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.
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)
The following prior authorization criteria were approved at the Augut 14, 2014 P & T Committee meeting.
Oralair, Ragwitek and Grastek will be limited to their approved indications as well as to those patients who are not receiving additional allergy shots.
Zontivity will be limited to its approved indications.
Sivextro will be approved following trial and failure of two other antibiotics with methicillin-resistant staphylococcus aureus coverage or a culture indicating resistance to other available agents.
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 September 30, 2014.
Agenda August 14, 2014 (revised 8/12/2014)
Minutes August 14, 2014
Wednesday, February 12; Thursday, May 8; Thursday, August 14; Thursday, November 13
All meetings are at 10 am at Laramie County Community College. Please see agenda for room location.