MedicaidReimbursementMedium impact
Newsletter Vol. 9, No. 30
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
Medicaid has updated Federal Upper Limit (FUL) pricing for prescription drugs, which affects reimbursement rates for pharmacy services and medications covered under Medicaid plans. Billing teams need to review and update their fee schedules to reflect the new FUL pricing structure.
Action Required
Immediately: Review the full newsletter at the provided URL to identify specific drug pricing changes. Update billing system fee schedules for Medicaid pharmacy claims to reflect new Federal Upper Limit pricing. Coordinate with pharmacy billing team to ensure proper reimbursement calculations for affected medications.