MedicaidCoverageMedium impact
Newsletter Vol. 6, No. 55
New Jersey Medicaid·NJ·Medical Policy
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has issued clarification on coverage of non-legend drugs (over-the-counter medications). This policy update provides specific guidance on which non-prescription medications are covered under Medicaid and any associated billing requirements.
Action Required
Immediately: Billing team should review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=6-55.pdf to understand specific coverage criteria for non-legend drugs. Update billing procedures for any OTC medications prescribed to Medicaid patients in New Jersey according to the new clarifications.