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.
J3​4​90​ ​C​​​odes ​       ​                                                          
Drug​ ​C​​o​d​​​​e​ ​​​​​List                                                             
WV Medicaid Botulinim Toxin Coverage Criteria            
Provider Notice  (Includes billing guide)                         
Frequently Asked Questions                                          

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