MedicaidAdministrativeLow impact
Newsletter Vol. 6, No. 56
New Jersey Medicaid·NJ·Provider Notice
Effective date
Dec 15, 1996
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid and PAAD pharmacy providers must complete and submit Form FD-70 (Pharmacy Provider Certification Statement) with a copy of their valid pharmacy permit by December 15, 1996. This annual certification determines dispensing fee levels and qualifications for optional fee increments.
Action Required
By December 15, 1996: New Jersey pharmacy providers must complete Form FD-70 (Pharmacy Provider Certification Statement), attach a copy of valid pharmacy permit, and mail to Unisys at P.O. Box 4804, Trenton, NJ 08650-4804. All questions must be answered or form will be returned. Failure to submit will result in placement in basic dispensing fee category without increments.