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New Jersey MedicaidMedicaid · Coverage · Provider Notice · NJ · PharmacyHigh impact

Newsletter Vol. 4, No. 18

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

New Jersey Medicaid has added 6 pharmaceutical manufacturers to its rebate program (now eligible for reimbursement) and deleted 8 manufacturers (no longer reimbursed effective immediately). Billing teams must update their pharmacy claim systems to verify manufacturer eligibility before submitting claims, as drugs from deleted manufacturers will be denied by Medicaid.

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What to do

immediately · 6 steps
01Billing team and pharmacy staff must update claim submission systems to cross-reference manufacturer labeler codes against the approved list.
02ADDITIONS (now approved): Suppositoria Laboratories, Hillestrad International Inc, Ferring Laboratories Inc, Commons Brothers Inc, Benchmark Enterprises Inc, SoloPak Medical Products Inc.
03DELETIONS (no longer reimbursed): Lannett Company Inc, Chemrich Laboratories Inc, Syosset Laboratories Inc, Lyphomed Novopharm Pharmaceuticals, Novopharm Incorporated, Grupak Laboratories Inc, Choice Drug Systems of Maryland, RA Pharmaceuticals.
04Before dispensing or billing, verify manufacturer participation status in the New Jersey Medicaid rebate program.
05Claims submitted for drugs from deleted manufacturers will be DENIED and may result in liability to the pharmacy or practice.
06Retain this newsletter in the provider reference materials and disseminate to all pharmacy and billing staff.

Original notice

Newsletter Vol. 4, No. 18
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

See all New Jersey Medicaid changes →
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