For additional information on the NJ State MAC go to 
				http://www.njsul.com
		Any questions regarding SUL prices must be directed to
			
			
            
            Change Healthcare Help Desk by calling (855) 389-9502 (toll free) or fax (877)350-2808.
			
		
            Pharmacies disputing a SUL price are required to complete the Prescription(s) Reimbursed Below Cost Research Request Form provided through the Change Healthcare/New Jersey SUL Help Desk.  The form may be downloaded from this website (see below) or the Change Healthcare website www.njsul.com on or after 060111.  The completed Form and all attachments listed on the Form are required.
		
		The  Change Healthcare "Prescription(s) Reimbursed Below Cost Research Request Form" may be downloaded here
        
			Proposed NJ SUL Rates
		
		
		
			Current NJ SUL Rates