Ampicillin 500 mg inj
Products billed under this code include Ampicillin Sodium.
Payment limit per 500 MG, by effective quarter, 1Q21 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under J0290
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 |
|---|---|---|---|---|
| Ampicillin Sodium | Henry Schein Inc. | 00404-9803-99 | 2 | $1.238 |
| Ampicillin Sodium | Henry Schein Inc. | 00404-9816-99 | 2 | $1.238 |
| Ampicillin Sodium | Henry Schein Inc. | 00404-9818-99 | 4 | $2.476 |
| Ampicillin Sodium | Sandoz Inc. | 00781-3402-95 | 5 | $3.095 |
| Ampicillin Sodium | Sandoz Inc. | 00781-3404-95 | 20 | $12.38 |
| Ampicillin Sodium | Sandoz Inc. | 00781-3407-95 | 10 | $6.19 |
| Ampicillin Sodium | Sandoz Inc. | 00781-3408-95 | 40 | $24.76 |
| Ampicillin Sodium | Sandoz Inc. | 00781-3409-95 | 200 | $123.80 |
| Ampicillin Sodium | Sandoz Inc. | 00781-3412-92 | 20 | $12.38 |
| Ampicillin Sodium | Sandoz Inc. | 00781-3413-92 | 40 | $24.76 |
Show all 64 products
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Ampicillin Sodium | Sandoz Inc. | 00781-9242-95 | 5 | $3.095 |
| Ampicillin Sodium | Sandoz Inc. | 00781-9261-95 | 20 | $12.38 |
| Ampicillin Sodium | Sandoz Inc. | 00781-9273-95 | 40 | $24.76 |
| Ampicillin Sodium | Sandoz Inc. | 00781-9402-95 | 5 | $3.095 |
| Ampicillin Sodium | Sandoz Inc. | 00781-9404-95 | 20 | $12.38 |
| Ampicillin Sodium | Sandoz Inc. | 00781-9407-95 | 10 | $6.19 |
| Ampicillin Sodium | Sandoz Inc. | 00781-9408-95 | 40 | $24.76 |
| Ampicillin Sodium | Sandoz Inc. | 00781-9409-95 | 200 | $123.80 |
| Ampicillin Sodium | Sandoz Inc. | 00781-9412-92 | 20 | $12.38 |
| Ampicillin Sodium | Sandoz Inc. | 00781-9413-92 | 40 | $24.76 |
| Ampicillin Sodium | Heritage Pharmaceuticals Inc. | 23155-0915-41 | 10 | $6.19 |
| Ampicillin Sodium | Heritage Pharmaceuticals Inc. | 23155-0916-41 | 20 | $12.38 |
| Ampicillin Sodium | Heritage Pharmaceuticals Inc. | 23155-0917-41 | 40 | $24.76 |
| Ampicillin Sodium | Sagent Pharmaceuticals | 25021-0134-10 | 5 | $3.095 |
| Ampicillin Sodium | Sagent Pharmaceuticals | 25021-0135-10 | 10 | $6.19 |
| Ampicillin Sodium | Sagent Pharmaceuticals | 25021-0136-10 | 20 | $12.38 |
| Ampicillin Sodium | Sagent Pharmaceuticals | 25021-0137-20 | 40 | $24.76 |
| Ampicillin Sodium | Sagent Pharmaceuticals | 25021-0197-99 | 20 | $12.38 |
| Ampicillin Sodium | WG Critical Care, LLC | 44567-0100-10 | 5 | $3.095 |
| Ampicillin Sodium | WG Critical Care, LLC | 44567-0101-10 | 10 | $6.19 |
| Ampicillin Sodium | WG Critical Care, LLC | 44567-0102-10 | 20 | $12.38 |
| Ampicillin Sodium | WG Critical Care, LLC | 44567-0103-10 | 40 | $24.76 |
| Ampicillin Sodium | WG Critical Care, LLC | 44567-0104-01 | 20 | $12.38 |
| Ampicillin Sodium | A-S Medication Solutions | 50090-4552-00 | 4 | $2.476 |
| Ampicillin Sodium | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1560-03 | 40 | $24.76 |
