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.
J3490 Codes                                                                   May 27, 2021
Drug Code List                                                                June 1, 2021
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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