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New Jersey MedicaidMedicaid · Administrative · Pharmacy · NJMedium impact

Newsletter Vol. 1, No. 02

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

Summary

New Jersey Medicaid has updated their manufacturer/labeler code list, adding 5 new pharmaceutical manufacturers (including Novo Nordisk and Basel Pharmaceuticals), removing 1 manufacturer (Laboratory A), and updating names for 3 existing manufacturers. These changes affect which drug manufacturers are reimbursable under New Jersey Medicaid.

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What to do

immediately · 4 steps
01Billing team should update pharmacy billing systems to reflect the new manufacturer/labeler codes for New Jersey Medicaid claims.
02Add codes 00169 (Novo Nordisk), 72578 (LPI Holdings/Lexis Laboratories), 72579 (Seatrace Company), 72580 (Baron Pharmaceuticals), and 72581 (Basel Pharmaceuticals).
03Remove code 72577 (Laboratory A) as it will not be reimbursable.
04Update manufacturer names for existing codes: Reid Rowell to Solvay Pharmaceuticals, Carter Wallace to Baker Cummins, and Leukine to Immunex.

Original notice

Newsletter Vol. 1, No. 02
njmmis.com · Always check the source before changing claims.
View original ↗

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