Phenytoin sodium injection
Products billed under this code include Phenytoin Sodium.
Payment limit per 50 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 J1165
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 |
|---|---|---|---|---|
| Phenytoin Sodium | Henry Schein Inc. | 00404-9808-05 | 5 | $2.565 |
| Phenytoin Sodium | Henry Schein Inc. | 00404-9932-02 | 2 | $1.026 |
| Phenytoin Sodium | Henry Schein Inc. | 00404-9933-05 | 5 | $2.565 |
| Phenytoin Sodium | Hikma Pharmaceuticals USA Inc. | 00641-0493-25 | 50 | $25.65 |
| Phenytoin Sodium | Hikma Pharmaceuticals USA Inc. | 00641-2555-10 | 50 | $25.65 |
| Phenytoin Sodium | Hikma Pharmaceuticals USA Inc. | 00641-6138-25 | 50 | $25.65 |
| Phenytoin Sodium | Hikma Pharmaceuticals USA Inc. | 00641-6139-10 | 50 | $25.65 |
| Phenytoin Sodium | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1251-01 | 2 | $1.026 |
| Phenytoin Sodium | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1251-03 | 50 | $25.65 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.513 | −$0.032 | 50 MG | Phenytoin sodium injection | v1, posted September 17, 2026 |
| 3Q26 | $0.545 | +$0.124 | 50 MG | Phenytoin sodium injection | v1, posted September 15, 2026 |
| 2Q26 | $0.421 | −$0.174 | 50 MG | Phenytoin sodium injection | v1, posted September 15, 2026 |
| 1Q26 | $0.595 | +$0.141 | 50 MG | Phenytoin sodium injection | v1, posted September 15, 2026 |
| 4Q25 | $0.454 | −$0.203 | 50 MG | Phenytoin sodium injection | v1, posted September 8, 2026 |
| 3Q25 | $0.657 | +$0.135 | 50 MG | Phenytoin sodium injection | v1, posted March 10, 2026 |
| 2Q25 | $0.522 | +$0.051 | 50 MG | Phenytoin sodium injection | v1, posted March 10, 2026 |
| 1Q25 | $0.471 | +$0.027 | 50 MG | Phenytoin sodium injection | v1, posted December 19, 2025 |
| 4Q24 | $0.444 | −$0.053 | 50 MG | Phenytoin sodium injection | v1, posted June 11, 2025 |
| 3Q24 | $0.497 | −$0.143 | 50 MG | Phenytoin sodium injection | v1, posted June 11, 2025 |
| 2Q24 | $0.64 | +$0.01 | 50 MG | Phenytoin sodium injection | v1, posted March 11, 2025 |
| 1Q24 | $0.63 | +$0.169 | 50 MG | Phenytoin sodium injection | v1, posted December 19, 2024 |
| 4Q23 | $0.461 | −$0.169 | 50 MG | Phenytoin sodium injection | v1, posted October 10, 2024 |
| 3Q23 | $0.63 | +$0.211 | 50 MG | Phenytoin sodium injection | v1, posted June 5, 2024 |
| 2Q23 | $0.419 | −$0.145 | 50 MG | Phenytoin sodium injection | v1, posted February 23, 2024 |
| 1Q23 | $0.564 | +$0.111 | 50 MG | Phenytoin sodium injection | v1, posted December 6, 2023 |
| 4Q22 | $0.453 | +$0.012 | 50 MG | Phenytoin sodium injection | v1, posted June 22, 2023 |
| 3Q22 | $0.441 | +$0.004 | 50 MG | Phenytoin sodium injection | v1, posted June 9, 2023 |
| 2Q22 | $0.437 | −$0.071 | 50 MG | Phenytoin sodium injection | v1, posted December 14, 2022 |
| 1Q22 | $0.508 | +$0.061 | 50 MG | Phenytoin sodium injection | v1, posted June 8, 2022 |
| 4Q21 | $0.447 | −$0.017 | 50 MG | Phenytoin sodium injection | v1, posted June 2, 2022 |
| 3Q21 | $0.464 | +$0.046 | 50 MG | Phenytoin sodium injection | v1, posted June 2, 2022 |
| 2Q21 | $0.418 | −$0.143 | 50 MG | Phenytoin sodium injection | v1, posted March 1, 2022 |
| 1Q21 | $0.561 | – | 50 MG | Phenytoin 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.
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