N.J. Admin. Code § 8:61-3.7

Current through Register Vol. 56, No. 12, June 17, 2024

Section 8:61-3.7 - Application process

(a) Applications to enroll in the program can be obtained by calling toll free, at 1-877-613-4533.

(b) Once an interested individual receives the application, the form should be completed and returned to the address indicated on the application. The application requires personal information on residency, immigration status, race/ethnicity, marital status, household income, employment status, insurance coverage, certification by a pharmacist and physician.

(c) If approved for participation in the Program, the Department or its designee will notify the individual, his or her physician or other licensed health care practitioner acting within his or her scope of practice, and the pharmacy from which the prescription will be filled.

N.J. Admin. Code § 8:61-3.7