N.J. Admin. Code § Tit. 10, ch. 51 app B
UPPER PAYMENT LIMITS FOR MAXIMUM ALLOWABLE COST (MAC) DRUGS
Appendix B lists the multiple source drugs which meet the criteria set forth in 42 CFR Part 447, Subpart I, which is updated periodically by the Centers for Medicare and Medicaid Services subsequent to published listing changes in the Federal Register.
AGENCY NOTE: Appendix B is filed as a part of this chapter/manual but is not reproduced in the New Jersey Administrative Code. When revisions are made to Appendix B, replacement pages will be distributed to providers, placed on the website at www.njmmis.com and copies will be filed with the Office of Administrative Law.
For a copy of Appendix B, write to:
Molina Medicaid Solutions
PO Box 4801
Trenton, New Jersey 08650-4801
or contact:
Office of Administrative Law
Quakerbridge Plaza, Building 9
PO Box 049
Trenton, New Jersey 08625-0049
N.J. Admin. Code Tit. 10, ch. 51 app B