MedicaidAdministrativeLow impact
Newsletter Vol. 16, No. 11
New Jersey Medicaid·NJ · Pharmacy·Provider Notice
Effective date
Oct 1, 2004
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid requires pharmacies to submit an annual OBRA compliance certification statement documenting their adherence to patient consultation requirements for Prospective Drug Utilization Review (PDUR) matters. Pharmacies must certify consultation rates and submit documentation to DMAHS by August 15, 2006, for services provided October 1, 2004 – September 30, 2005.
Action Required
By August 15, 2006: Pharmacy providers in New Jersey Medicaid must complete and submit the attached PDUR Certification Statement (PDUR-1 form) to the State. The form requires a licensed pharmacist (R.Ph.) to certify compliance with OBRA consultation requirements and report the percentage of Medicaid beneficiaries who accepted consultation, refused consultation, or were not offered consultation due to insignificant PDUR matters. Submit completed form to: State of New Jersey, Department of Human Services, Division of Medical Assistance & Health Services, Chief Pharmaceutical Services, Office of Utilization Management, P.O. Box 712, Mail Code #20, Trenton, NJ 08625-0712, Attention: PDUR. Failure to submit may result in non-compliance penalties or program exclusion. Retain this newsletter in compliance files.