Relating to wholesale importation of prescription drugs

HB 5144 establishes a state program to import prescription drugs from Canada, requiring the West Virginia Department of Health and Human Resources to design and implement it under federal approval (21 U.S.C. § 384). The program mandates that imported drugs meet FDA safety standards, generate significant consumer cost savings, and comply with federal tracking rules, while prohibiting distribution outside West Virginia. It requires the department to partner with licensed U.S. wholesalers, Canadian suppliers, and state health providers, create a public price website, and report annually on participation, drugs imported, and cost savings starting in 2027. This directly affects West Virginia consumers, pharmacies, health insurers, and healthcare providers participating in the importation program.