{"id":425836,"date":"2026-01-23T22:21:07","date_gmt":"2026-01-23T22:21:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/425836\/"},"modified":"2026-01-23T22:21:07","modified_gmt":"2026-01-23T22:21:07","slug":"cvs-is-no-longer-in-network-pharmacy-for-800k-in-n-j-see-if-youre-affected","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/425836\/","title":{"rendered":"CVS is no longer in-network pharmacy for 800K in N.J. See if you\u2019re affected."},"content":{"rendered":"<p class=\"article__paragraph article__paragraph--left\" id=\"ZDBBF34KEJBGBOOWETPQ2ZOKOY\">People insured through <a href=\"https:\/\/www.horizonnjhealth.com\/\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.horizonnjhealth.com\/\">Horizon NJ Health<\/a> will no longer be able to get their prescriptions at CVS Pharmacy locations, unless they are willing to pay full price. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"NRJIZ6HRTFELXJRKXVS4IWE56U\">Effective April 30, CVS will be considered an out-of-network pharmacy for Horizon NJ Health, a subsidiary of Horizon Blue Cross Blue Shield of New Jersey. The company serves more than 800,000 publicly insured children and adults in the Medicaid and NJ FamilyCare programs.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"O656RA7FBNBIJP645JUFOGBDAA\">The change is a result of disagreements over pricing. Horizon claims CVS was demanding a substantial increase in the cost of prescription drugs, but the drugstore disputes that.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"X6YDOSGQ3VGRLPVY5H2GVHMOR4\">\u201cCVS Pharmacy submitted a proposal that was equitable and competitive with other New Jersey Medicaid plans, but Horizon rejected it and demanded rates that are unsustainable for our pharmacy business,\u201d according to a CVS statement. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"RK6YSHYKNRGHZK7MXECJWUHZRE\">A Horizon spokesman said Friday that \u201cCVS refused to negotiate a fair price and chose instead to leave our Medicaid pharmacy network.\u201d<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"XHEMTII6CNDH3LKWSLVMP54HQY\">The move does not affect Horizon Blue Cross Blue Shield of New Jersey\u2019s commercial medical plans. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"QYHJIDU42BHFJL72PLTYECEDHI\">CVS remains in-network with the state\u2019s other <a href=\"https:\/\/www.nj.gov\/humanservices\/dmahs\/info\/resources\/care\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.nj.gov\/humanservices\/dmahs\/info\/resources\/care\/\">managed care health plans<\/a>. These are: Aetna Better Health of New Jersey, Fidelis Care, UnitedHealthcare Community Plan, and Wellpoint. <\/p>\n","protected":false},"excerpt":{"rendered":"People insured through Horizon NJ Health will no longer be able to get their prescriptions at CVS Pharmacy&hellip;\n","protected":false},"author":2,"featured_media":425837,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[83710,12171,97,252,253,1997,19808],"class_list":["post-425836","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-cvs-pharmacy","tag-generic","tag-health","tag-health-care","tag-healthcare","tag-new-jersey","tag-nj"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/425836","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=425836"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/425836\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/425837"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=425836"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=425836"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=425836"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}