MedicaidCoverageMedium impact
Newsletter Vol. 10, No. 06
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
New Jersey has made deletions to the Medicaid and NJ KidCare Drug Rebate Programs manufacturer labeler code list in Appendix F. This affects which pharmaceutical manufacturers are eligible for drug rebate programs, potentially impacting prescription coverage and prior authorization requirements for Medicaid and NJ KidCare patients.
Action Required
Immediately: Billing team should review the updated Appendix F manufacturer labeler code list at https://www.njmmis.com/documentDownload.aspx?document=10-06.pdf to identify deleted manufacturers. Update prior authorization and coverage verification procedures for prescriptions from affected manufacturers for Medicaid and NJ KidCare patients. Contact NJ Medicaid for clarification on coverage changes.