Aripiprazole lauroxil 1 mg
Products billed under this code include Aristada.
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 Aristada.
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 |
|---|---|---|---|---|
| Aristada | Alkermes, Inc. | 65757-0401-03 | 441 | $1,565.55 |
| Aristada | Alkermes, Inc. | 65757-0402-03 | 662 | $2,350.10 |
| Aristada | Alkermes, Inc. | 65757-0403-03 | 882 | $3,131.10 |
| Aristada | Alkermes, Inc. | 65757-0404-03 | 1064 | $3,777.20 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $3.55 | −$0.007 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted September 17, 2026 |
| 3Q26 | $3.557 | +$0.241 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted September 15, 2026 |
| 2Q26 | $3.316 | −$0.025 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted September 15, 2026 |
| 1Q26 | $3.341 | −$0.004 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted September 15, 2026 |
| 4Q25 | $3.345 | +$0.011 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted September 8, 2026 |
| 3Q25 | $3.334 | +$0.075 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted March 10, 2026 |
| 2Q25 | $3.259 | +$0.026 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted March 10, 2026 |
| 1Q25 | $3.233 | +$0.006 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted December 19, 2025 |
| 4Q24 | $3.227 | +$0.003 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted June 11, 2025 |
| 3Q24 | $3.224 | +$0.101 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted June 11, 2025 |
| 2Q24 | $3.123 | +$0.014 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted March 11, 2025 |
| 1Q24 | $3.109 | +$0.004 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted December 19, 2024 |
| 4Q23 | $3.105 | +$0.038 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted October 10, 2024 |
| 3Q23 | $3.067 | +$0.092 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted June 5, 2024 |
| 2Q23 | $2.975 | −$0.007 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted February 23, 2024 |
| 1Q23 | $2.982 | +$0.009 | 1 MG | Aripiprazole lauroxil 1 mg | v1, posted December 6, 2023 |
| 4Q22 | $2.973 | +$0.049 | 1 MG | Aripirazole lauroxil 1 mg | v1, posted June 22, 2023 |
| 3Q22 | $2.924 | −$0.01 | 1 MG | Aripirazole lauroxil 1 mg | v1, posted June 9, 2023 |
| 2Q22 | $2.934 | −$0.016 | 1 MG | Aripirazole lauroxil 1 mg | v1, posted December 14, 2022 |
| 1Q22 | $2.95 | −$0.044 | 1 MG | Aripirazole lauroxil 1 mg | v1, posted June 8, 2022 |
| 4Q21 | $2.994 | +$0.091 | 1 MG | Aripirazole lauroxil 1 mg | v1, posted June 2, 2022 |
| 3Q21 | $2.903 | −$0.003 | 1 MG | Aripirazole lauroxil 1 mg | v1, posted June 2, 2022 |
| 2Q21 | $2.906 | +$0.002 | 1 MG | Aripirazole lauroxil 1 mg | v1, posted March 1, 2022 |
| 1Q21 | $2.904 | – | 1 MG | Aripirazole lauroxil 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.