HMO prior authorization report changes
Women s Health Advisory Commission | State of New JerseyNew Jersey- Detected
- Oct 21, 2026
- 14 days ago
- Sector
- Public Health
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From the meeting
At its October 21, 2026 meeting, the board reviewed the prior authorization report and asked that upcoming HMO contracts update Table 12. The change would separate formulary versus non-formulary denials for each drug category and streamline how categories are grouped. The work is tied to the next HMO renewal cycle, so it is a useful window for pharmacy benefit and reporting vendors.
- Meeting date
- October 21, 2026
- Agency
- Women s Health Advisory Commission | State of New Jersey
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