MedicaidReimbursementLow impact
Senior Services News Vol. 13, No. 01
New Jersey Medicaid·NJ·Pharmacy
Effective date
Jul 1, 2010
We identified it
Jun 20, 2026
Summary
New Jersey's PAAD program has reduced co-payments for generic prescription drugs from $6.00 to $5.00 effective July 1, 2010, while brand name medication co-pays remain $7.00. This affects prescription billing for elderly and disabled patients enrolled in the PAAD and Senior Gold programs.
Action Required
Immediately: Billing team must update prescription co-payment amounts in pharmacy billing system for PAAD and Senior Gold patients. Set generic drug co-pays to $5.00 (reduced from $6.00) and confirm brand name co-pays remain at $7.00. Post the provided patient notice in pharmacy area for patient awareness.