MedicaidReimbursementMedium impact
Newsletter Vol. 10, No. 20
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
Medicaid has updated Federal Upper Limits (FUL) for drug reimbursement rates. This affects how much Medicaid will pay for certain prescription drugs and may impact pharmacy billing and reimbursement amounts.
Action Required
Immediately: Review the full policy document at the provided URL to identify specific drugs affected by the FUL changes. Update billing system with new Medicaid reimbursement rates for affected drugs. Pharmacy staff should verify current FUL rates before submitting Medicaid pharmacy claims to ensure proper reimbursement.