Glucagon hydrochloride/1 mg
Products billed under this code include Glucagon, Glucagon Emergency.
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 Glucagon, Glucagon Emergency.
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 |
|---|---|---|---|---|
| Glucagon | Novo Nordisk, Inc. | 00169-7065-15 | 1 | $105.492 |
| Glucagon | Mylan Pharmaceuticals Inc. | 00378-8067-90 | 1 | $105.492 |
| Glucagon | Amphastar Pharmaceuticals, Inc. | 00548-5850-00 | 1 | $105.492 |
| Glucagon Emergency | A-S Medication Solutions | 50090-6550-00 | 1 | $105.492 |
| Glucagon Emergency | Cipla Usa, Inc. | 69097-0027-50 | 1 | $105.492 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $105.492 | −$11.839 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted September 17, 2026 |
| 3Q26 | $117.331 | −$29.001 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted September 15, 2026 |
| 2Q26 | $146.332 | −$18.531 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted September 15, 2026 |
| 1Q26 | $164.863 | −$17.584 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted September 15, 2026 |
| 4Q25 | $182.447 | −$13.344 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted September 8, 2026 |
| 3Q25 | $195.791 | +$5.028 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted March 10, 2026 |
| 2Q25 | $190.763 | +$6.584 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted March 10, 2026 |
| 1Q25 | $184.179 | −$8.124 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted December 19, 2025 |
| 4Q24 | $192.303 | +$2.841 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted June 11, 2025 |
| 3Q24 | $189.462 | −$2.059 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted June 11, 2025 |
| 2Q24 | $191.521 | +$3.154 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted March 11, 2025 |
| 1Q24 | $188.367 | +$0.864 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted December 19, 2024 |
| 4Q23 | $187.503 | −$7.672 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted October 10, 2024 |
| 3Q23 | $195.175 | +$4.916 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted June 5, 2024 |
| 2Q23 | $190.259 | +$16.484 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted February 23, 2024 |
| 1Q23 | $173.775 | +$3.443 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted December 6, 2023 |
| 4Q22 | $170.332 | −$1.269 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted June 22, 2023 |
| 3Q22 | $171.601 | +$1.86 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted June 9, 2023 |
| 2Q22 | $169.741 | +$2.968 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted December 14, 2022 |
| 1Q22 | $166.773 | −$4.963 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted June 8, 2022 |
| 4Q21 | $171.736 | −$5.718 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted June 2, 2022 |
| 3Q21 | $177.454 | −$26.346 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted June 2, 2022 |
| 2Q21 | $203.80 | +$9.38 | 1 MG | Glucagon hydrochloride/1 mg | v1, posted March 1, 2022 |
| 1Q21 | $194.42 | – | 1 MG | Glucagon hydrochloride/1 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.