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Traditional MedicareReimbursementMedium impact

Newsletter Vol. 19, No. 53

New Jersey Medicaid·NJ·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

The Federal Upper Limits (FUL) for Maximum Allowable Cost (MAC) drugs have been revised, affecting reimbursement rates for generic medications. This policy update impacts how much will be reimbursed for covered generic drugs under federal programs.

Action Required

Action needed
Review Appendix B of Newsletter Vol. 19, No. 53 to identify specific drug pricing changes. Update billing expectations for affected generic medications and adjust patient cost estimates accordingly. Monitor for any claims processing changes related to MAC drug reimbursements.

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