Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 10 - PHARMACEUTICAL SERVICES
Section 10-5 - Provider Records

Universal Citation: WY Code of Rules 10-5

Current through September 21, 2024

(a) Compliance with Chapter 3. A provider of pharmaceutical services shall comply with the record-keeping requirements of Chapter 3 of the Wyoming Medicaid Rules.

(b) Additional requirements. In addition to the requirements of Chapter 3, providers of pharmaceutical services shall retain records that include:

(i) Invoices for drugs;
(A) Pharmacies shall be able to supply all drug invoices in the format requested by the Department. This format may include, but is not limited to, paper, electronic, or a format generated and sent by wholesaler.

(ii) Prescriptions;
(A) All prescriptions shall be reduced to writing. Prescriptions for brand name drugs with multi-source generics that are not considered preferred brand name drugs by the Department shall contain the certification "medically necessary," shall be received and on file within thirty days after the oral prescription, and shall meet the requirements of Section 9 of this Chapter;

(iii) A signature log in the form specified by the Department;

(iv) Client account records; and

(v) Copies of claim forms.

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