MedicaidReimbursementMedium impact
Newsletter Vol. 8, No. 50
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has updated Federal Upper Limits (FUL) for prescription drug reimbursement. This affects how much Medicaid will reimburse for covered prescription medications, potentially impacting pharmacy billing and patient cost-sharing.
Action Required
Immediately: Review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=8-50.pdf to understand specific drug pricing changes. Pharmacy staff and billing team should verify current FUL rates for commonly dispensed medications and update billing systems accordingly. Alert patients that cost-sharing amounts may have changed.