MedicaidReimbursementMedium impact
Newsletter Vol. 11, No. 76
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
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 covered Medicaid prescription drugs and medical supplies billed by healthcare providers.
Action Required
Review Newsletter Vol. 11, No. 76 and updated Appendix B for new Medicaid MAC drug pricing limits. Billing team should verify current reimbursement rates for Medicaid drug claims and update billing system with new maximum allowable cost limits if applicable to practice's dispensed medications or medical supplies.