Back to dashboard
All PlansAdministrativeMedium impact

Newsletter Vol. 10, No. 22

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

Summary

The Monthly Prescription Volume Threshold Process (MPTP) has changed its threshold criteria for pharmacy billing. This affects when prescription volume thresholds trigger specific billing or review processes.

Action Required

Action needed
Immediately: Review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=10-22.pdf to understand the new MPTP threshold values. Pharmacy billing team must update any automated systems or processes that rely on the previous threshold amounts. Adjust workflow procedures to align with the new volume thresholds.

Related policy hubs