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Wyoming Department of Health (SMAC Archive)

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

SMAC Archive

File	Date
SMAC List (4-1-2009)	1/18/2010 9:36 am

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