HCPCS J1163 · per 0.5 MG
Inj, diltiazem hcl, 0.5 mg
Products billed under this code include Diltiazem HCl, Diltiazem in Dextrose, Diltiazem in NaCl.
Payment limit per 0.5 MG, by effective quarter, 3Q25 to 4Q26.
Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.
Payment limit, 4Q26
$0.027
per 0.5 MG
vs. last quarter ↓ 3.6%
vs. a year ago ↓ 27.0%
Coinsurance 20%
In the files 3Q25 – 4Q26
Payment basis, as stated by CMS
Not stated in the CMS file
Products billed under J1163
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
Diltiazem HCl
Pfizer Inc
00409-4350-03
2000
$54.00
Diltiazem HCl
Hikma Pharmaceuticals USA Inc.
00641-6013-10
500
$13.50
Diltiazem HCl
Hikma Pharmaceuticals USA Inc.
00641-6014-10
1000
$27.00
Diltiazem HCl
Hikma Pharmaceuticals USA Inc.
00641-6015-10
2500
$67.50
Diltiazem HCl
Hikma Pharmaceuticals USA Inc.
00641-9217-10
500
$13.50
Diltiazem HCl
Hikma Pharmaceuticals USA Inc.
00641-9218-10
1000
$27.00
Diltiazem HCl
Hikma Pharmaceuticals USA Inc.
00641-9219-10
2500
$67.50
Diltiazem HCl
Sagent Pharmaceuticals
25021-0319-05
500
$13.50
Diltiazem HCl
Sagent Pharmaceuticals
25021-0319-10
1000
$27.00
Diltiazem HCl
Sagent Pharmaceuticals
25021-0319-25
2500
$67.50
Show all 20 products
Product Labeler NDC Units / pkg Limit / pkg
Diltiazem HCl
HF Acquisition Co. LLC, DBA HealthFirst
51662-1335-01
50
$1.35
Diltiazem HCl
HF Acquisition Co. LLC, DBA HealthFirst
51662-1335-02
50
$1.35
Diltiazem HCl
HF Acquisition Co. LLC, DBA HealthFirst
51662-1457-01
200
$5.40
Diltiazem HCl
HF Acquisition Co. LLC, DBA HealthFirst
51662-1457-03
2000
$54.00
Diltiazem HCl
Eugia US LLC
55150-0425-10
500
$13.50
Diltiazem HCl
Eugia US LLC
55150-0426-10
1000
$27.00
Diltiazem HCl
Eugia US LLC
55150-0427-10
2500
$67.50
Diltiazem HCl
Athenex Pharmaceutical Division, LLC
70860-0301-05
500
$13.50
Diltiazem in Dextrose
Hikma Injectables USA Inc.
63037-0119-05
1250
$33.75
Diltiazem in NaCl
Hikma Injectables USA Inc.
63037-0117-05
1250
$33.75
Every quarter
Quarter Payment limit Change Billing unit Description Source file
4Q26
$0.027
−$0.001
0.5 MG
Inj, diltiazem hcl, 0.5 mg
v1 , posted September 17, 2026
3Q26
$0.028
−$0.012
0.5 MG
Inj, diltiazem hcl, 0.5 mg
v1 , posted September 15, 2026
2Q26
$0.04
$0.00
0.5 MG
Inj, diltiazem hcl, 0.5 mg
v1 , posted September 15, 2026
1Q26
$0.04
+$0.003
0.5 MG
Inj, diltiazem hcl, 0.5 mg
v1 , posted September 15, 2026
4Q25
$0.037
$0.00
0.5 MG
Inj, diltiazem hcl, 0.5 mg
v1 , posted September 8, 2026
3Q25
$0.037
–
0.5 MG
Inj, diltiazem hcl, 0.5 mg
v1 , posted March 10, 2026
“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