MedicaidCoverageMedium impact
Newsletter Vol. 13, No. 67
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid and NJ FamilyCare have made deletions to their Drug Rebate Programs Manufacturers' Labeler Code List in Appendix F. This affects which pharmaceutical manufacturers are eligible for rebate programs, potentially impacting coverage and billing for certain medications.
Action Required
Immediately: Billing team should review the updated Appendix F at https://www.njmmis.com/documentDownload.aspx?document=13-67.pdf to identify deleted manufacturer labeler codes. Verify current medication billing against the updated list and flag any medications from deleted manufacturers for potential coverage issues. Update prior authorization lists if necessary.