Back to dashboard
MedicaidReimbursementMedium impact

Newsletter Vol. 13, No. 35

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

Summary

New Jersey Medicaid has updated the Federal Upper Limits of Payment for Maximum Allowable Cost (MAC) drugs. This affects reimbursement rates for specific pharmacy medications covered under Medicaid.

Action Required

Action needed
Immediately: Billing team should review APPENDIX B of Newsletter Vol. 13, No. 35 for updated MAC drug pricing. Update billing system with new reimbursement limits for affected Medicaid pharmacy claims. Verify current drug pricing against new MAC limits to ensure proper reimbursement expectations.

Related policy hubs