Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 10 - PHARMACEUTICAL SERVICES
Section 10-8 - Covered Services
Current through September 21, 2024
(a) Prescription drugs. Prescription drugs are covered in the quantity prescribed by a practitioner, subject to the dispensing limitations of Section 9 and the exclusions of Section 11.
(b) Refill of prescription. In addition to the criteria specified in subsection (a), a refill of a prescription shall:
(c) Brand name drugs. Non-preferred brand name drugs with multi-source generics shall be certified in writing by the prescribing practitioner as medically necessary.
(d) Compound drugs. Compound drugs shall be paid per line item if each ingredient is a prescription or Over-the-Counter (OTC) drug covered pursuant to subsections (a) and (e) and is not classified by the FDA as a Drug Efficacy Study Implementation (DESI) drug. One (1) dispensing fee is paid per compound prescription.
(e) OTC drugs and medical supplies. Select OTC drugs and medical supplies are covered pharmacy services if they: