New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 167C - PROVISION OF PHARMACEUTICAL SERVICES UNDER THE SENIOR GOLD PROGRAM
Subchapter 1 - REQUIREMENTS FOR PROVISION OF PHARMACEUTICAL SERVICES
Section 10:167C-1.6 - Pharmacy discounts
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Those pharmacy providers who have been in business for less than one calendar year shall have their prescription volume projected for the entire year, to determine the appropriate dispensing fee.
(b) The Division of Medical Assistance (Medicaid) shall determine a provider's total prescription volume, which includes all prescriptions filled (both new and refills), including nursing facility prescriptions, for private patients, Medicaid, Senior Gold and other third party recipients for the previous calendar year.
(c) The pharmacy shall submit in writing an annual report on form FD-70 as required by N.J.A.C. 10:51, Appendix C to certify prescription volume.