All PlansAdministrativeMedium impact
Newsletter Vol. 13, No. 17
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
New Point-of-Sale testing is being implemented for prescription drug programs using updated NCPDP electronic claim formats (version 5.1) and batch claim formats (version 1.1). This affects how pharmacy-related claims are processed electronically.
Action Required
Monitor for implementation timeline and testing requirements from NCPDP. Coordinate with pharmacy billing software vendors to ensure systems support the new NCPDP version 5.1 electronic claim format and version 1.1 batch claim format when testing begins.