MedicaidCoverageLow impact
Newsletter Vol. 26, No. 12
New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, General Practice +1 more·Medical Policy
Effective date
Sep 1, 2016
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid (NJ FamilyCare) now covers specific over-the-counter insect repellents for Zika prevention when prescribed by a licensed practitioner. Coverage is limited to 2 containers per month and requires a prescription despite being OTC products.
Action Required
Immediately: Providers in New Jersey can prescribe specific EPA-registered OTC insect repellents (10 listed products by NDC) for Medicaid patients for Zika prevention. Pharmacy staff must process these as prescription claims despite being OTC, with limit of 2 containers per month. Note: Not covered by Medicare Part D, PAAD, or Senior Gold programs.