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MedicaidReimbursementMedium impact

Newsletter Vol. 8, No. 23

New Jersey Medicaid·NJ·Pharmacy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Medicaid has updated Federal Upper Limit (FUL) pricing for prescription drugs, which affects reimbursement rates for pharmacy services and potentially impacts billing for drug administration and supplies in medical practices that serve Medicaid patients.

Action Required

Action needed
Immediately: Billing team should review current Medicaid drug billing practices and verify updated FUL pricing through the NJ MMIS system. Update billing software with new reimbursement rates if applicable. Contact pharmacy or drug suppliers to understand impact on drug costs versus reimbursement rates.

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