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Newsletter Vol. 10, No. 34
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New policy establishes Prior Determination of Utilization Review (PDUR) monitoring based on additional maximum daily dosage standards for medications. This affects prescription drug billing and may require prior authorization for certain high-dosage medications.
Action Required
Review the full policy document at the provided URL to identify specific medications and dosage thresholds subject to PDUR monitoring. Update prior authorization workflows to include dosage verification for affected medications. Train billing staff on new monitoring requirements.