Skip to content
Wyoming.gov
|
Citizen
|
Business
|
Government
|
Visitor
Wyoming Department of Health (PDL Archive)
Home
>
Preferred Drug Lists (PDL)
>
PDL Archive
Prior Authorization (PA) Forms & Related Info
Preferred Drug Lists (PDL)
Additional Therapeutic Criteria
Cough & Cold Products
Over the Counter Drug Coverage
Dosage Limitation Chart
Drug Utilization Review
General Pharmacy Info
Information for Prescribers
Payer Sheets
SMAC
Program Integrity / Lock-in
Pharmacy Provider Enrollment
Update Pharmacy Provider Information
Pharmacy Provider Payments/RAs
Links
Contact
Frequently Asked Questions
Provider Manual
Pharmacy Help Desk: 1-877-209-1264, Provider PA Help Desk: 1-877-207-1126
PDL Archive Files
PDL (effective 7-1-2009)
7/1/2009 11:51 am
431 B
PDL (Effective 5-28-2009)
5/11/2009 7:56 am
349 B
Additional Therapeutic Criteria
10/7/2010 12:37 pm
507 B
Additional Therapeutic Criteria
10/7/2010 12:27 pm
479 B
Dosage Limit Chart (July 2010)
8/6/2010 6:42 am
438 B