MedicaidCoverageLow impact
Newsletter Vol. 11, No. 30
New Jersey Medicaid·NJ · Psychiatry·Medical Policy
Effective date
May 1, 2001
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid and NJ FamilyCare now covers ziprasidone (Geodon), an atypical antipsychotic for schizophrenia treatment, under fee-for-service reimbursement. Pharmacy claims for ziprasidone must be submitted to Unisys for adjudication, applying to both FFS and managed care beneficiaries.
Action Required
Immediately: Pharmacies serving New Jersey Medicaid/NJ FamilyCare patients must submit ziprasidone (Geodon) claims to Unisys for fee-for-service adjudication. Update billing procedures to route these claims appropriately for both FFS and managed care beneficiaries.