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Newsletter Vol. 12, No. 19

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

Summary

New Jersey Medicaid and NJ FamilyCare updated their drug rebate program by adding and removing pharmaceutical manufacturers from their approved labeler code list (Appendix F). This affects which prescription drugs are covered under the state's rebate programs.

Action Required

Action needed
Immediately: Billing team should download the updated Appendix F from the NJ MMIS website to review current manufacturer labeler codes for Medicaid and NJ FamilyCare drug coverage. Update pharmacy billing references and verify coverage for prescription drugs before dispensing to avoid claim denials.