Dexamethasone sodium phos
Products billed under this code include Dexamethasone Sodium Phosphate.
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 Dexamethasone Sodium Phosphate.
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 |
|---|---|---|---|---|
| Dexamethasone Sodium Phosphate | Henry Schein Inc. | 00404-9795-30 | 120 | $11.88 |
| Dexamethasone Sodium Phosphate | Henry Schein Inc. | 00404-9805-05 | 20 | $1.98 |
| Dexamethasone Sodium Phosphate | Henry Schein Inc. | 00404-9841-05 | 20 | $1.98 |
| Dexamethasone Sodium Phosphate | Henry Schein Inc. | 00404-9842-10 | 100 | $9.90 |
| Dexamethasone Sodium Phosphate | Henry Schein Inc. | 00404-9843-30 | 120 | $11.88 |
| Dexamethasone Sodium Phosphate | Hikma Pharmaceuticals USA Inc. | 00641-0367-25 | 250 | $24.75 |
| Dexamethasone Sodium Phosphate | Hikma Pharmaceuticals USA Inc. | 00641-6145-25 | 100 | $9.90 |
| Dexamethasone Sodium Phosphate | Hikma Pharmaceuticals USA Inc. | 00641-6146-10 | 200 | $19.80 |
| Dexamethasone Sodium Phosphate | Hikma Pharmaceuticals USA Inc. | 00641-6146-25 | 500 | $49.50 |
| Dexamethasone Sodium Phosphate | Sagent Pharmaceuticals | 25021-0052-01 | 100 | $9.90 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Dexamethasone Sodium Phosphate | Sagent Pharmaceuticals | 25021-0052-05 | 500 | $49.50 |
| Dexamethasone Sodium Phosphate | Sagent Pharmaceuticals | 25021-0053-01 | 250 | $24.75 |
| Dexamethasone Sodium Phosphate | A-S Medication Solutions | 50090-0414-00 | 120 | $11.88 |
| Dexamethasone Sodium Phosphate | A-S Medication Solutions | 50090-0627-02 | 40 | $3.96 |
| Dexamethasone Sodium Phosphate | A-S Medication Solutions | 50090-1922-00 | 100 | $9.90 |
| Dexamethasone Sodium Phosphate | A-S Medication Solutions | 50090-1922-01 | 4 | $0.396 |
| Dexamethasone Sodium Phosphate | A-S Medication Solutions | 50090-2313-02 | 500 | $49.50 |
| Dexamethasone Sodium Phosphate | A-S Medication Solutions | 50090-3300-00 | 3000 | $297.00 |
| Dexamethasone Sodium Phosphate | A-S Medication Solutions | 50090-3541-00 | 250 | $24.75 |
| Dexamethasone Sodium Phosphate | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1297-01 | 20 | $1.98 |
| Dexamethasone Sodium Phosphate | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1297-03 | 500 | $49.50 |
| Dexamethasone Sodium Phosphate | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1343-01 | 10 | $0.99 |
| Dexamethasone Sodium Phosphate | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1343-03 | 250 | $24.75 |
| Dexamethasone Sodium Phosphate | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1541-01 | 100 | $9.90 |
| Dexamethasone Sodium Phosphate | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1660-01 | 20 | $1.98 |
| Dexamethasone Sodium Phosphate | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1660-03 | 200 | $19.80 |
| Dexamethasone Sodium Phosphate | Eugia US LLC | 55150-0239-30 | 3000 | $297.00 |
| Dexamethasone Sodium Phosphate | Eugia US LLC | 55150-0304-25 | 250 | $24.75 |
| Dexamethasone Sodium Phosphate | Eugia US LLC | 55150-0305-10 | 1000 | $99.00 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 63323-0165-01 | 100 | $9.90 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 63323-0165-05 | 500 | $49.50 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 63323-0165-16 | 100 | $9.90 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 63323-0165-26 | 500 | $49.50 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 63323-0165-30 | 120 | $11.88 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 63323-0506-01 | 250 | $24.75 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 63323-0506-16 | 250 | $24.75 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 63323-0516-10 | 1000 | $99.00 |