| Ampicillin Sodium | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1595-03 | 5 | $3.095 |
| Ampicillin Sodium | Eugia US LLC | 55150-0113-10 | 20 | $12.38 |
| Ampicillin Sodium | Eugia US LLC | 55150-0114-20 | 40 | $24.76 |
| Ampicillin Sodium | Eugia US LLC | 55150-0115-99 | 200 | $123.80 |
| Ampicillin Sodium | FreseniUS Kabi USA, LLC | 65219-0014-10 | 5 | $3.095 |
| Ampicillin Sodium | FreseniUS Kabi USA, LLC | 65219-0016-10 | 10 | $6.19 |
| Ampicillin Sodium | FreseniUS Kabi USA, LLC | 65219-0018-10 | 20 | $12.38 |
| Ampicillin Sodium | FreseniUS Kabi USA, LLC | 65219-0020-23 | 40 | $24.76 |
| Ampicillin Sodium | Piramal Critical Care Inc | 66794-0220-41 | 5 | $3.095 |
| Ampicillin Sodium | Piramal Critical Care Inc | 66794-0222-41 | 20 | $12.38 |
| Ampicillin Sodium | Piramal Critical Care Inc | 66794-0223-41 | 40 | $24.76 |
| Ampicillin Sodium | Piramal Critical Care Inc | 66794-0224-15 | 20 | $12.38 |
| Ampicillin Sodium | Athenex Pharmaceutical Division, LLC | 70860-0112-15 | 5 | $3.095 |
| Ampicillin Sodium | Athenex Pharmaceutical Division, LLC | 70860-0113-15 | 10 | $6.19 |
| Ampicillin Sodium | Athenex Pharmaceutical Division, LLC | 70860-0114-15 | 20 | $12.38 |
| Ampicillin Sodium | Athenex Pharmaceutical Division, LLC | 70860-0115-26 | 40 | $24.76 |
| Ampicillin Sodium | Athenex Pharmaceutical Division, LLC | 70860-0118-99 | 20 | $12.38 |
| Ampicillin Sodium | Armas Pharmaceuticals Inc. | 72485-0421-10 | 20 | $12.38 |
| Ampicillin Sodium | Armas Pharmaceuticals Inc. | 72485-0422-10 | 40 | $24.76 |
| Ampicillin Sodium | Armas Pharmaceuticals Inc. | 72485-0423-10 | 20 | $12.38 |
| Ampicillin Sodium | Civica, Inc. | 72572-0016-10 | 20 | $12.38 |
| Ampicillin Sodium | Civica, Inc. | 72572-0017-10 | 40 | $24.76 |
| Ampicillin Sodium | Civica, Inc. | 72572-0093-10 | 20 | $12.38 |
| Ampicillin Sodium | Civica, Inc. | 72572-0094-10 | 40 | $24.76 |
| Ampicillin Sodium | Northstar RxLLC | 72603-0221-10 | 10 | $6.19 |
| Ampicillin Sodium | Northstar RxLLC | 72603-0363-10 | 20 | $12.38 |
| Ampicillin Sodium | Northstar RxLLC | 72603-0454-10 | 40 | $24.76 |
| Ampicillin Sodium | Northstar RxLLC | 72603-0578-01 | 20 | $12.38 |
| Ampicillin Sodium | Avenacy Inc. | 83634-0100-99 | 20 | $12.38 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.619 | +$0.005 | 500 MG | Ampicillin 500 mg inj | v1, posted September 17, 2026 |
| 3Q26 | $0.614 | −$0.028 | 500 MG | Ampicillin 500 mg inj | v1, posted September 15, 2026 |
| 2Q26 | $0.642 | +$0.051 | 500 MG | Ampicillin 500 mg inj | v1, posted September 15, 2026 |
| 1Q26 | $0.591 | +$0.045 | 500 MG | Ampicillin 500 mg inj | v1, posted September 15, 2026 |
| 4Q25 | $0.546 | +$0.057 | 500 MG | Ampicillin 500 mg inj | v1, posted September 8, 2026 |
| 3Q25 | $0.489 | −$0.108 | 500 MG | Ampicillin 500 mg inj | v1, posted March 10, 2026 |
| 2Q25 | $0.597 | −$0.117 | 500 MG | Ampicillin 500 mg inj | v1, posted March 10, 2026 |
