MedicaidReimbursementMedium impact
Newsletter Vol. 19, No. 47
New Jersey Medicaid·NJ·Reimbursement
Effective date
Aug 28, 2009
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has updated Maximum Allowable Cost (MAC) pricing for several generic drugs, removing Desipramine Hydrochloride from MAC limits and adding 16 other generic medications with new pricing tiers. These changes affect Medicaid reimbursement rates for pharmaceutical services.
Action Required
By August 28, 2009: Pharmacy billing teams must update MAC pricing in billing systems to remove Desipramine Hydrochloride from MAC limits and implement new MAC prices for 16 generic medications including Clindamycin, Clobetasol, Lamotrigine, and others listed in the policy. Update drug pricing databases to reflect new reimbursement rates to ensure proper Medicaid claim processing.