Cefoxitin sodium injection
Products billed under this code include Cefoxitin Sodium.
Payment limit per 1 GM, 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 Cefoxitin Sodium.
Payment limit per 1 GM, 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 |
|---|---|---|---|---|
| Cefoxitin Sodium | Hikma Pharmaceuticals USA Inc. | 00143-9876-10 | 100 | $541.60 |
| Cefoxitin Sodium | Hikma Pharmaceuticals USA Inc. | 00143-9877-25 | 50 | $270.80 |
| Cefoxitin Sodium | Hikma Pharmaceuticals USA Inc. | 00143-9878-25 | 25 | $135.40 |
| Cefoxitin Sodium | B. Braun Medical Inc. | 00264-3123-11 | 24 | $129.984 |
| Cefoxitin Sodium | B. Braun Medical Inc. | 00264-3125-11 | 48 | $259.968 |
| Cefoxitin Sodium | Sagent Pharmaceuticals | 25021-0109-10 | 10 | $54.16 |
| Cefoxitin Sodium | Sagent Pharmaceuticals | 25021-0110-20 | 20 | $108.32 |
| Cefoxitin Sodium | Sagent Pharmaceuticals | 25021-0111-99 | 100 | $541.60 |
| Cefoxitin Sodium | WG Critical Care, LLC | 44567-0245-25 | 25 | $135.40 |
| Cefoxitin Sodium | WG Critical Care, LLC | 44567-0246-25 | 50 | $270.80 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Cefoxitin Sodium | WG Critical Care, LLC | 44567-0247-10 | 100 | $541.60 |
| Cefoxitin Sodium | FreseniUS Kabi USA, LLC | 63323-0341-25 | 25 | $135.40 |
| Cefoxitin Sodium | FreseniUS Kabi USA, LLC | 63323-0341-29 | 25 | $135.40 |
| Cefoxitin Sodium | FreseniUS Kabi USA, LLC | 63323-0342-25 | 50 | $270.80 |
| Cefoxitin Sodium | FreseniUS Kabi USA, LLC | 63323-0342-29 | 50 | $270.80 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $5.416 | +$1.131 | 1 GM | Cefoxitin sodium injection | v1, posted September 17, 2026 |
| 3Q26 | $4.285 | +$0.726 | 1 GM | Cefoxitin sodium injection | v1, posted September 15, 2026 |
| 2Q26 | $3.559 | −$1.183 | 1 GM | Cefoxitin sodium injection | v1, posted September 15, 2026 |
| 1Q26 | $4.742 | −$0.041 | 1 GM | Cefoxitin sodium injection | v1, posted September 15, 2026 |
| 4Q25 | $4.783 | −$0.351 | 1 GM | Cefoxitin sodium injection | v1, posted September 8, 2026 |
| 3Q25 | $5.134 | +$0.124 | 1 GM | Cefoxitin sodium injection | v1, posted March 10, 2026 |
| 2Q25 | $5.01 | +$0.558 | 1 GM | Cefoxitin sodium injection | v1, posted March 10, 2026 |
| 1Q25 | $4.452 | −$0.058 | 1 GM | Cefoxitin sodium injection | v1, posted December 19, 2025 |
| 4Q24 | $4.51 | +$0.027 | 1 GM | Cefoxitin sodium injection | v1, posted June 11, 2025 |
| 3Q24 | $4.483 | −$0.413 | 1 GM | Cefoxitin sodium injection | v1, posted June 11, 2025 |
| 2Q24 | $4.896 | −$0.183 | 1 GM | Cefoxitin sodium injection | v1, posted March 11, 2025 |
| 1Q24 | $5.079 | −$0.093 | 1 GM | Cefoxitin sodium injection | v1, posted December 19, 2024 |
| 4Q23 | $5.172 | +$0.171 | 1 GM | Cefoxitin sodium injection | v1, posted October 10, 2024 |
| 3Q23 | $5.001 | −$0.156 | 1 GM | Cefoxitin sodium injection | v1, posted June 5, 2024 |
| 2Q23 | $5.157 | +$0.284 | 1 GM | Cefoxitin sodium injection | v1, posted February 23, 2024 |
| 1Q23 | $4.873 | −$0.438 | 1 GM | Cefoxitin sodium injection | v1, posted December 6, 2023 |
| 4Q22 | $5.311 | +$0.678 | 1 GM | Cefoxitin sodium injection | v1, posted June 22, 2023 |
| 3Q22 | $4.633 | −$0.024 | 1 GM | Cefoxitin sodium injection | v1, posted June 9, 2023 |
| 2Q22 | $4.657 | −$0.023 | 1 GM | Cefoxitin sodium injection | v1, posted December 14, 2022 |
| 1Q22 | $4.68 | +$0.069 | 1 GM | Cefoxitin sodium injection | v1, posted June 8, 2022 |
| 4Q21 | $4.611 | −$0.572 | 1 GM | Cefoxitin sodium injection | v1, posted June 2, 2022 |
| 3Q21 | $5.183 | −$0.595 | 1 GM | Cefoxitin sodium injection | v1, posted June 2, 2022 |
| 2Q21 | $5.778 | −$1.014 | 1 GM | Cefoxitin sodium injection | v1, posted March 1, 2022 |
| 1Q21 | $6.792 | – | 1 GM | Cefoxitin sodium 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.