1000 E. University Ave.
Laramie, WY 82070
The Wyoming Department of Health is conducting a survey concerning the use and barriers to use of 17-alpha hydroxyprogesterone in pregnant women. If you routinely provide prenatal care for your pregnant patients, please participate in this survey.
The Draft 2016 PDL is available for review. Please submit comments before January 1, 2016.
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.
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 November 5, 2015)
Public Guidelines and Public Comment Request Form (updated November 5, 2015)
The following prior authorization criteria were approved at the February 11, 2016 P & T Committee meeting.
- Praluent and Repatha will be approved for patients who are intolerant to statin therapy or are not at goal with a maximum dose statin for patients with heterozygous familial hypercholesterolemia. It will be approved for patients with homozygous familial hypercholesterolemia.
Brilinta will be approved for up to two years based on its new indication.
Intuniv and Kapvay will be approved for children with tics, without a trial of stimulant. Other clinical criteria and trial and failure of a short-acting agent still apply.
Movantik will be allowed for patients with cancer or in palliative care without a trial of Amitiza.
Viberzi will be approved for patients with IBS-D.
Rexulti will be non-preferred, requiring a 30-day trial of two preferred antipsychotics prior to approval.
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 April 1, 2016.
P & T Committee Meeting Dates
Agenda May 11, 2016
Minutes February 11, 2016 (revised 3/22/16)
Thursday, February 11; Wednesday, May 11; Thursday, August 11; Thursday, November 10
All meetings are at 10 am at Laramie County Community College. Please see agenda for room location.