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Newsletter Vol. 12, No. 104

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

Summary

A new revision of Form FD-70 (Pharmacy Provider Certification Statement) has been released dated October 2002. This appears to be a pharmacy-related certification form update that may affect providers who bill for pharmaceutical services or medications.

Action Required

Action needed
Review Newsletter Vol. 12, No. 104 to determine if your practice uses Form FD-70 for pharmacy services. If applicable, download the revised form from the provided URL and replace any older versions in your certification processes.

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