Healthcare Common Procedure Coding System (HCPCS)/Drug Codes

​Information found here is available for medical providers who administer medications to Medicaid members.  Click on each tab to see updates and details about HCPCS/drug items, the approved list of medications that can be billed to West Virginia Medicaid under J3490, and common questions about submitting claims for drugs with a medical code.
Please go to for a complete list of drug NDCs participating in the Medicaid drug rebate program.
J34​90 ​C​​​odes        ​                                                          June 10, 2022
Drug Cod​​e​ ​List                                                               June 10, 2022
WV Medicaid Botulinim Toxin Coverage Criteria            April 23, 2019​
Provider Notice  (Includes billing guide)                         November 19, 2007
Frequently Asked Questions                                          July 10, 2019​

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