Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
New Jersey MedicaidMedicaid · Coverage · Pharmacy · NJ · PharmacyMedium impact

Newsletter Vol. 8, No. 32

Act
by Jun 30, 1998
Effective date
Apr 3, 1998
Identified
Jun 20, 2026

Summary

Four new pharmaceutical manufacturers have been added to the New Jersey PAAD (Pharmaceutical Assistance to the Aged and Disabled) Drug Rebate Program. Billing teams must update their pharmacy systems to recognize these new manufacturer labeler codes (59572, 60814, 62939, 63653) for proper claim processing and drug coverage verification under PAAD.

Get alerts when payers change rules like this one

We check New Jersey Medicaid and other payers every day and email you when a change matches your specialty and state.

Get New Jersey Medicaid alertsPolicy Monitoring is free. No card required.

What to do

by Jun 30, 1998 · 4 steps
01Pharmacy billing staff and system administrators must update PAAD drug rebate program files to include the four new manufacturer labeler codes: 59572 (Celgene Corporation), 60814 (Rexall Sundown Inc.), 62939 (Brightstone Pharma Inc.), and 63653 (Bristol-Myers/Sanofi Pharmaceuticals).
02Update pharmacy management software and claim submission systems to recognize these codes for proper PAAD coverage determination.
03Note that PAAD drug coverage may differ from Medicaid coverage for the same manufacturers.
04Verify with the Chief of Pharmaceutical Services at (609) 588-2724 or Unisys Pharmacy Consultant at (609) 588-6039 if claim denials occur related to these new codes.

Original notice

Newsletter Vol. 8, No. 32
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

See all New Jersey Medicaid changes →
Medicaid Alert - MA-1993-15LowNo effective date · PharmacyNewsletter Vol. 3, No. 49LowNo effective date · PharmacyNewsletter Vol. 3, No. 55LowNo effective date · PharmacyNewsletter Vol. 5, No. 31LowNo effective date · PharmacyBrowse every New Jersey Medicaid change in the policy list

Related policy hubs

New Jersey Medicaid policiesNJ policy changesPharmacy

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account