Inj epinephrine (bpi)
Products billed under this code include Epinephrine, Epinephrine HCl.
Payment limit per 0.1 MG, by effective quarter, 3Q25 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under J0166
From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Epinephrine | Hikma Pharmaceuticals USA Inc. | 00143-9476-25 | 250 | $207.50 |
| Epinephrine | Glenmark Pharmaceuticals Inc., Usa | 68462-0761-30 | 300 | $249.00 |
| Epinephrine HCl | Henry Schein Inc. | 00404-9857-01 | 10 | $8.30 |
| Epinephrine HCl | A-S Medication Solutions | 50090-3039-01 | 10 | $8.30 |
| Epinephrine HCl | A-S Medication Solutions | 50090-3039-02 | 100 | $83.00 |
| Epinephrine HCl | FreseniUS Kabi USA, LLC | 63323-0696-25 | 250 | $207.50 |
| Epinephrine HCl | Glenmark Pharmaceuticals Inc., USA | 68462-0760-10 | 100 | $83.00 |
| Epinephrine HCl | Glenmark Pharmaceuticals Inc., USA | 68462-0933-10 | 100 | $83.00 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.83 | +$0.161 | 0.1 MG | Inj epinephrine (bpi) | v1, posted September 17, 2026 |
| 3Q26 | $0.669 | −$0.167 | 0.1 MG | Inj epinephrine (bpi) | v1, posted September 15, 2026 |
| 2Q26 | $0.836 | −$0.27 | 0.1 MG | Inj epinephrine (bpi) | v1, posted September 15, 2026 |
| 1Q26 | $1.106 | +$0.048 | 0.1 MG | Inj epinephrine (bpi) | v1, posted September 15, 2026 |
| 4Q25 | $1.058 | −$1.224 | 0.1 MG | Inj epinephrine (bpi) | v1, posted September 8, 2026 |
| 3Q25 | $2.282 | – | 0.1 MG | Inj epinephrine (bpi) | v1, posted March 10, 2026 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.
CMS source files
- 4Q26: 2026-09-17_october-2026-medicare-part-b-payment-limit-files-final.zipposted September 17, 2026
- 4Q26: 2026-09-17_october-2026-ndc-hcpcs-crosswalk-final.zipposted September 17, 2026
- 3Q26: 2026-09-15_july-2026-medicare-part-b-payment-limit-files.zipposted September 15, 2026
- 2Q26: 2026-09-15_april-2026-medicare-part-b-payment-limit-files-final-file.zipposted September 15, 2026
- 1Q26: 2026-09-15_january-2026-medicare-part-b-payment-limit-files.zipposted September 15, 2026
- 4Q25: 2026-09-08_october-2025-asp-pricing-final-file.zipposted September 8, 2026
- 3Q25: 2026-03-10_july-2025-asp-pricing-file.zipposted March 10, 2026