RX Pricing

The Virginia General Assembly enacted §32.1-23.4 requiring health insurance carriers, pharmacy benefits managers and pharmaceutical manufacturers to annually report on specific prescription drug pricing information. In any case in which the data reported is insufficient, the Virginia Department of Health may require wholesale distributors to report certain data about prescription drug costs.

Reporting requirements vary depending on the organization type, and submitter specific data submission manuals are available for each entity type.

This prescription drug price transparency reporting requirement, administered by the Virginia Department of Health through a nonprofit data services organization (Virginia Health Information) pursuant to § 32.1-23.4, should not be confused with a similar reporting requirement being administered by the State Corporation Commission's Bureau of Insurance pursuant to § 38.2-3468.

A 1-page overview of this report and the initial data collection process can be found here. Definitions for each of the fields within the report are available by hovering over each column heading.