MedicaidCoverageLow impact
Newsletter Vol. 8, No. 39
New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, Urology +1 more·Pharmacy
Effective date
Jun 13, 1998
We identified it
Jun 20, 2026
Summary
New Jersey is implementing interim limits on Viagra coverage for Medicaid, GA, and PAAD programs effective June 13, 1998. Coverage is restricted to males 21+ years old and limited to 4 tablets per 30-day period pending federal HCFA decision.
Action Required
By June 13, 1998: Billing team must update pharmacy billing systems to enforce Viagra coverage limits for NJ Medicaid/GA/PAAD patients - restrict to males 21+ years and maximum 4 tablets per 30 days. Update prior authorization processes accordingly. Claims exceeding these limits will be denied.