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MedicaidReimbursementMedium impact

Newsletter Vol. 13, No. 18

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

Summary

Medicaid has updated Federal Upper Limits of Payment for Maximum Allowable Cost (MAC) drugs as listed in Appendix B. This affects reimbursement rates for prescription drugs covered under Medicaid pharmacy benefits.

Action Required

Action needed
Review Newsletter Vol. 13, No. 18 Appendix B for updated MAC drug pricing limits. Pharmacy billing team should verify current reimbursement rates for affected drugs and update billing systems if necessary to reflect new Federal Upper Limits of Payment.

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