PARSIPPANY — CVS Pharmacy will soon be considered out of network for more than 800,000 New Jersey residents enrolled in Horizon NJ Health, a move that could significantly affect local families who rely on CVS locations throughout Parsippany for their prescription needs.
Beginning April 30, CVS pharmacies will no longer accept Horizon NJ Health, the state’s Medicaid and NJ FamilyCare managed care plan. The change stems from a contract dispute between CVS Pharmacy and Horizon NJ Health over reimbursement rates.
For Parsippany residents covered under the plan, this means prescriptions filled at CVS after the deadline may no longer be covered at in-network rates, potentially resulting in higher out-of-pocket costs. Residents are being urged to transfer prescriptions to other in-network pharmacies before the cutoff date.
Horizon NJ Health officials stated that CVS opted not to agree to contract terms that would keep pharmacies in network. CVS, meanwhile, has said it made a proposal it believed was fair and sustainable.
It is important to note that the change only affects Horizon NJ Health members. CVS will remain in network for commercial Horizon plans and for other Medicaid managed care plans in New Jersey.
Parsippany residents enrolled in Horizon NJ Health are encouraged to review their pharmacy options and take action ahead of the April 30 deadline to avoid disruptions in care. Local independent pharmacies and other major chains continue to participate in the Horizon NJ Health network.
Residents seeking additional information should contact Horizon NJ Health directly or speak with their pharmacist about transferring prescriptions.
