New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 167A - PROVISION OF PHARMACEUTICAL SERVICES UNDER THE PHARMACEUTICAL ASSISTANCE TO THE AGED AND DISABLED PROGRAM (PAAD)
Subchapter 1 - REQUIREMENTS FOR PROVISION OF PHARMACEUTICAL SERVICES
Section 10:167A-1.14 - Covered pharmaceutical services

Universal Citation: NJ Admin Code 10:167A-1.14

Current through Register Vol. 56, No. 6, March 18, 2024

(a) All covered pharmaceutical services shall be provided within the scope of the Medicaid or PAAD programs, and billed to the fiscal agent using the NCPDP claim format available at http://www.njmmis.com/downloadDocuments/NJ_D-0_NCPDP_Payer_Sheet.pdf.

(b) Covered pharmaceutical services include:

1. Prescribed legend drugs (for their medically accepted indication) as defined in Section 1927(k)(6) of the Social Security Act.

2. Non-legend drugs, as follow:

i. Insulin needles and/or syringes;

ii. Insulin; and

iii. Syringes and needles for injectable medicines.

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