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Traditional MedicareReimbursementMedium impact

Newsletter Vol. 19, No. 37

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

Summary

The Federal Upper Limits of Payment for Maximum Allowable Cost (MAC) drugs have been revised, affecting reimbursement rates for generic medications. This change impacts how much providers will be reimbursed for dispensing generic prescription drugs covered under federal programs.

Action Required

Action needed
Review Appendix B of Newsletter Vol. 19, No. 37 for updated MAC pricing limits. Billing team should verify current reimbursement rates for generic medications in billing system and adjust expectations for drug dispensing revenue. Contact pharmacy billing staff to ensure MAC limits are updated in drug pricing tables.

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