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MedicaidReimbursementMedium impact

Newsletter Vol. 13, No. 60

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

Summary

New Medicaid Drug Federal Upper Limits of Payment for Maximum Allowable Cost (MAC) Drugs have been established, affecting pharmacy billing and reimbursement rates for Medicaid patients. This update provides the current MAC pricing limits that pharmacies and providers must reference for drug billing.

Action Required

Action needed
Review Appendix B of Newsletter Vol. 13, No. 60 for updated MAC drug pricing limits. Billing team should verify current Medicaid drug reimbursement rates against the new Federal Upper Limits and adjust billing expectations accordingly. Download the full policy document from the provided URL to access specific drug pricing information.

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