| Dexamethasone Sodium Phosphate | Mylan Institutional LLC | 67457-0418-05 | 500 | $49.50 |
| Dexamethasone Sodium Phosphate | Mylan Institutional LLC | 67457-0419-01 | 100 | $9.90 |
| Dexamethasone Sodium Phosphate | Mylan Institutional LLC | 67457-0420-10 | 1000 | $99.00 |
| Dexamethasone Sodium Phosphate | Mylan Institutional LLC | 67457-0421-30 | 3000 | $297.00 |
| Dexamethasone Sodium Phosphate | Mylan Institutional LLC | 67457-0422-54 | 500 | $49.50 |
| Dexamethasone Sodium Phosphate | Mylan Institutional LLC | 67457-0423-12 | 100 | $9.90 |
| Dexamethasone Sodium Phosphate | Mylan Institutional LLC | 67457-0483-10 | 1000 | $99.00 |
| Dexamethasone Sodium Phosphate | Mylan Institutional LLC | 67457-0484-30 | 3000 | $297.00 |
| Dexamethasone Sodium Phosphate | Somerset Pharma, LLC | 70069-0021-25 | 250 | $24.75 |
| Dexamethasone Sodium Phosphate | Somerset Pharma, LLC | 70069-0025-10 | 1000 | $99.00 |
| Dexamethasone Sodium Phosphate | Armas Pharmaceuticals Inc. | 72485-0118-25 | 250 | $24.75 |
| Dexamethasone Sodium Phosphate | Civica, Inc. | 72572-0120-25 | 100 | $9.90 |
| Dexamethasone Sodium Phosphate | Civica, Inc. | 72572-0122-25 | 250 | $24.75 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 76045-0109-10 | 240 | $23.76 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 76045-0210-10 | 96 | $9.504 |
| Dexamethasone Sodium Phosphate | FreseniUS Kabi USA, LLC | 76045-0212-10 | 240 | $23.76 |
| Dexamethasone Sodium Phosphate | Phlow Corporation | 81565-0202-02 | 100 | $9.90 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.099 | +$0.014 | 1 MG | Dexamethasone sodium phos | v1, posted September 17, 2026 |
| 3Q26 | $0.085 | −$0.025 | 1 MG | Dexamethasone sodium phos | v1, posted September 15, 2026 |
| 2Q26 | $0.11 | +$0.005 | 1 MG | Dexamethasone sodium phos | v1, posted September 15, 2026 |
| 1Q26 | $0.105 | +$0.011 | 1 MG | Dexamethasone sodium phos | v1, posted September 15, 2026 |
| 4Q25 | $0.094 | −$0.025 | 1 MG | Dexamethasone sodium phos | v1, posted September 8, 2026 |
| 3Q25 | $0.119 | +$0.026 | 1 MG | Dexamethasone sodium phos | v1, posted March 10, 2026 |
| 2Q25 | $0.093 | −$0.015 | 1 MG | Dexamethasone sodium phos | v1, posted March 10, 2026 |
| 1Q25 | $0.108 | −$0.004 | 1 MG | Dexamethasone sodium phos | v1, posted December 19, 2025 |
| 4Q24 | $0.112 | −$0.001 | 1 MG | Dexamethasone sodium phos | v1, posted June 11, 2025 |
| 3Q24 | $0.113 | −$0.004 | 1 MG | Dexamethasone sodium phos | v1, posted June 11, 2025 |
| 2Q24 | $0.117 | −$0.002 | 1 MG | Dexamethasone sodium phos | v1, posted March 11, 2025 |
| 1Q24 | $0.119 | −$0.007 | 1 MG | Dexamethasone sodium phos | v1, posted December 19, 2024 |
| 4Q23 | $0.126 | +$0.004 | 1 MG | Dexamethasone sodium phos | v1, posted October 10, 2024 |
| 3Q23 | $0.122 | −$0.004 | 1 MG | Dexamethasone sodium phos | v1, posted June 5, 2024 |
| 2Q23 | $0.126 | +$0.001 | 1 MG | Dexamethasone sodium phos | v1, posted February 23, 2024 |
| 1Q23 | $0.125 | $0.00 | 1 MG | Dexamethasone sodium phos | v1, posted December 6, 2023 |
| 4Q22 | $0.125 | −$0.006 | 1 MG | Dexamethasone sodium phos | v1, posted June 22, 2023 |
| 3Q22 | $0.131 | +$0.019 | 1 MG | Dexamethasone sodium phos | v1, posted June 9, 2023 |
| 2Q22 | $0.112 | −$0.007 | 1 MG | Dexamethasone sodium phos | v1, posted December 14, 2022 |
| 1Q22 | $0.119 | +$0.003 | 1 MG | Dexamethasone sodium phos | v1, posted June 8, 2022 |
| 4Q21 | $0.116 | −$0.054 | 1 MG | Dexamethasone sodium phos | v1, posted June 2, 2022 |
| 3Q21 | $0.17 | +$0.006 | 1 MG | Dexamethasone sodium phos | v1, posted June 2, 2022 |
| 2Q21 | $0.164 | +$0.023 | 1 MG | Dexamethasone sodium phos | v1, posted March 1, 2022 |
| 1Q21 | $0.141 | – | 1 MG | Dexamethasone sodium phos | 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.