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Newsletter Vol. 13, No. 15

New Jersey Medicaid·NJ·Pharmacy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

New NCPDP Version 5.1 and Version 1.1 electronic claim formats are being implemented for pharmacy billing. This affects how prescription drug claims are submitted electronically and may require updates to pharmacy billing systems and processes.

Action Required

Action needed
Pharmacy and billing teams must update electronic claims submission systems to support NCPDP Version 5.1 and Version 1.1 formats. Contact software vendors to ensure compatibility and test claim submissions before full implementation. Review the full policy document at the provided URL for specific technical requirements and implementation timeline.

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