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Newsletter Vol. 19, No. 07

New Jersey Medicaid·NJ·Medical Policy
Effective date
Mar 1, 2009
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey Medicaid has issued a reminder about Other Coverage Codes (01-08) that pharmacists must use when billing for prescription drugs with secondary coverage. These codes report the outcome of prescription drug coverage requests from other insurance.

Action Required

Action needed
Immediately: Pharmacy staff must ensure proper use of Other Coverage Codes 01-08 when submitting secondary Medicaid pharmacy claims. Review current billing practices to verify correct codes are being used based on other insurance coverage outcomes. Contact Unisys Provider Services at 1-800-776-6334 with questions.