MedicaidReimbursementMedium impact
Newsletter Vol. 9, No. 73
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
Medicaid has updated Federal Upper Limits (FUL) for prescription drug reimbursement rates. This affects how much Medicaid will pay for covered prescription drugs, requiring billing teams to review and update their pharmacy billing procedures.
Action Required
Immediately: Review the full policy document at the provided URL to identify specific drugs affected by FUL changes. Update billing system with new Medicaid reimbursement rates for affected medications. Verify current drug pricing against new FUL rates to ensure accurate billing and avoid claim denials.