Daptomycin injection
Products billed under this code include Daptomycin.
Payment limit per 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 this code include Daptomycin.
Payment limit per 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.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 |
|---|---|---|---|---|
| Daptomycin | Hikma Pharmaceuticals USA Inc. | 00143-9378-01 | 500 | $13.50 |
| Daptomycin | Hikma Pharmaceuticals USA Inc. | 00143-9444-01 | 500 | $13.50 |
| Daptomycin | Hikma Pharmaceuticals USA Inc. | 00143-9465-01 | 500 | $13.50 |
| Daptomycin | Northstar RxLLC | 16714-0892-01 | 500 | $13.50 |
| Daptomycin | Accord Healthcare Inc | 16729-0434-05 | 350 | $9.45 |
| Daptomycin | Accord Healthcare Inc | 16729-0434-45 | 3500 | $94.50 |
| Daptomycin | Accord Healthcare Inc | 16729-0435-05 | 500 | $13.50 |
| Daptomycin | Sagent Pharmaceuticals | 25021-0174-15 | 500 | $13.50 |
| Daptomycin | Sagent Pharmaceuticals | 25021-0174-16 | 5000 | $135.00 |
| Daptomycin | Sagent Pharmaceuticals | 25021-0179-15 | 350 | $9.45 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Daptomycin | Sagent Pharmaceuticals | 25021-0179-16 | 3500 | $94.50 |
| Daptomycin | Sagent Pharmaceuticals | 25021-0179-66 | 350 | $9.45 |
| Daptomycin | Sagent Pharmaceuticals | 25021-0179-67 | 3500 | $94.50 |
| Daptomycin | Dr. Reddy's Laboratories Inc. | 43598-0413-11 | 500 | $13.50 |
| Daptomycin | Dr. Reddy's Laboratories Inc. | 43598-0476-11 | 350 | $9.45 |
| Daptomycin | Eugia US LLC | 55150-0344-01 | 500 | $13.50 |
| Daptomycin | Apotex Corp | 60505-6229-04 | 500 | $13.50 |
| Daptomycin | Mylan Institutional LLC | 67457-0813-50 | 500 | $13.50 |
| Daptomycin | Mylan Institutional LLC | 67457-0941-15 | 500 | $13.50 |
| Daptomycin | BluePoint Laboratories | 68001-0376-68 | 500 | $13.50 |
| Daptomycin | Biocon Pharma Inc | 70377-0093-91 | 500 | $13.50 |
| Daptomycin | Xellia Pharmaceuticals USA, LLC. | 70594-0034-01 | 500 | $13.50 |
| Daptomycin | Xellia Pharmaceuticals USA, LLC. | 70594-0034-02 | 500 | $13.50 |
| Daptomycin | Meitheal Pharmaceuticals Inc. | 71288-0016-15 | 500 | $13.50 |
| Daptomycin | Meitheal Pharmaceuticals Inc. | 71288-0016-91 | 500 | $13.50 |
| Daptomycin | Meitheal Pharmaceuticals Inc. | 71288-0016-95 | 500 | $13.50 |
| Daptomycin | Meitheal Pharmaceuticals Inc. | 71288-0017-15 | 350 | $9.45 |
| Daptomycin | Meitheal Pharmaceuticals Inc. | 71288-0017-91 | 350 | $9.45 |
| Daptomycin | BE Pharmaceuticals Inc. | 71839-0107-01 | 500 | $13.50 |
| Daptomycin | BE Pharmaceuticals Inc. | 71839-0108-01 | 350 | $9.45 |
| Daptomycin | Civica, Inc. | 72572-0102-01 | 500 | $13.50 |
| Daptomycin | Northstar RxLLC | 72603-0147-01 | 350 | $9.45 |
| Daptomycin | Northstar RxLLC | 72603-0152-01 | 500 | $13.50 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.027 | −$0.002 | 1 MG | Daptomycin injection | v1, posted September 17, 2026 |
| 3Q26 | $0.029 | −$0.005 | 1 MG | Daptomycin injection | v1, posted September 15, 2026 |
| 2Q26 | $0.034 | +$0.006 | 1 MG | Daptomycin injection | v1, posted September 15, 2026 |
| 1Q26 | $0.028 | $0.00 | 1 MG | Daptomycin injection | v1, posted September 15, 2026 |
| 4Q25 | $0.028 | −$0.002 | 1 MG | Daptomycin injection | v1, posted September 8, 2026 |
| 3Q25 | $0.03 | −$0.003 | 1 MG | Daptomycin injection | v1, posted March 10, 2026 |
| 2Q25 | $0.033 | −$0.002 | 1 MG | Daptomycin injection | v1, posted March 10, 2026 |
| 1Q25 | $0.035 | +$0.003 | 1 MG | Daptomycin injection | v1, posted December 19, 2025 |
| 4Q24 | $0.032 | +$0.01 | 1 MG | Daptomycin injection | v1, posted June 11, 2025 |
| 3Q24 | $0.022 | −$0.082 | 1 MG | Daptomycin injection | v1, posted June 11, 2025 |
| 2Q24 | $0.104 | +$0.066 | 1 MG | Daptomycin injection | v1, posted March 11, 2025 |
| 1Q24 | $0.038 | −$0.002 | 1 MG | Daptomycin injection | v1, posted December 19, 2024 |
| 4Q23 | $0.04 | −$0.038 | 1 MG | Daptomycin injection | v1, posted October 10, 2024 |
| 3Q23 | $0.078 | +$0.037 | 1 MG | Daptomycin injection | v1, posted June 5, 2024 |
| 2Q23 | $0.041 | −$0.007 | 1 MG | Daptomycin injection | v1, posted February 23, 2024 |
| 1Q23 | $0.048 | +$0.004 | 1 MG | Daptomycin injection | v1, posted December 6, 2023 |
| 4Q22 | $0.044 | −$0.003 | 1 MG | Daptomycin injection | v1, posted June 22, 2023 |
| 3Q22 | $0.047 | −$0.004 | 1 MG | Daptomycin injection | v1, posted June 9, 2023 |
| 2Q22 | $0.051 | −$0.003 | 1 MG | Daptomycin injection | v1, posted December 14, 2022 |
| 1Q22 | $0.054 | −$0.003 | 1 MG | Daptomycin injection | v1, posted June 8, 2022 |
| 4Q21 | $0.057 | −$0.023 | 1 MG | Daptomycin injection | v1, posted June 2, 2022 |
| 3Q21 | $0.08 | −$0.014 | 1 MG | Daptomycin injection | v1, posted June 2, 2022 |
| 2Q21 | $0.094 | −$0.033 | 1 MG | Daptomycin injection | v1, posted March 1, 2022 |
| 1Q21 | $0.127 | – | 1 MG | Daptomycin 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.