Traditional MedicareReimbursementMedium impact
Newsletter Vol. 8, No. 71
New Jersey Medicaid·NJ·Reimbursement
We identified it
Jun 20, 2026
Summary
The Federal Upper Limits of Payment for Maximum Allowable Cost (MAC) drugs have been revised, affecting reimbursement rates for covered prescription medications. This change impacts how much providers will be reimbursed for dispensing or administering certain drugs covered under federal programs.
Action Required
Review Appendix B of Newsletter Vol. 8, No. 71 for updated MAC drug pricing limits. Billing team should verify current reimbursement rates for any drugs your practice dispenses or administers, and update fee schedules accordingly. Monitor for potential payment adjustments on drug-related claims.