Products billed under this code include Brixadi (monthly dosing).
Payment limit per Greater than 7 days and up to 28 days of therapy, by effective quarter, 2Q24 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 |
|---|---|---|---|---|
| Brixadi (monthly dosing) | Braeburn Inc. | 58284-0228-01 | 1 | $1,732.667 |
| Brixadi (monthly dosing) | Braeburn Inc. | 58284-0264-01 | 1 | $1,732.667 |
| Brixadi (monthly dosing) | Braeburn Inc. | 58284-0296-01 | 1 | $1,732.667 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $1,732.667 | +$10.362 | Greater than 7 days and up to 28 days of therapy | Inj brixadi, more than 7 day | v1, posted September 17, 2026 |
| 3Q26 | $1,722.305 | +$53.464 | Greater than 7 days and up to 28 days of therapy | Inj brixadi, more than 7 day | v1, posted September 15, 2026 |
| 2Q26 | $1,668.841 | −$11.37 | Greater than 7 days and up to 28 days of therapy | Inj brixadi, more than 7 day | v1, posted September 15, 2026 |
| 1Q26 | $1,680.211 | −$2.334 | Greater than 7 days and up to 28 days of therapy | Inj brixadi, more than 7 day | v1, posted September 15, 2026 |
| 4Q25 | $1,682.545 | −$8.762 | Greater than 7 days and up to 28 days of therapy | Inj brixadi, more than 7 day | v1, posted September 8, 2026 |
| 3Q25 | $1,691.307 | −$10.308 | Greater than 7 days and up to 28 days of therapy | Inj brixadi, more than 7 day | v1, posted March 10, 2026 |
| 2Q25 | $1,701.615 | −$13.01 | Greater than 7 days and up to 28 days of therapy | Inj brixadi, more than 7 day | v1, posted March 10, 2026 |
| 1Q25 | $1,714.625 | −$1.998 | Greater than 7 days and up to 28 days of therapy | Inj brixadi, more than 7 day | v1, posted December 19, 2025 |
| 4Q24 | $1,716.623 | +$8.74 | Greater than 7 days and up to 28 days of therapy | Inj brixadi, more than 7 day | v1, posted June 11, 2025 |
| 3Q24 | $1,707.883 | +$91.537 | Greater than 7 days and up to 28 days of therapy | Inj,brixadi, more than 7 day | v1, posted June 11, 2025 |
| 2Q24 | $1,616.346 | – | Greater than 7 days and up to 28 days of therapy | Inj brixadi, more than 7 day | v1, posted March 11, 2025 |
“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.
