Search

November 17, 2022

New Jersey Medicaid: National drug codes requirement for claims submissions

UnitedHealthcare Community Plan of New Jersey is enforcing the National Drug Code (NDC) requirement for all prescription Medicaid claim submissions.

What this means for you

This means that any claims you submit for reimbursement for drug-related codes must include the NDC number, quantity and the unit of measure. Claims submitted without the NDC will be subject to denial.

Finding the NDC

You can find the NDC on the drug label or outer packaging. The number on the packaging may be less than 11 digits, and an asterisk may appear as a placeholder for any leading zeros. The label also displays information about the NDC unit of measure for that drug.

Previously denied claims

If you’ve received a claim denial due to missing the NDC number, you’ll need to resubmit the claim and include the required codes.

Questions

Please contact your representative or visit the Contact Us page to find the answers to the questions you may have.

CPT® is a registered trademark of the American Medical Association.
PCA-1-22-03581-C&S-News_10312022
Finding news icon

Discover more news

Personalized news icon

Get personalized news