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Newsletter Vol. 10, No. 04
New Jersey Medicaid·NJ · Pulmonology, Allergy & Immunology, Family Medicine +2 more·Pharmacy
We identified it
Jun 20, 2026
Summary
Two key pharmacy policy changes: (1) The Monthly Prescription Volume Threshold Process (MPTP) has new thresholds that may affect high-volume prescription approvals, and (2) A new Medical Exception Process (MEP) is now active for pharmaceutical inhalers, likely requiring additional documentation or prior authorization steps.
Action Required
Immediately: Review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=10-04.pdf to understand new MPTP thresholds and MEP requirements for inhalers. Update prescription workflows and staff training accordingly. Ensure providers are aware of new documentation requirements for pharmaceutical inhaler prescriptions.