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Newsletter Vol. 8, No. 4

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

Summary

The Drug Efficacy Study Implementation (DESI) List has been updated with additional drugs that may affect coverage and billing for pharmaceutical products. This impacts pharmacy-related billing and may require verification of covered medications before prescribing or dispensing.

Action Required

Action needed
Immediately: Review the updated DESI List at https://www.njmmis.com/documentDownload.aspx?document=8-04.pdf to identify newly added drugs. Billing team and providers should verify coverage status for affected medications before prescribing or billing. Update internal drug formulary references and notify clinical staff of any coverage changes for DESI-listed medications.

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