Relating to regulation of pharmacy benefit managers

SB 852 requires pharmacy benefit managers (PBMs) in West Virginia to reimburse pharmacies at least the national average drug cost plus a $10.49 dispensing fee for prescription drugs or services, or the wholesale cost if the national average isn't available. It also prohibits PBMs from imposing extra fees or administrative burdens on 340B entities (like safety-net hospitals) that participate in federal discounted drug programs. The bill prevents PBMs from charging patients more than the actual pharmacy charges and ensures 340B entities aren't discriminated against in patient access. These changes directly affect pharmacies, pharmacists, 340B-covered entities, and patients using pharmacy services under state-regulated plans.