All PlansAdministrativeMedium impact
Newsletter Vol. 11, No. 86
New Jersey Medicaid·NJ·Provider Notice
Effective date
Nov 1, 2001
We identified it
Jun 20, 2026
Summary
A new Pharmacy Provider Certification Statement form (Form FD-70) has been released with a November 1st revision date. This form is likely required for pharmacy providers to maintain certification or compliance with insurance requirements.
Action Required
Pharmacy providers must complete and submit the updated Form FD-70 (Pharmacy Provider Certification Statement) with revision date 11/01. Download the form from the provided URL and ensure all certification requirements are met to maintain provider status.