MedicaidAdministrativeLow impact
Newsletter Vol. 16, No. 20
New Jersey Medicaid·NJ·Pharmacy
Effective date
Dec 1, 2006
We identified it
Jun 20, 2026
Summary
This New Jersey Medicaid newsletter reviews existing pharmacy billing error codes for dual eligible patients with Medicare Part D coverage. It provides guidance on resolving common pharmacy claim denials related to Medicare Part D coordination of benefits, including proper billing sequences and emergency supply procedures.
Action Required
Immediately: Pharmacy staff should review the error code explanations to understand Medicare Part D billing requirements. When encountering error codes 2016 or 2043, send E1 queries to determine Part D enrollment and contact Anthem at 1-800-662-0210 if needed. For error code 2017, bill Medicare Part D first before submitting to Medicaid. Contact Unisys MEP Unit at 1-877-888-2939 for prior authorization on wraparound drugs (error code 2021).