Buprenorphine hydrochloride
Products billed under this code include Buprenorphine HCl.
Payment limit per 0.1 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 J0592
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 |
|---|---|---|---|---|
| Buprenorphine HCl | Pfizer Inc | 00409-2012-32 | 30 | $140.94 |
| Buprenorphine HCl | Endo USA, Inc. | 42023-0179-05 | 15 | $70.47 |
| Buprenorphine HCl | Somerset Pharma, LLC | 70069-0027-05 | 15 | $70.47 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $4.698 | +$0.224 | 0.1 MG | Buprenorphine hydrochloride | v1, posted September 17, 2026 |
| 3Q26 | $4.474 | +$0.308 | 0.1 MG | Buprenorphine hydrochloride | v1, posted September 15, 2026 |
| 2Q26 | $4.166 | −$0.046 | 0.1 MG | Buprenorphine hydrochloride | v1, posted September 15, 2026 |
| 1Q26 | $4.212 | +$0.046 | 0.1 MG | Buprenorphine hydrochloride | v1, posted September 15, 2026 |
| 4Q25 | $4.166 | +$0.033 | 0.1 MG | Buprenorphine hydrochloride | v1, posted September 8, 2026 |
| 3Q25 | $4.133 | −$0.045 | 0.1 MG | Buprenorphine hydrochloride | v1, posted March 10, 2026 |
| 2Q25 | $4.178 | −$0.125 | 0.1 MG | Buprenorphine hydrochloride | v1, posted March 10, 2026 |
| 1Q25 | $4.303 | +$0.277 | 0.1 MG | Buprenorphine hydrochloride | v1, posted December 19, 2025 |
| 4Q24 | $4.026 | +$0.233 | 0.1 MG | Buprenorphine hydrochloride | v1, posted June 11, 2025 |
| 3Q24 | $3.793 | −$0.141 | 0.1 MG | Buprenorphine hydrochloride | v1, posted June 11, 2025 |
| 2Q24 | $3.934 | −$0.192 | 0.1 MG | Buprenorphine hydrochloride | v1, posted March 11, 2025 |
| 1Q24 | $4.126 | −$0.054 | 0.1 MG | Buprenorphine hydrochloride | v1, posted December 19, 2024 |
| 4Q23 | $4.18 | +$0.117 | 0.1 MG | Buprenorphine hydrochloride | v1, posted October 10, 2024 |
| 3Q23 | $4.063 | +$0.047 | 0.1 MG | Buprenorphine hydrochloride | v1, posted June 5, 2024 |
| 2Q23 | $4.016 | −$0.022 | 0.1 MG | Buprenorphine hydrochloride | v1, posted February 23, 2024 |
| 1Q23 | $4.038 | +$0.013 | 0.1 MG | Buprenorphine hydrochloride | v1, posted December 6, 2023 |
| 4Q22 | $4.025 | −$0.054 | 0.1 MG | Buprenorphine hydrochloride | v1, posted June 22, 2023 |
| 3Q22 | $4.079 | −$0.022 | 0.1 MG | Buprenorphine hydrochloride | v1, posted June 9, 2023 |
| 2Q22 | $4.101 | +$0.012 | 0.1 MG | Buprenorphine hydrochloride | v1, posted December 14, 2022 |
| 1Q22 | $4.089 | −$0.28 | 0.1 MG | Buprenorphine hydrochloride | v1, posted June 8, 2022 |
| 4Q21 | $4.369 | +$0.07 | 0.1 MG | Buprenorphine hydrochloride | v1, posted June 2, 2022 |
| 3Q21 | $4.299 | −$0.02 | 0.1 MG | Buprenorphine hydrochloride | v1, posted June 2, 2022 |
| 2Q21 | $4.319 | −$0.172 | 0.1 MG | Buprenorphine hydrochloride | v1, posted March 1, 2022 |
| 1Q21 | $4.491 | – | 0.1 MG | Buprenorphine hydrochloride | 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