Rxcurve
Medicare Part B payment limits Effective October 1 – December 31, 2026 Posted by CMS September 17, 2026
HCPCS J1364 · per 500 MG

Erythro lactobionate /500 mg

Products billed under this code include Erythromycin Lactobionate.

Payment limit per 500 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 J1364

From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.

ProductLabelerNDCUnits / pkgLimit / pkg
Erythromycin Lactobionate Pfizer Inc 00409-6476-44 10 $1,604.27
Erythromycin Lactobionate Pfizer Inc 00409-6482-01 10 $1,604.27
Erythromycin Lactobionate Nexus Pharmaceuticals, LLC 14789-0116-05 5 $802.135

Every quarter

QuarterPayment limitChangeBilling unitDescriptionSource file
4Q26 $160.427 −$12.052 500 MG Erythro lactobionate /500 mg v1, posted September 17, 2026
3Q26 $172.479 +$81.253 500 MG Erythro lactobionate /500 mg v1, posted September 15, 2026
2Q26 $91.226 +$71.067 500 MG Erythro lactobionate /500 mg v1, posted September 15, 2026
1Q26 $20.159 −$44.459 500 MG Erythro lactobionate /500 mg v1, posted September 15, 2026
4Q25 $64.618 −$10.435 500 MG Erythro lactobionate /500 mg v1, posted September 8, 2026
3Q25 $75.053 +$9.093 500 MG Erythro lactobionate /500 mg v1, posted March 10, 2026
2Q25 $65.96 +$3.82 500 MG Erythro lactobionate /500 mg v1, posted March 10, 2026
1Q25 $62.14 −$3.239 500 MG Erythro lactobionate /500 mg v1, posted December 19, 2025
4Q24 $65.379 −$4.406 500 MG Erythro lactobionate /500 mg v1, posted June 11, 2025
3Q24 $69.785 −$8.065 500 MG Erythro lactobionate /500 mg v1, posted June 11, 2025
2Q24 $77.85 −$2.925 500 MG Erythro lactobionate /500 mg v1, posted March 11, 2025
1Q24 $80.775 −$2.861 500 MG Erythro lactobionate /500 mg v1, posted December 19, 2024
4Q23 $83.636 −$3.692 500 MG Erythro lactobionate /500 mg v1, posted October 10, 2024
3Q23 $87.328 +$1.79 500 MG Erythro lactobionate /500 mg v1, posted June 5, 2024
2Q23 $85.538 +$1.968 500 MG Erythro lactobionate /500 mg v1, posted February 23, 2024
1Q23 $83.57 +$0.673 500 MG Erythro lactobionate /500 mg v1, posted December 6, 2023
4Q22 $82.897 +$9.244 500 MG Erythro lactobionate /500 mg v1, posted June 22, 2023
3Q22 $73.653 −$3.524 500 MG Erythro lactobionate /500 mg v1, posted June 9, 2023
2Q22 $77.177 +$1.924 500 MG Erythro lactobionate /500 mg v1, posted December 14, 2022
1Q22 $75.253 −$2.492 500 MG Erythro lactobionate /500 mg v1, posted June 8, 2022
4Q21 $77.745 −$0.999 500 MG Erythro lactobionate /500 mg v1, posted June 2, 2022
3Q21 $78.744 +$2.038 500 MG Erythro lactobionate /500 mg v1, posted June 2, 2022
2Q21 $76.706 +$2.969 500 MG Erythro lactobionate /500 mg v1, posted March 1, 2022
1Q21 $73.737 – 500 MG Erythro lactobionate /500 mg 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