All PlansAdministrativeMedium impact
Newsletter Vol. 13, No. 45
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
New Point-of-Sale (POS) testing is being implemented for NCPDP version 5.1 electronic claim format and version 1.1 batch claim format for prescription drug programs. This affects how pharmacy claims are processed and submitted electronically.
Action Required
Billing team should review the full policy document at the provided URL to understand specific POS testing requirements for pharmacy claims. Coordinate with pharmacy billing software vendors to ensure compatibility with NCPDP version 5.1 electronic format and version 1.1 batch format. Monitor for additional implementation guidance and testing schedules.