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MedicaidReimbursementMedium impact

Newsletter Vol. 12, No. 108

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 Maximum Allowable Cost (MAC) pricing limits for covered prescription drugs. This affects reimbursement rates that pharmacies and providers receive for Medicaid patients' medications.

Action Required

Action needed
Immediately: Review Appendix B of Newsletter Vol. 12, No. 108 for updated MAC drug pricing limits. Pharmacy staff should verify current reimbursement rates for affected medications and adjust inventory/ordering decisions accordingly. Update billing system if practice dispenses medications directly to Medicaid patients.

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