2025 Q3 State of WY-PA Appeal Reporting HB 14.xlsx

	A	B	C	D	E	F	G	H
1	PROCEDURE CODE TYPE	PROCEDURE CODE	PROCEDURE DESCRIPTION (MEDICATION NAME)	Approved Count	Denied Count	Modified Count (if applicable)	Total Count	Average Processing (Days)
2	N/A	N/A	ABIRATERONE	1	0	N/A	1	1.00
3	N/A	N/A	ACTEMRA	2	1	N/A	3	2.00
4	N/A	N/A	ADALIMUMAB-ADAZ	11	2	N/A	13	1.00
5	N/A	N/A	ADAPALENE	2	0	N/A	2	1.00
6	N/A	N/A	ADBRY	1	0	N/A	1	4.00
7	N/A	N/A	ADDERALL	0	2	N/A	2	1.00
8	N/A	N/A	ADDYI	1	0	N/A	1	1.00
9	N/A	N/A	ADEMPAS	1	0	N/A	1	1.00
10	N/A	N/A	ADVAIR	1	3	N/A	4	1.00
11	N/A	N/A	AIMOVIG	6	3	N/A	9	1.00
12	N/A	N/A	AJOVY	12	0	N/A	12	1.00
13	N/A	N/A	ALBUTEROL	1	6	N/A	7	1.00
14	N/A	N/A	AMPHETAMINE-DEXTROAMPHET	4	0	N/A	4	1.00
15	N/A	N/A	AMPHETAMINE-DEXTROAMPHETAMINE	2	1	N/A	3	1.00
16	N/A	N/A	APAP-CODEINE	1	0	N/A	1	1.00
17	N/A	N/A	APIDRA	1	0	N/A	1	1.00
18	N/A	N/A	ARNUITY	0	1	N/A	1	2.00
19	N/A	N/A	AUBAGIO	0	1	N/A	1	1.00
20	N/A	N/A	AVITA	0	1	N/A	1	1.00
21	N/A	N/A	AVONEX	1	0	N/A	1	1.00
22	N/A	N/A	AZELEX	0	2	N/A	2	1.00
23	N/A	N/A	BELBUCA	2	0	N/A	2	1.00
24	N/A	N/A	BENLYSTA	4	0	N/A	4	0.50
25	N/A	N/A	BETAMETHASONE	0	1	N/A	1	1.00
26	N/A	N/A	BIMZELX	1	0	N/A	1	1.00
27	N/A	N/A	BOSULIF	1	0	N/A	1	1.00
28	N/A	N/A	BOTOX	4	2	N/A	6	0.67
29	N/A	N/A	BUPRENORPHINE	5	0	N/A	5	1.00
30	N/A	N/A	BUTALBITAL-APAP-CAFFEINE	1	1	N/A	2	1.00
31	N/A	N/A	BUTRANS	0	1	N/A	1	1.00
32	N/A	N/A	CALQUENCE	1	0	N/A	1	1.00
33	N/A	N/A	CAPECITABINE	1	0	N/A	1	1.00
34	N/A	N/A	CEQUA	0	2	N/A	2	1.00
35	N/A	N/A	CIMZIA	2	1	N/A	3	1.00
36	N/A	N/A	CONTINUOUS	0	1	N/A	1	1.00
37	N/A	N/A	CONTRAVE	0	2	N/A	2	1.00
38	N/A	N/A	COSENTYX	7	0	N/A	7	0.29
39	N/A	N/A	CRENESSITY	0	1	N/A	1	1.00
40	N/A	N/A	CYMBALTA	1	0	N/A	1	1.00
41	N/A	N/A	DALFAMPRIDINE	3	0	N/A	3	1.00
42	N/A	N/A	DASATINIB	1	0	N/A	1	1.00
43	N/A	N/A	DAXXIFY	1	0	N/A	1	1.00
44	N/A	N/A	DAYVIGO	2	5	N/A	7	1.00
45	N/A	N/A	DEXILANT	1	0	N/A	1	1.00
46	N/A	N/A	DEXLANSOPRAZOLE	7	3	N/A	10	1.00
47	N/A	N/A	DIMETHYL	3	0	N/A	3	1.00
