ch. 33 Â INSURANCE·Art. 54 REQUIRING ACCOUNTABLE PHARMACEUTICAL TRANSPARENCY, OVERSIGHT, AND REPORTING ACT

No later than March 1 of each calendar year, each health benefit plan issuer shall submit to the Auditor a report providing the following information for the immediately preceding calendar year:Provided, That nothing in this article should be construed as to requiring a health benefit plan issuer to disclose confidential health information protected by the Health Insurance Portability and Accountability Act:

(1)The names of the 25 most frequently prescribed prescription drugs across all plans;

(2)The percent increase in annual net spending for prescription drugs across all plans;

(3)The percent increase in premiums that were attributable to prescription drugs across all plans;

(4)The percentage of specialty drugs with utilization management requirements across all plans; and

(5)T

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No later than March 1 of each calendar year, each health benefit plan issuer shall submit to the Auditor a report providing the following information for the immediately preceding calendar year:Provided, That nothing in this article should be construed as to requiring a health benefit plan issuer to disclose confidential health information protected by the Health Insurance Portability and Accountability Act:

(1) The names of the 25 most frequently prescribed prescription drugs across all plans;

(2) The percent increase in annual net spending for prescription drugs across all plans;

(3) The percent increase in premiums that were attributable to prescription drugs across all plans;

(4) The percentage of specialty drugs with utilization management requirements across all plans; and

(5) The premium reductions that were attributable to specialty drug utilization management.

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