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State Upper Limit

For additional information on the NJ State MAC go to http://www.njsul.com

Any questions regarding SUL prices must be directed to
Change Healthcare Help Desk by calling (855) 389-9502 (toll free) or fax (877)350-2808.

Pharmacies disputing a SUL price are required to complete the Prescription(s) Reimbursed Below Cost Research Request Form provided through the Change Healthcare/New Jersey SUL Help Desk. The form may be downloaded from this website (see below) or the Change Healthcare website www.njsul.com on or after 060111. The completed Form and all attachments listed on the Form are required.

The Change Healthcare "Prescription(s) Reimbursed Below Cost Research Request Form" may be downloaded here

Proposed NJ SUL Rates
Current NJ SUL Rates