Back to dashboard
MedicaidReimbursementMedium impact

Newsletter Vol. 13, No. 19

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 updated in Appendix B. This affects reimbursement rates for specific Medicaid pharmacy claims and may impact how much the practice receives for drug-related billing.

Action Required

Action needed
Immediately: Billing team should review the updated MAC drug list in Appendix B of Newsletter Vol. 13, No. 19 to understand new reimbursement limits. Update billing expectations for affected Medicaid pharmacy claims. Monitor reimbursement rates for any discrepancies with the new federal upper limits.

Related policy hubs