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1000 E. University Ave.
Laramie, WY 82070
Preferred Drug List (PDL)
The Wyoming Medicaid Preferred Drug List (PDL) including step utilization for anti-depressant medications and prior authorization information is available at the Wyoming EqualityCare Pharmacy Provider website. To view the current PDL, please visit www.wymedicaid.org.
The P & T Committee reviewed the 2014 Preferred Drug List at the November 14, 2014 meeting. Comments may be sent by email to firstname.lastname@example.org or by mail to: Wyoming Drug Utilization Review Board, Dept. 3375, 1000 E. University Avenue, Laramie, WY 82071. Comments should be received prior to January 10, 2014.
Public Comment at Meetings
A new policy for public comment at meetings is effective December 1, 2012.
PhRMA Guidelines and PhRMA Comment Request Form (updated December 3, 2012)
Public Guidelines and Public Comment Request Form (updated December 3, 2012)
Wyoming Formularies on Epocrates
Instructions for viewing the Wyoming Medicaid formulary on Epocrates.
The following prior authorization criteria were approved at the November 14, 2013 P&T Committee meeting.
Kapvay will be limited to those aged 4 and older with an ADHD diagnosis in addition to existing clinical criteria.
Approval of Xyrem will require diagnosis of cataplexy and/or excessive daytime sleepiness associated with narcolepsy, confirmed by a sleep study performed by a sleep specialist. Trial and failure of modafanil and methylphenidate or dextroamphetamine at maximum recommended dose is required.
The TOBI podhaler and Bethkis will require prior authorization.
Patients currently taking clonazepam will be grandfathered and allowed to continue use. Existing criteria will be applied to new patients.
Adempas will be approved for patients with pulmonary arterial hypertension confirmed by right-heart catheterization.
Comments may be sent by email to email@example.com or by mail to: Wyoming Drug Utilization Review Board, Dept. 3375, 1000 E. University Avenue, Laramie, WY 82071. Comments should be received prior to January 10, 2014.
Agenda November 14, 2013
Minutes November 14, 2013
Wednesday, February 12; Thursday, May 8; Thursday, August 14; Thursday, November 13
All meetings are at 10 am at Laramie County Community College, CCI 130.