MedicaidReimbursementMedium impact
Newsletter Vol. 19, No. 16
New Jersey Medicaid·NJ·Reimbursement
We identified it
Jun 20, 2026
Summary
Federal Upper Limits of Payment (MAC) for generic drugs have been revised, affecting reimbursement rates for covered prescription medications. This change updates the maximum allowable cost that will be reimbursed for specific generic drugs.
Action Required
Review Appendix B of Newsletter Vol. 19, No. 16 for updated MAC pricing. Billing team should verify current reimbursement rates for generic drugs and update fee schedules if necessary. Coordinate with pharmacy benefit management to ensure proper billing of affected medications.