U.S. Highway 14A (US 14A) is an alternate route for US 14 between Cody and Burgess Junction, Wyoming, known as the Medicine Wheel Passage.

), providing access to downtown Sheridan, Wyoming, in an area where US 14 was routed to follow I-90.

It briefly runs south and then turns west along East Colorado Boulevard (I-90 Bus.

The routes run together through Deadwood before splitting again, and US 14A turns east along Boulder Canyon Highway.

[5] The truck route begins at Pierre Street and travels eastward along Sioux Avenue.

The business route begins at the intersection with West Park Avenue running south in an overlap to Old Highway 14, then turns left onto Old Highway 14 running in close proximity of the south side of the Rapid City, Pierre and Eastern Railroad (RCPE)'s Pierre Subdivision.

At Lincoln Avenue, Old Highway 14 becomes Market Street Southwest and passes by the northern edge of the South Dakota State Fairgrounds.

East of Lawnridge Avenue, the road enters Riverside Park where it crosses a bridge over the James River.

Immediately after the bridge, the route leaves Third Street and turns north at Riverside Avenue, passing under the Huron Subdivision which uses the former Chicago and North Western Transportation Company bridge over the James River.

Riverside Avenue runs along the east side of the river but then begins to pull away from it before the road ends at a flyover interchange with eastbound US 14 and westbound US 14.

The bypass route begins at a partial interchange with US 14 and travels eastward in a somewhat straight line.

The business route begins at a dogbone interchange and travels northeast alongside Minnesota State Highway 56 (MN 56).

At the town limit east of Dodge Center, the route turns south and joins back with US 14.

It is unknown if the route markers are currently being maintained by the city or if they are no longer being replaced as they reach the end of their lifespans.