A Message from Bro. Kevin Lyons, New Jersey State Health Benefit Plan Design Committee:

Last Friday, May 11, 2018 a NJ Court of Appeals invalidated the contract awarded to OptimRx as the Pharmacy Benefit Manager (PBM) for the New Jersey State Health Benefit Plan as well as the SEHBP. This was done as a result of a suit filed by Express Scripts International, the former PBM for the SHBP/SEHBP. The court ruled that the submissions by OptimRx were not acceptable (see article below).

I spoke to the Division today who has assured me that there will be no changes until at least 1/1/2019. That is to say that your prescription plan, if enrolled in the State Health Benefits Plan, will remain status quo with no interruptions in service.

As the matter develops, we will keep you informed through all of our communication outlets.

NJ.com article

Appellate Court Decision