Caspofungin acetate
Products billed under this code include Cancidas, Caspofungin, Caspofungin Acetate.
Payment limit per 5 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 J0637
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 |
|---|---|---|---|---|
| Cancidas | Merck Sharp & Dohme LLC | 00006-3822-10 | 10 | $24.63 |
| Cancidas | Merck Sharp & Dohme LLC | 00006-3823-10 | 14 | $34.482 |
| Caspofungin | Fosun Pharma USA Inc. | 72266-0106-01 | 10 | $24.63 |
| Caspofungin | Fosun Pharma USA Inc. | 72266-0107-01 | 14 | $34.482 |
| Caspofungin Acetate | Sandoz Inc. | 00781-3421-94 | 10 | $24.63 |
| Caspofungin Acetate | Sandoz Inc. | 00781-3423-94 | 14 | $34.482 |
| Caspofungin Acetate | Sagent Pharmaceuticals | 25021-0194-10 | 10 | $24.63 |
| Caspofungin Acetate | Sagent Pharmaceuticals | 25021-0195-10 | 14 | $34.482 |
| Caspofungin Acetate | Areva Pharmaceuticals | 59923-0613-70 | 14 | $34.482 |
| Caspofungin Acetate | Areva Pharmaceuticals | 59923-0614-50 | 10 | $24.63 |
Show all 14 products
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Caspofungin Acetate | FreseniUS Kabi USA, LLC | 63323-0356-10 | 100 | $246.30 |
| Caspofungin Acetate | FreseniUS Kabi USA, LLC | 63323-0358-10 | 140 | $344.82 |
| Caspofungin Acetate | Athenex Pharmaceutical Division, LLC | 70860-0106-10 | 10 | $24.63 |
| Caspofungin Acetate | Athenex Pharmaceutical Division, LLC | 70860-0107-10 | 14 | $34.482 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $2.463 | −$0.416 | 5 MG | Caspofungin acetate | v1, posted September 17, 2026 |
| 3Q26 | $2.879 | −$0.696 | 5 MG | Caspofungin acetate | v1, posted September 15, 2026 |
| 2Q26 | $3.575 | −$0.243 | 5 MG | Caspofungin acetate | v1, posted September 15, 2026 |
| 1Q26 | $3.818 | +$0.277 | 5 MG | Caspofungin acetate | v1, posted September 15, 2026 |
| 4Q25 | $3.541 | +$1.275 | 5 MG | Caspofungin acetate | v1, posted September 8, 2026 |
| 3Q25 | $2.266 | −$1.07 | 5 MG | Caspofungin acetate | v1, posted March 10, 2026 |
| 2Q25 | $3.336 | −$1.719 | 5 MG | Caspofungin acetate | v1, posted March 10, 2026 |
| 1Q25 | $5.055 | −$1.265 | 5 MG | Caspofungin acetate | v1, posted December 19, 2025 |
| 4Q24 | $6.32 | −$0.395 | 5 MG | Caspofungin acetate | v1, posted June 11, 2025 |
| 3Q24 | $6.715 | +$0.086 | 5 MG | Caspofungin acetate | v1, posted June 11, 2025 |
| 2Q24 | $6.629 | +$1.202 | 5 MG | Caspofungin acetate | v1, posted March 11, 2025 |
| 1Q24 | $5.427 | −$0.073 | 5 MG | Caspofungin acetate | v1, posted December 19, 2024 |
| 4Q23 | $5.50 | −$3.121 | 5 MG | Caspofungin acetate | v1, posted October 10, 2024 |
| 3Q23 | $8.621 | +$3.734 | 5 MG | Caspofungin acetate | v1, posted June 5, 2024 |
| 2Q23 | $4.887 | −$0.73 | 5 MG | Caspofungin acetate | v1, posted February 23, 2024 |
| 1Q23 | $5.617 | −$2.802 | 5 MG | Caspofungin acetate | v1, posted December 6, 2023 |
| 4Q22 | $8.419 | +$2.938 | 5 MG | Caspofungin acetate | v1, posted June 22, 2023 |
| 3Q22 | $5.481 | +$0.154 | 5 MG | Caspofungin acetate | v1, posted June 9, 2023 |
| 2Q22 | $5.327 | −$1.242 | 5 MG | Caspofungin acetate | v1, posted December 14, 2022 |
| 1Q22 | $6.569 | +$0.319 | 5 MG | Caspofungin acetate | v1, posted June 8, 2022 |
| 4Q21 | $6.25 | −$0.739 | 5 MG | Caspofungin acetate | v1, posted June 2, 2022 |
| 3Q21 | $6.989 | −$1.811 | 5 MG | Caspofungin acetate | v1, posted June 2, 2022 |
| 2Q21 | $8.80 | +$2.153 | 5 MG | Caspofungin acetate | v1, posted March 1, 2022 |
| 1Q21 | $6.647 | – | 5 MG | Caspofungin acetate | 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