MedicaidCoverageMedium impact
Newsletter Vol. 15, No. 12
New Jersey Medicaid·NJ·Medical Policy
We identified it
Jun 20, 2026
Summary
Changes have been made to pharmacy coverage and reimbursement across all State Pharmacy Benefit Programs. This affects how pharmacy-related services are covered and paid, potentially impacting billing for medication administration, injections, and pharmacy benefit coordination.
Action Required
Immediately: Review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=15-12.pdf to understand specific pharmacy coverage changes. Billing team must identify any pharmacy-related services billed by the practice and verify current coverage rules. Update billing procedures for medication administration and pharmacy benefit coordination as specified in the complete policy.