PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
New Jersey MedicaidMedicaid · Administrative · Provider Notice · NJLow impact

Newsletter Vol. 2, No. 64

Act
immediately
Effective date
Dec 1, 2024
Identified
Jun 20, 2026

Summary

New Jersey Medicaid has added 6 new manufacturer/labeler codes and deleted 2 existing codes from their approved pharmaceutical list. This affects which drug manufacturers can be billed to NJ Medicaid for pharmaceutical services.

Get alerts when payers change rules like this one

We check New Jersey Medicaid and other payers every day and email you when a change matches your specialty and state.

Get New Jersey Medicaid alertsPolicy Monitoring is free. No card required.

What to do

immediately · 1 steps
01Pharmacy billing staff must update their systems to include the 6 new manufacturer/labeler codes (Hall Laboratories, Drug Guild Distributors, PharmTech, NephroTech, Richwood Pharmaceutical, and Wilcole Pharmaceuticals) and remove the 2 deleted codes (American Preferred Pharmaceutical and Nature's Bounty) for New Jersey Medicaid claims processing.

Original notice

Newsletter Vol. 2, No. 64
njmmis.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account