Wyoming Department of Health (Preferred Drug Lists (PDL))

Pharmacy Help Desk: 1-877-209-1264, Provider PA Help Desk: 1-877-207-1126

Preferred Drug List

File Date
PDL Effective 06-01-10 PDL Effective 06-01-10 6/11/2010 9:11 am
PDL Effective 04-01-10 PDL Effective 04-01-10 5/21/2010 12:13 pm
PDL Effective 03-03-10 PDL Effective 03-03-10 5/21/2010 12:13 pm
PDL Effective 01-06-10 PDL Effective 01-06-10 5/21/2010 12:13 pm
PDL Effective 12-02-09 PDL Effective 12-02-09 11/24/2009 6:08 am
PDL Effective (9-30-09) PDL Effective (9-30-09) 10/16/2009 9:03 am

Prior Authorization Process

Website PA Process Website PA Process 7/26/2010 7:13 am 388 B

Additional PDL News & Info

Additional Therapeutic Criteria Additional Therapeutic Criteria 8/16/2010 10:20 am 478 B
Dosage Limit Chart (July 2010) Dosage Limit Chart (July 2010) 8/6/2010 6:42 am 438 B

Archive Files

Click for Archive Files