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Wyoming Department of Health (Payer Sheets)

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Prior Authorization (PA) Forms & Related Info
Preferred Drug Lists (PDL)
Additional Therapeutic Criteria
Dosage Limitation Chart
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Pharmacy Help Desk: 1-877-209-1264, Provider PA Help Desk: 1-877-207-1126

Payer Sheets

File	Date
NCPDP v5.1 Payer Sheet	5/4/2009 3:23 pm

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