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

Newsletter Vol. 3, No. 51

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

Summary

This policy updates the New Jersey Medicaid program's manufacturer labeler code list by adding 7 new pharmaceutical manufacturers and removing 5 existing ones from the reimbursable provider list. Billing teams must stop reimbursing the deleted manufacturers effective on their indicated dates and begin processing claims from the newly added manufacturers.

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What to do

immediately · 5 steps
01Billing team must update the pharmacy claims system to remove the following manufacturers from the reimbursable provider list in New Jersey Medicaid: Reliable Drug Stores Inc, Longs Drug Stores California Inc, American Dermal Corporation, Advanced Remedies Inc, and Primatec Pharmaceuticals Inc.
02Add the following manufacturers as reimbursable: Connaught Laboratories Inc, Mass Public Health Bio Lab, Carolina Medical Products Co, American Generics Inc, Cooper Vision Pharmaceuticals, Hamilton Pharma Inc, and Loraman Inc.
03Update vendor files and claims adjudication rules to reject claims from deleted manufacturers on their effective dates.
04Verify each effective date from the source newsletter and communicate the changes to all pharmacy billing staff.
05Claims submitted from deleted manufacturers will be denied after their effective dates.

Original notice

Newsletter Vol. 3, No. 51
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

See all New Jersey Medicaid changes →
Newsletter Vol. 1, No. 02MediumNo effective date · PharmacyNewsletter Vol. 1, No. 08MediumNo effective date · PharmacyNewsletter Vol. 2, No. 54LowNo effective date · Provider NoticeNewsletter Vol. 2, No. 64LowEffective Dec 1, 2024 · Provider NoticeBrowse every New Jersey Medicaid change in the policy list

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New Jersey Medicaid policiesNJ policy changesPharmacy

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