New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 167B - SENIOR GOLD PRESCRIPTION PROGRAM MANUAL
Subchapter 4 - SCOPE OF SERVICE
Section 10:167B-4.2 - Principles of reimbursement to participating pharmacies
Universal Citation: NJ Admin Code 10:167B-4.2
Current through Register Vol. 56, No. 18, September 16, 2024
(a) In order to become an approved provider, a pharmacy must file an application and agreement of participation which must be approved by the Division of Medical Assistance and Health Services of the Department of Human Services.
(b) No reimbursement will be made to an unlicensed pharmacy or to a pharmacy located in another state or country.
(c) Reimbursement on behalf of Senior Gold beneficiaries will be made directly to the participating pharmacies and will be for the reasonable cost (as determined by the Commissioner) of the prescription drugs which exceeds the co-payment.
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