MedicaidCoverageMedium impact
Medicaid Alert MA2020-01
New Jersey Medicaid·NJ·Pharmacy
Effective date
Mar 1, 2020
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is temporarily allowing 90-day supplies of maintenance medications (excluding controlled substances) and early prescription refills during the COVID-19 emergency to ensure patient access to medications. Pharmacists can use professional judgment to implement these accommodations.
Action Required
Immediately: Billing team should verify that pharmacy claims processing system can handle 90-day supplies and early refills for NJ Medicaid patients. Coordinate with pharmacy staff to ensure they understand professional judgment requirements. Note that controlled substances are excluded from 90-day supply rule. Claims will be subject to retrospective review during emergency period.