{"data":{"id":"us-nj/n.j.-stat.-17b-30-55.6","jurisdiction":"us-nj","citation":"N.J. Stat. § 17B:30-55.6","heading":"Carrier, respond, prior authorization requests, medication coverage submitted, NCPDP SCRIPT Standard for ePA transactions.","body":"7. a. A carrier shall respond to prior authorization requests for medication coverage submitted using the NCPDP SCRIPT Standard for ePA (electronic prior authorization) transactions, under the pharmacy benefit part of a health benefits plan, within 24 hours for urgent requests and 72 hours for non-urgent requests after obtaining all necessary information to make the approval or adverse determination.\nb.\tBeginning January 1, 2027, a carrier shall only accept and respond to prior authorization requests for medication coverage, under the pharmacy benefit part of a health benefits plan submitted through a secure electronic transmission using the NCPDP SCRIPT Standard for ePA transactions.\nL.2023, c.296, s.7.","path":["TITLE 17B INSURANCE"],"source_url":"https://pub.njleg.state.nj.us/statutes/STATUTES-TEXT.zip","current_through":"P.L.2025, c.405, and J.R.22","vintage":"","retrieved_at":"2026-08-27T17:54:13Z","sha256":"4f9ecb1eae5ff6963c34bc4173128c62f13986105aaff98336dcb27260d3df75","source_id":"us-nj","stale":true,"prev":"us-nj/n.j.-stat.-17b-30-55.5","next":"us-nj/n.j.-stat.-17b-30-55.7"},"notice":"GroundRules: Original legal text. Not legal advice."}