New Jersey A3872 mandates that prescription drug services under the Medicaid program be provided through a fee-for-service delivery system.
New Jersey A3872 requires that prescription drug services covered under the Medicaid program be administered by the Division of Medical Assistance and Health Services in the Department of Human Services under a fee-for-service delivery system. This change is expected to generate significant state savings, increase access to prescription drugs for Medicaid patients, and create a fairer system for pharmacy providers. The bill also specifies how reimbursement for covered outpatient drugs, including brand name, generic, and specialty drugs, should be calculated.
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