Medicaid Federal Upper Limit (FUL) Check
The Medicaid federal upper limit for a multiple source drug.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Weighted average of the monthly AMPs, per unit
- 0.04 dollars
- National survey acquisition cost (NADAC), per unit
- 0.12 dollars
Result: Federal upper limit 0.12 a unit.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- NDC, to read the limit from CMS's file
- Weighted average of the monthly AMPs, per unit (by hand)
- National survey acquisition cost (NADAC), per unit
- Quantity
- State professional dispensing fee
How this is calculated
Citation
42 CFR 447.514(a) and (b): the federal upper limit for a listed multiple source drug is 175 percent of the weighted average of the reported monthly AMPs, or the national survey acquisition cost when the 175 percent figure is lower than it. 42 CFR 447.512(c): certified brand-name drugs. Read the sources: 42 CFR 447.514 ↗, 42 CFR 447.512 ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.