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MedicaidReimbursementMedium impact

Newsletter Vol. 11, No. 08

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

Summary

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

Action Required

Action needed
Billing team should review Newsletter Vol. 11, No. 08 and updated Appendix B to understand new MAC pricing limits for Medicaid drug claims. Update billing system with new reimbursement expectations for affected medications. Verify current drug pricing against new MAC limits to avoid claim adjustments.

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