| 1Q25 | $0.714 | −$0.07 | 500 MG | Ampicillin 500 mg inj | v1, posted December 19, 2025 |
| 4Q24 | $0.784 | −$0.096 | 500 MG | Ampicillin 500 mg inj | v1, posted June 11, 2025 |
| 3Q24 | $0.88 | −$0.117 | 500 MG | Ampicillin 500 mg inj | v1, posted June 11, 2025 |
| 2Q24 | $0.997 | −$0.014 | 500 MG | Ampicillin 500 mg inj | v1, posted March 11, 2025 |
| 1Q24 | $1.011 | +$0.066 | 500 MG | Ampicillin 500 mg inj | v1, posted December 19, 2024 |
| 4Q23 | $0.945 | +$0.163 | 500 MG | Ampicillin 500 mg inj | v1, posted October 10, 2024 |
| 3Q23 | $0.782 | −$0.138 | 500 MG | Ampicillin 500 mg inj | v1, posted June 5, 2024 |
| 2Q23 | $0.92 | +$0.192 | 500 MG | Ampicillin 500 mg inj | v1, posted February 23, 2024 |
| 1Q23 | $0.728 | −$0.034 | 500 MG | Ampicillin 500 mg inj | v1, posted December 6, 2023 |
| 4Q22 | $0.762 | +$0.016 | 500 MG | Ampicillin 500 mg inj | v1, posted June 22, 2023 |
| 3Q22 | $0.746 | +$0.10 | 500 MG | Ampicillin 500 mg inj | v1, posted June 9, 2023 |
| 2Q22 | $0.646 | −$0.065 | 500 MG | Ampicillin 500 mg inj | v1, posted December 14, 2022 |
| 1Q22 | $0.711 | −$0.096 | 500 MG | Ampicillin 500 mg inj | v1, posted June 8, 2022 |
| 4Q21 | $0.807 | −$0.036 | 500 MG | Ampicillin 500 mg inj | v1, posted June 2, 2022 |
| 3Q21 | $0.843 | −$0.053 | 500 MG | Ampicillin 500 mg inj | v1, posted June 2, 2022 |
| 2Q21 | $0.896 | +$0.01 | 500 MG | Ampicillin 500 mg inj | v1, posted March 1, 2022 |
| 1Q21 | $0.886 | – | 500 MG | Ampicillin 500 mg inj | v1, posted December 10, 2021 |
“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
- 2Q25: 2026-03-10_april-2025-asp-pricing-file.zipposted March 10, 2026
- 1Q25: 2025-12-19_january-2025-asp-pricing-file-03-11-25-final-file.zipposted December 19, 2025
- 4Q24: 2025-06-11_october-2024-asp-pricing-file.zipposted June 11, 2025
- 3Q24: 2025-06-11_july-2024-asp-pricing-file.zipposted June 11, 2025
- 2Q24: 2025-03-11_april-2024-asp-pricing-file.zipposted March 11, 2025
- 1Q24: 2024-12-19_january-2024-asp-pricing-file.zipposted December 19, 2024
- 4Q23: 2024-10-10_october-2023-asp-pricing-file.zipposted October 10, 2024
- 3Q23: 2024-06-05_july-2023-asp-pricing-file.zipposted June 5, 2024
- 2Q23: 2024-02-23_april-2023-asp-pricing-file.zipposted February 23, 2024
- 1Q23: 2023-12-06_january-2023-asp-pricing-file.zipposted December 6, 2023
- 4Q22: 2023-06-22_october-2022-asp-pricing-file.zipposted June 22, 2023
- 3Q22: 2023-06-09_july-2022-asp-pricing-file.zipposted June 9, 2023
- 2Q22: 2022-12-14_april-2022-asp-pricing-file.zipposted December 14, 2022
- 1Q22: 2022-06-08_january-2022-asp-pricing-file.zipposted June 8, 2022
- 4Q21: 2022-06-02_october-2021-asp-pricing-file.zipposted June 2, 2022
- 3Q21: 2022-06-02_july-2021-asp-pricing-file.zipposted June 2, 2022
- 2Q21: 2022-03-01_april-2021-asp-pricing-file.zipposted March 1, 2022
- 1Q21: 2021-12-10_january-2021-asp-pricing-file.zipposted December 10, 2021