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MedicaidReimbursementMedium impact

Newsletter Vol. 6, No. 22

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

Summary

This policy update relates to Medicaid Drug Federal Upper Limit (FUL) pricing, which affects how Medicaid reimburses for prescription drugs. The change likely impacts billing and reimbursement rates for pharmacy services under Medicaid plans.

Action Required

Action needed
Review Newsletter Vol. 6, No. 22 at https://www.njmmis.com/documentDownload.aspx?document=6-22.pdf for specific Medicaid Drug Federal Upper Limit changes. Billing team should verify current FUL pricing affects pharmacy billing and update reimbursement expectations accordingly.

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