Finalization of the Affordable Care Act Federal Upper Limits (FUL)

The finalized Affordable Care Act Federal upper limits (FUL) calculated in accordance with the Medicaid Covered Outpatient Drug final rule with comment are now available on the Medicaid.gov website athttps://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Prescription-Drugs/Pharmacy-Pricing.html.  States will have up to 30 days from the April 1, 2016 effective date to implement the FULs.  Thereafter, the FULs will be updated monthly, and will be effective on the first date of the month following the publication of the update.  States will, likewise, have up to 30 days after the effective date to implement the FULs.

For further information on the FUL program, please see the Federal Upper Limits page athttps://www.medicaid.gov/medicaid-chip-program-information/by-topics/benefits/prescription-drugs/federal-upper-limits.html.