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 10-15-14 PDL Effective 10-15-14 10/15/2014 11:34 am
PDL Effective 8-6-14 PDL Effective 8-6-14 8/6/2014 9:09 am
PDL Effective 7-1-14 PDL Effective 7-1-14 7/1/2014 8:47 am
PDL Effective 5-22-2014 PDL Effective 5-22-2014 5/22/2014 10:38 am
PDL Effective 3-5-2014 PDL Effective 3-5-2014 3/5/2014 9:15 am
PDL Effective 01-08-2014 PDL Effective 01-08-2014 1/8/2014 12:00 pm
PDL Effective 01-01-2014 PDL Effective 01-01-2014 12/30/2013 8:56 am
PDL Effective 11-01-2013 PDL Effective 11-01-2013 11/7/2013 12:29 pm
PDL Effective 9-10-2013 PDL Effective 9-10-2013 9/12/2013 1:51 pm
PDL Effective 5-28-2013 PDL Effective 5-28-2013 5/28/2013 11:57 am
PDL Effective 1-1-2013 PDL Effective 1-1-2013 1/3/2013 6:28 am
PDL Effective 8-1-2012 PDL Effective 8-1-2012 8/30/2012 10:14 am
PDL Effective 5-2-2012 PDL Effective 5-2-2012 5/14/2012 12:42 pm
PDL Effective 4-18-2012 PDL Effective 4-18-2012 4/25/2012 11:45 am
PDL Effective 01-01-12 PDL Effective 01-01-12 1/4/2012 7:06 am
PDL Effective 10-12-11 PDL Effective 10-12-11 9/23/2011 6:58 am
PDL Effective 6-15-11 PDL Effective 6-15-11 6/15/2011 3:20 pm
PDL Effective 5-25-11 PDL Effective 5-25-11 5/23/2011 11:30 am
PDL Effective 05-01-11 PDL Effective 05-01-11 5/3/2011 6:27 am
PDL Effective 04-01-11 PDL Effective 04-01-11 4/13/2011 10:10 am
PDL Effective 01-01-11 PDL Effective 01-01-11 1/11/2011 6:18 am
Anticipated PDL Effective 01-01-11 Anticipated PDL Effective 01-01-11 12/21/2010 7:14 am
PDL Effective 10-01-10 PDL Effective 10-01-10 10/1/2010 11:50 am
PDL Effective 06-01-10 PDL Effective 06-01-10 6/11/2010 9:11 am
PDL Effective 03-03-10 PDL Effective 03-03-10 5/21/2010 12:13 pm
PDL Effective 04-01-10 PDL Effective 04-01-10 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
PDL Effective 9-10-2013 PDL Effective 9-10-2013 9/12/2013 1:55 pm

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 10/16/2013 10:14 am 480 B
Dosage Limitation Chart (June 2011) Dosage Limitation Chart (June 2011) 6/15/2011 3:22 pm 438 B

Archive Files

Click for Archive Files