Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 10 - PHARMACEUTICAL SERVICES
Section 10-11 - Excluded Services

Universal Citation: WY Code of Rules 10-11

Current through September 21, 2024

The following prescription drugs are excluded:

(a) Anorexiants, except Amphetamines and derivatives which are prescribed for narcolepsy and hyperkinetic conditions;

(b) Fertility drugs;

(c) Hair growth products;

(d) Weight gain agents, including androgenic or anabolic steroid agents when used for weight gain;

(e) Cosmetic agents such as Retin-A, provided to clients age twenty-one (21) years or over;

(f) OTC drugs and medical supplies, except as designated in Section 8(e) of this Chapter;

(g) DESI drugs;

(h) Drugs supplied by a manufacturer that has not entered into and does not have in effect a rebate agreement which meets the requirements of 42 U.S.C. § 1396r-8, including any amendments or updates, except as otherwise specified by that Section; and

(i) Any services and supplies included in the per diem which are furnished to a resident of a nursing home, an individual admitted as an inpatient or an outpatient in a hospital, or an individual in a swing bed.

(j) Any drug, supply or service not designated as a covered service under this Chapter.

Disclaimer: These regulations may not be the most recent version. Wyoming may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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