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Reporting NDC Reminder pdf

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid is reminding providers that National Drug Codes (NDCs) for physician-administered drugs, vaccines, and immune globulins must be submitted in the exact 11-digit HIPAA format without dashes or spaces. Claims with incorrectly formatted NDCs will be denied with EOB code 0861.

Action Required

Action needed
Immediately: Billing team must verify all NDCs for physician-administered drugs, vaccines, and immune globulins are formatted as 11 digits without dashes or spaces before claim submission. Use the Drug Search tool at www.ctdssmap.com to validate NDC format and ensure codes are rebateable. Update billing system edits to prevent submission of improperly formatted NDCs. Claims with incorrect NDC format will be denied.