48	N/A	N/A	DIVIGEL	1	0	N/A	1	1.00
49	N/A	N/A	DOFETILIDE	2	0	N/A	2	1.00
50	N/A	N/A	DOPTELET	1	0	N/A	1	1.00
51	N/A	N/A	DOXYCYCLINE	0	1	N/A	1	1.00
52	N/A	N/A	DULERA	0	3	N/A	3	1.00
53	N/A	N/A	DUPIXENT	42	15	N/A	57	0.42
54	N/A	N/A	DUROLANE	0	1	N/A	1	1.00
55	N/A	N/A	ELIGARD	1	0	N/A	1	1.00
56	N/A	N/A	ELMIRON	2	0	N/A	2	1.00
57	N/A	N/A	EMGALITY	20	1	N/A	21	0.14
58	N/A	N/A	EMROSI	1	0	N/A	1	1.00
59	N/A	N/A	ENBREL	7	1	N/A	8	0.13
60	N/A	N/A	ENTYVIO	0	2	N/A	2	1.00
61	N/A	N/A	EPCLUSA	9	0	N/A	9	0.67
62	N/A	N/A	EPINEPHRINE	0	4	N/A	4	1.00
63	N/A	N/A	ESTRING	0	2	N/A	2	1.00
64	N/A	N/A	EUFLEXXA	3	0	N/A	3	1.00
65	N/A	N/A	FANAPT	1	0	N/A	1	1.00
66	N/A	N/A	FASENRA	1	2	N/A	3	1.00
67	N/A	N/A	FENOFIBRATE	0	2	N/A	2	1.50
68	N/A	N/A	FENTANYL	0	2	N/A	2	1.00
69	N/A	N/A	FINGOLIMOD	1	0	N/A	1	1.00
70	N/A	N/A	FLUTICASONE	4	10	N/A	14	0.15
71	N/A	N/A	FLUTICASONE-SALMETEROL	1	1	N/A	2	1.00
72	N/A	N/A	HEMICLOR	1	0	N/A	1	1.00
73	N/A	N/A	HEMLIBRA	2	1	N/A	3	0.67
74	N/A	N/A	HUMIRA	0	4	N/A	4	1.00
75	N/A	N/A	HYDROCODONE	2	0	N/A	2	1.00
76	N/A	N/A	HYDROCODONE-ACETAMINOPHEN	16	2	N/A	18	0.11
77	N/A	N/A	HYDROCODONE-APAP	2	0	N/A	2	1.00
78	N/A	N/A	HYDROMORPHONE	2	0	N/A	2	1.00
79	N/A	N/A	HYRIMOZ	10	2	N/A	12	0.09
80	N/A	N/A	IBRANCE	2	0	N/A	2	1.00
81	N/A	N/A	IMATINIB	1	0	N/A	1	1.00
82	N/A	N/A	IMBRUVICA	2	0	N/A	2	1.00
83	N/A	N/A	INGREZZA	1	2	N/A	3	1.00
84	N/A	N/A	INNOPRAN	0	1	N/A	1	1.00
85	N/A	N/A	JAKAFI	2	1	N/A	3	1.00
86	N/A	N/A	JORNAY	1	2	N/A	3	1.00
87	N/A	N/A	JOURNAVX	1	0	N/A	1	1.00
88	N/A	N/A	JUBLIA	0	6	N/A	6	0.75
89	N/A	N/A	KEPPRA	1	0	N/A	1	1.00
90	N/A	N/A	KESIMPTA	4	0	N/A	4	1.00
91	N/A	N/A	KETOSTIX	1	0	N/A	1	1.00
92	N/A	N/A	KEVZARA	1	0	N/A	1	4.00
93	N/A	N/A	KISQALI	1	0	N/A	1	1.00
94	N/A	N/A	KONVOMEP	0	1	N/A	1	1.00
95	N/A	N/A	LAMICTAL	2	0	N/A	2	1.00
96	N/A	N/A	LAMOTRIGINE	1	0	N/A	1	1.00
97	N/A	N/A	LEVOTHYROXINE	1	0	N/A	1	1.00
98	N/A	N/A	LIRAGLUTIDE	1	1	N/A	2	1.00
99	N/A	N/A	LUPRON	1	0	N/A	1	1.00
100	N/A	N/A	LYUMJEV	0	3	N/A	3	1.00