Injection levetiracetam 5 mg
Products billed under this code include Keppra, Levetiracetam.
Payment limit per 5 MG, by effective quarter, 4Q26 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under J1957
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 |
|---|---|---|---|---|
| Keppra | UCB, Inc. | 50474-0002-63 | 1000 | $13.00 |
| Levetiracetam | Hikma Pharmaceuticals USA Inc. | 00143-9574-25 | 2500 | $32.50 |
| Levetiracetam | Hikma Pharmaceuticals USA Inc. | 00143-9673-25 | 2500 | $32.50 |
| Levetiracetam | Pfizer Inc | 00409-1886-02 | 2500 | $32.50 |
| Levetiracetam | Pfizer Inc | 00409-2011-25 | 2500 | $32.50 |
| Levetiracetam | Sagent Pharmaceuticals | 25021-0780-05 | 1000 | $13.00 |
| Levetiracetam | Eugia US LLC | 55150-0177-05 | 1000 | $13.00 |
| Levetiracetam | FreseniUS Kabi USA, LLC | 63323-0400-05 | 1000 | $13.00 |
| Levetiracetam | FreseniUS Kabi USA, LLC | 63323-0400-44 | 1000 | $13.00 |
| Levetiracetam | Mylan Institutional LLC | 67457-0790-05 | 1000 | $13.00 |
Show all 15 products
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Levetiracetam | Novadoz Pharmaceuticals LLC | 72205-0120-07 | 1000 | $13.00 |
| Levetiracetam | Novadoz Pharmaceuticals LLC | 72205-0120-25 | 2500 | $32.50 |
| Levetiracetam | Armas Pharmaceuticals Inc. | 72485-0106-10 | 1000 | $13.00 |
| Levetiracetam | Armas Pharmaceuticals Inc. | 72485-0106-25 | 2500 | $32.50 |
| Levetiracetam | Civica, Inc. | 72572-0360-25 | 2500 | $32.50 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.013 | – | 5 MG | Injection levetiracetam 5 mg | v1, posted September 17, 2026 |
“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