Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0043 - Prescription Drug Assistance Program
Chapter 1 - PRESCRIPTION DRUG ASSISTANCE PROGRAM
Section 1-10 - PDAP allowable payment
Universal Citation: WY Code of Rules 1-10
Current through September 21, 2024
(a) In General. The PDAP allowable payment for covered services shall be the lower of the providers usual and customary charges or the payment specified in this Section.
(b) Pharmaceutical services.
(i) The PDAP allowable payment for
pharmaceutical services shall be determined pursuant to the Medicaid allowable
payment provisions of Chapter 10, Pharmaceutical Services of the Wyoming
Medicaid Rules, which are incorporated by this reference, except that there
shall be no exemptions from copayment, and the term "PDAP" shall be substituted
for the term "Medicaid" in that rule.
(ii) Copayment. PDAP services shall be
subject to a copayment pursuant to Section 5.
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