Department of Human Services WV Bureau for Medical Services
Department of Human Services
WV Bureau for Medical Services
Department of Human Services
WV Bureau for Medical Services

WV Medicaid Age Limits for Tramadol-Containing Agents

Attention WV Medicaid Providers,

Effective June 15, 2016, WV Medicaid will place an age limit on all tramadol-containing agents.  On the effective date, all WV Medicaid Pharmacy point-of-sale claims for members less than 18 years of age will require Prior Authorization (PA).  Claims for non-preferred tramadol-containing products will continue to require a PA for WV Medicaid members of all ages.  You may submit PA requests to the WV Medicaid Rational Drug Therapy Program at 1-800-847-3859.