MedicaidPrior AuthMedium impact
Newsletter Vol. 12, No. 99
New Jersey Medicaid·NJ·Prior Authorization
We identified it
Jun 20, 2026
Summary
New Jersey State Drug Utilization Review Board has implemented additions and changes to Prior Drug Utilization Review (PDUR) standards that affect prior authorization requirements for prescription medications. This policy update modifies the criteria and processes for obtaining medication approvals in New Jersey.
Action Required
Immediately: Review updated PDUR standards from New Jersey State Drug Utilization Review Board meeting. Billing and clinical staff should verify current prior authorization requirements for prescription medications have not changed for New Jersey patients. Contact New Jersey Medicaid or access the full policy document at the provided URL to understand specific modifications to drug approval criteria.