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Newsletter Vol. 5, No. 26

New Jersey Medicaid·NJ · Pharmacy·Pharmacy
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

The PAAD (Pharmaceutical Assistance to the Aged and Disabled) program in New Jersey requires pharmacy labels/receipts to display the usual prescription price charged to other community patients. Effective July 1, pricing information must appear on the prescription receipt (not label), and claims without this documentation may be recaptured by PAAD.

Action Required

Action needed
By July 1, 2024: Pharmacy providers must update labeling/receipt systems to document pricing information on prescription receipts instead of labels for all PAAD prescriptions with service dates on or after July 1. Billing team should communicate with pharmacy partners to ensure compliance. Claims dispensed without required pricing information on receipts may be subject to recapture by the PAAD program. NOTE: This requirement does not apply to prescriptions dispensed to PAAD beneficiaries in nursing facilities or residential care facilities.