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PBM rebate law leads to dramatic premium reductions in West Virginia

Requiring pharmacy benefit managers to pass through updates cut premium changes by an average of 52%.

By Allison Bell | March 05, 2025 at 11:33 AM
Credit: Allison Bell/ALM

West Virginia insurance regulators have evidence that requiring pharmacy benefit managers to pass all prescription drug rebates through to employers could lead to huge premium savings in the small-group health insurance market.

A new report posted by the state’s Office of the Insurance Commissioner shows that a state PBM rebate pass-through law cut the average 2025 small-group rate increase by 52%.

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