Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0043 - Prescription Drug Assistance Program
Chapter 1 - PRESCRIPTION DRUG ASSISTANCE PROGRAM
Section 1-9 - Covered Services
Universal Citation: WY Code of Rules 1-9
Current through September 21, 2024
(a) PDAP will reimburse for the services provided in subsection (b) if the services are:
(i) Medically necessary; and
(ii) Prescribed by a health care provider
licensed to prescribe and acting within the scope of his or her
licensure.
(iii) Services contained
in the formulary.
(b) Service limitations. PDAP shall not reimburse:
(i) More than a 31 day supply of medication
per prescription;
(ii) Medical
supplies, except diabetic supplies.
(iii) Dispensing limitations. The dispensing
limitations of Chapter 10, Pharmaceutical Services of the Wyoming Medicaid
Rules, are incorporated by this reference.
(iv) Additional service limitations. In no
event shall the program reimburse for otherwise covered services:
(A) In excess of the service limitations
established pursuant to the Wyoming Medicaid Rules; or
(B) In excess of the PDAP budget as
established by the Wyoming Legislature.
(c) Dissemination of formulary. The Wyoming Department of Health Pharmacy Unit shall disseminate the formulary, along with any updates, to providers through Manuals or Bulletins.
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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