Fluconazole
Products billed under this code include Fluconazole In Sodium Chloride.
Payment limit per 200 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 Fluconazole In Sodium Chloride.
Payment limit per 200 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 |
|---|---|---|---|---|
| Fluconazole In Sodium Chloride | Baxter Healthcare Corporation | 00338-6045-37 | 20 | $113.08 |
| Fluconazole In Sodium Chloride | Baxter Healthcare Corporation | 00338-6046-48 | 10 | $56.54 |
| Fluconazole In Sodium Chloride | Pfizer Inc | 00409-3435-24 | 24 | $135.696 |
| Fluconazole In Sodium Chloride | Pfizer Inc | 00409-4321-24 | 48 | $271.392 |
| Fluconazole In Sodium Chloride | Pfizer Inc | 00409-4688-12 | 48 | $271.392 |
| Fluconazole In Sodium Chloride | Pfizer Inc | 00409-4688-18 | 24 | $135.696 |
| Fluconazole In Sodium Chloride | Sagent Pharmaceuticals | 25021-0184-66 | 10 | $56.54 |
| Fluconazole In Sodium Chloride | Sagent Pharmaceuticals | 25021-0184-67 | 20 | $113.08 |
| Fluconazole In Sodium Chloride | Sagent Pharmaceuticals | 25021-0184-82 | 10 | $56.54 |
| Fluconazole In Sodium Chloride | Sagent Pharmaceuticals | 25021-0184-87 | 20 | $113.08 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $5.654 | −$0.451 | 200 MG | Fluconazole | v1, posted September 17, 2026 |
| 3Q26 | $6.105 | +$2.231 | 200 MG | Fluconazole | v1, posted September 15, 2026 |
| 2Q26 | $3.874 | −$0.606 | 200 MG | Fluconazole | v1, posted September 15, 2026 |
| 1Q26 | $4.48 | +$2.217 | 200 MG | Fluconazole | v1, posted September 15, 2026 |
| 4Q25 | $2.263 | +$0.007 | 200 MG | Fluconazole | v1, posted September 8, 2026 |
| 3Q25 | $2.256 | −$1.321 | 200 MG | Fluconazole | v1, posted March 10, 2026 |
| 2Q25 | $3.577 | +$1.192 | 200 MG | Fluconazole | v1, posted March 10, 2026 |
| 1Q25 | $2.385 | −$0.227 | 200 MG | Fluconazole | v1, posted December 19, 2025 |
| 4Q24 | $2.612 | +$0.164 | 200 MG | Fluconazole | v1, posted June 11, 2025 |
| 3Q24 | $2.448 | −$0.324 | 200 MG | Fluconazole | v1, posted June 11, 2025 |
| 2Q24 | $2.772 | −$0.025 | 200 MG | Fluconazole | v1, posted March 11, 2025 |
| 1Q24 | $2.797 | +$0.491 | 200 MG | Fluconazole | v1, posted December 19, 2024 |
| 4Q23 | $2.306 | −$0.374 | 200 MG | Fluconazole | v1, posted October 10, 2024 |
| 3Q23 | $2.68 | +$0.228 | 200 MG | Fluconazole | v1, posted June 5, 2024 |
| 2Q23 | $2.452 | +$0.127 | 200 MG | Fluconazole | v1, posted February 23, 2024 |
| 1Q23 | $2.325 | −$0.289 | 200 MG | Fluconazole | v1, posted December 6, 2023 |
| 4Q22 | $2.614 | −$0.265 | 200 MG | Fluconazole | v1, posted June 22, 2023 |
| 3Q22 | $2.879 | −$0.242 | 200 MG | Fluconazole | v1, posted June 9, 2023 |
| 2Q22 | $3.121 | −$0.017 | 200 MG | Fluconazole | v1, posted December 14, 2022 |
| 1Q22 | $3.138 | −$2.432 | 200 MG | Fluconazole | v1, posted June 8, 2022 |
| 4Q21 | $5.57 | +$1.609 | 200 MG | Fluconazole | v1, posted June 2, 2022 |
| 3Q21 | $3.961 | +$0.794 | 200 MG | Fluconazole | v1, posted June 2, 2022 |
| 2Q21 | $3.167 | −$0.154 | 200 MG | Fluconazole | v1, posted March 1, 2022 |
| 1Q21 | $3.321 | – | 200 MG | Fluconazole | 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.