MedicaidReimbursementMedium impact
Newsletter Vol. 8, No. 18
New Jersey Medicaid·NJ·Pharmacy
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has updated Federal Upper Limit (FUL) pricing for prescription drugs, which affects pharmacy billing and reimbursement rates. This change impacts how Medicaid reimburses for covered medications.
Action Required
Review Newsletter Vol. 8, No. 18 from NJ MMIS for updated Medicaid drug Federal Upper Limit pricing. Pharmacy staff should verify current FUL rates for affected medications and update billing systems accordingly. Contact pharmacy benefits coordinator to ensure proper reimbursement rates are applied.