West Virginia
Medicare Migraine Prescribing Gap Report
91.8%
of primary care physicians actively prescribing triptans to Medicare patients in West Virginia have never prescribed a CGRP medication
How West Virginia compares
West Virginia's 91.8% gap is 1.4 points above the national average of 90.4%. 112 of 122 primary care physicians with an active Medicare migraine patient panel have never written a CGRP prescription.
About the data
Based on CMS Medicare Part D prescribing data — the only publicly available provider-level prescribing dataset in the United States. Active prescriber = 20+ triptan claims in the observation period. Medicare patients represent a subset of the total migraine population; the true gap is likely larger. Full methodology →
What drives the gap
Prior authorization burden is the primary structural explanation for this gap. The Headache Vault's PA Engine helps primary care physicians navigate CGRP prior authorizations in West Virginia and all 50 states — free for all clinicians.
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Doty A. Migraine Prescribing Gap in West Virginia. The Headache Vault; 2026. Available at: https://headachevault.com/research/prescribing-gap/west-virginia/ Licensed CC BY 4.0. Data: CMS Medicare Part D Prescriber Public Use Files, 2022-2023.