MedicaidReimbursementMedium impact
Newsletter Vol. 11, No. 02
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has updated the Federal Upper Limits of Payment for Maximum Allowable Cost (MAC) drugs. This affects reimbursement rates for specific pharmacy-related services and medications covered under Medicaid.
Action Required
Immediately: Billing team should review Appendix B of Newsletter Vol. 11, No. 02 for updated MAC drug payment limits. Update billing system with new reimbursement rates for affected medications. Verify current Medicaid drug billing rates against the new Federal Upper Limits to ensure accurate claim submissions.