048-10 Wyo. Code R. § 10-11
The following prescription drugs are excluded:
(a) Anorexiants, except Amphetamines and derivatives which are prescribed for narcolepsy and hyperkinetic conditions;
(b) Fertility drugs;
(c) Hair growth products;
(d) Weight gain agents, including androgenic or anabolic steroid agents when used for weight gain;
(e) Cosmetic agents such as Retin-A, provided to clients age twenty-one (21) years or over;
(f) OTC drugs and medical supplies, except as designated in Section 8(e) of this Chapter;
(g) DESI drugs;
(h) Drugs supplied by a manufacturer that has not entered into and does not have in effect a rebate agreement which meets the requirements of 42 U.S.C. § 1396r-8, including any amendments or updates, except as otherwise specified by that Section; and
(i) Any services and supplies included in the per diem which are furnished to a resident of a nursing home, an individual admitted as an inpatient or an outpatient in a hospital, or an individual in a swing bed.
(j) Any drug, supply or service not designated as a covered service under this Chapter.
048-10 Wyo. Code R. § 10-11
Amended, Eff. 3/25/2019.