MedicaidReimbursementMedium impact
Newsletter Vol. 11, No. 67
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 published in Appendix B. This affects reimbursement rates for covered prescription drugs under Medicaid plans.
Action Required
Review Appendix B of Newsletter Vol. 11, No. 67 to understand new MAC drug pricing limits. Update billing expectations for Medicaid prescription drug claims to reflect new federal upper payment limits. Monitor reimbursement adjustments for affected medications.