MedicaidCoverageMedium impact
Newsletter Vol. 12, No. 76
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
New Jersey has updated its Medicaid and NJ FamilyCare Drug Rebate Programs by adding and removing manufacturers from the Labeler Code List in Appendix F. This affects which pharmaceutical manufacturers participate in the state's drug rebate program, potentially impacting prescription drug coverage and reimbursement.
Action Required
Billing team should review the updated Appendix F Manufacturers' Labeler Code List at https://www.njmmis.com/documentDownload.aspx?document=12-76.pdf to identify which pharmaceutical manufacturers have been added or removed from the NJ Medicaid drug rebate program. Verify current formulary coverage for affected medications when billing prescription-related services.