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Newsletter Vol. 10, No. 45
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
This policy update establishes new Prior Drug Utilization Review (PDUR) monitoring standards based on duration of therapy, which will affect how prescription drug claims are reviewed and potentially require additional documentation for extended therapy periods.
Action Required
Immediately: Review the full Newsletter Vol. 10, No. 45 document at the provided URL to understand specific PDUR monitoring requirements. Billing team should coordinate with providers to ensure proper documentation of therapy duration and medical necessity for ongoing prescription drug treatments to avoid claim delays or denials.