Hydralazine hcl injection
Products billed under this code include Hydralazine HCl.
Payment limit per 20 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 this code include Hydralazine HCl.
Payment limit per 20 MG, by effective quarter, 1Q21 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.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 |
|---|---|---|---|---|
| Hydralazine HCl | Henry Schein Inc. | 00404-9787-01 | 1 | $3.344 |
| Hydralazine HCl | Henry Schein Inc. | 00404-9986-20 | 1 | $3.344 |
| Hydralazine HCl | Henry Schein Inc. | 00404-9994-01 | 1 | $3.344 |
| Hydralazine HCl | American Regent, Inc. | 00517-0901-25 | 25 | $83.60 |
| Hydralazine HCl | Hikma Pharmaceuticals USA Inc. | 00641-6231-25 | 25 | $83.60 |
| Hydralazine HCl | Baxter Healthcare Corporation | 43066-0041-25 | 25 | $83.60 |
| Hydralazine HCl | A-S Medication Solutions | 50090-4518-00 | 1 | $3.344 |
| Hydralazine HCl | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1376-01 | 1 | $3.344 |
| Hydralazine HCl | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1376-03 | 25 | $83.60 |
| Hydralazine HCl | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1648-03 | 25 | $83.60 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Hydralazine HCl | Eugia US LLC | 55150-0400-25 | 25 | $83.60 |
| Hydralazine HCl | FreseniUS Kabi USA, LLC | 63323-0614-01 | 25 | $83.60 |
| Hydralazine HCl | FreseniUS Kabi USA, LLC | 63323-0614-06 | 25 | $83.60 |
| Hydralazine HCl | FreseniUS Kabi USA, LLC | 63323-0614-16 | 25 | $83.60 |
| Hydralazine HCl | FreseniUS Kabi USA, LLC | 63323-0614-55 | 25 | $83.60 |
| Hydralazine HCl | Civica, Inc. | 72572-0265-25 | 25 | $83.60 |
| Hydralazine Hcl | Zydus Pharmaceuticals (USA) Inc. | 70710-1988-07 | 25 | $83.60 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $3.344 | −$0.051 | 20 MG | Hydralazine hcl injection | v1, posted September 17, 2026 |
| 3Q26 | $3.395 | −$0.893 | 20 MG | Hydralazine hcl injection | v1, posted September 15, 2026 |
| 2Q26 | $4.288 | −$0.10 | 20 MG | Hydralazine hcl injection | v1, posted September 15, 2026 |
| 1Q26 | $4.388 | −$1.213 | 20 MG | Hydralazine hcl injection | v1, posted September 15, 2026 |
| 4Q25 | $5.601 | +$0.413 | 20 MG | Hydralazine hcl injection | v1, posted September 8, 2026 |
| 3Q25 | $5.188 | +$0.786 | 20 MG | Hydralazine hcl injection | v1, posted March 10, 2026 |
| 2Q25 | $4.402 | +$0.325 | 20 MG | Hydralazine hcl injection | v1, posted March 10, 2026 |
| 1Q25 | $4.077 | +$0.037 | 20 MG | Hydralazine hcl injection | v1, posted December 19, 2025 |
| 4Q24 | $4.04 | −$0.069 | 20 MG | Hydralazine hcl injection | v1, posted June 11, 2025 |
| 3Q24 | $4.109 | −$1.447 | 20 MG | Hydralazine hcl injection | v1, posted June 11, 2025 |
| 2Q24 | $5.556 | −$0.031 | 20 MG | Hydralazine hcl injection | v1, posted March 11, 2025 |
| 1Q24 | $5.587 | −$0.171 | 20 MG | Hydralazine hcl injection | v1, posted December 19, 2024 |
| 4Q23 | $5.758 | +$0.044 | 20 MG | Hydralazine hcl injection | v1, posted October 10, 2024 |
| 3Q23 | $5.714 | +$0.218 | 20 MG | Hydralazine hcl injection | v1, posted June 5, 2024 |
| 2Q23 | $5.496 | −$1.262 | 20 MG | Hydralazine hcl injection | v1, posted February 23, 2024 |
| 1Q23 | $6.758 | +$0.113 | 20 MG | Hydralazine hcl injection | v1, posted December 6, 2023 |
| 4Q22 | $6.645 | +$2.23 | 20 MG | Hydralazine hcl injection | v1, posted June 22, 2023 |
| 3Q22 | $4.415 | −$0.027 | 20 MG | Hydralazine hcl injection | v1, posted June 9, 2023 |
| 2Q22 | $4.442 | −$0.911 | 20 MG | Hydralazine hcl injection | v1, posted December 14, 2022 |
| 1Q22 | $5.353 | +$0.152 | 20 MG | Hydralazine hcl injection | v1, posted June 8, 2022 |
| 4Q21 | $5.201 | −$0.493 | 20 MG | Hydralazine hcl injection | v1, posted June 2, 2022 |
| 3Q21 | $5.694 | +$0.827 | 20 MG | Hydralazine hcl injection | v1, posted June 2, 2022 |
| 2Q21 | $4.867 | +$1.926 | 20 MG | Hydralazine hcl injection | v1, posted March 1, 2022 |
| 1Q21 | $2.941 | – | 20 MG | Hydralazine hcl injection | 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.