Inj midazolam hydrochloride
Products billed under this code include Midazolam, Midazolam HCl.
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 J2250
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 |
|---|---|---|---|---|
| Midazolam | Pfizer Inc | 00409-0001-25 | 50 | $8.35 |
| Midazolam | Sagent Pharmaceuticals | 25021-0655-02 | 20 | $3.34 |
| Midazolam | Sagent Pharmaceuticals | 25021-0661-10 | 500 | $83.50 |
| Midazolam HCl | Henry Schein Inc. | 00404-9780-10 | 10 | $1.67 |
| Midazolam HCl | Henry Schein Inc. | 00404-9801-10 | 50 | $8.35 |
| Midazolam HCl | Henry Schein Inc. | 00404-9912-10 | 10 | $1.67 |
| Midazolam HCl | Henry Schein Inc. | 00404-9913-05 | 5 | $0.835 |
| Midazolam HCl | Henry Schein Inc. | 00404-9914-10 | 50 | $8.35 |
| Midazolam HCl | Henry Schein Inc. | 00404-9915-05 | 25 | $4.175 |
| Midazolam HCl | Henry Schein Inc. | 00404-9916-01 | 5 | $0.835 |
Show all 55 products
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Midazolam HCl | Henry Schein Inc. | 00404-9916-02 | 10 | $1.67 |
| Midazolam HCl | Pfizer Inc | 00409-2305-05 | 50 | $8.35 |
| Midazolam HCl | Pfizer Inc | 00409-2305-17 | 50 | $8.35 |
| Midazolam HCl | Pfizer Inc | 00409-2305-50 | 50 | $8.35 |
| Midazolam HCl | Pfizer Inc | 00409-2308-01 | 50 | $8.35 |
| Midazolam HCl | Pfizer Inc | 00409-2308-02 | 100 | $16.70 |
| Midazolam HCl | Pfizer Inc | 00409-2308-49 | 50 | $8.35 |
| Midazolam HCl | Pfizer Inc | 00409-2308-50 | 100 | $16.70 |
| Midazolam HCl | Pfizer Inc | 00409-2587-05 | 100 | $16.70 |
| Midazolam HCl | Pfizer Inc | 00409-2596-03 | 250 | $41.75 |
| Midazolam HCl | Pfizer Inc | 00409-2596-05 | 500 | $83.50 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6056-10 | 100 | $16.70 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6057-25 | 50 | $8.35 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6059-10 | 50 | $8.35 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6060-10 | 500 | $83.50 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6061-25 | 125 | $20.875 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6063-25 | 250 | $41.75 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6190-10 | 500 | $83.50 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6209-25 | 50 | $8.35 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6210-10 | 50 | $8.35 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6211-10 | 500 | $83.50 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6219-10 | 100 | $16.70 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6220-10 | 20 | $3.34 |
| Midazolam HCl | Hikma Pharmaceuticals USA Inc. | 00641-6281-25 | 50 | $8.35 |
| Midazolam HCl | Heritage Pharmaceuticals Inc. | 23155-0600-41 | 50 | $8.35 |
| Midazolam HCl | Heritage Pharmaceuticals Inc. | 23155-0601-41 | 250 | $41.75 |
| Midazolam HCl | Heritage Pharmaceuticals Inc. | 23155-0601-42 | 500 | $83.50 |
| Midazolam HCl | A-S Medication Solutions | 50090-5342-00 | 500 | $83.50 |
| Midazolam HCl | A-S Medication Solutions | 50090-5342-01 | 50 | $8.35 |
| Midazolam HCl | A-S Medication Solutions | 50090-5472-00 | 100 | $16.70 |
| Midazolam HCl | FreseniUS Kabi USA, LLC | 63323-0411-10 | 100 | $16.70 |
| Midazolam HCl | FreseniUS Kabi USA, LLC | 63323-0411-12 | 50 | $8.35 |
| Midazolam HCl | FreseniUS Kabi USA, LLC | 63323-0411-25 | 125 | $20.875 |
| Midazolam HCl | FreseniUS Kabi USA, LLC | 63323-0412-02 | 100 | $16.70 |
| Midazolam HCl | FreseniUS Kabi USA, LLC | 63323-0412-10 | 500 | $83.50 |
| Midazolam HCl | FreseniUS Kabi USA, LLC | 63323-0412-25 | 125 | $20.875 |
| Midazolam HCl | Somerset Pharma, LLC | 70069-0816-10 | 20 | $3.34 |
| Midazolam HCl | Athenex Pharmaceutical Division, LLC | 70860-0600-02 | 50 | $8.35 |
| Midazolam HCl | Athenex Pharmaceutical Division, LLC | 70860-0601-05 | 250 | $41.75 |
| Midazolam HCl | Athenex Pharmaceutical Division, LLC | 70860-0601-10 | 500 | $83.50 |
| Midazolam HCl | Civica, Inc. | 72572-0430-25 | 50 | $8.35 |
| Midazolam HCl | Civica, Inc. | 72572-0432-10 | 50 | $8.35 |
| Midazolam HCl | Almaject, Inc. | 72611-0741-25 | 50 | $8.35 |
| Midazolam HCl | FreseniUS Kabi USA, LLC | 76045-0001-20 | 48 | $8.016 |
| Midazolam HCl | FreseniUS Kabi USA, LLC | 76045-0211-20 | 48 | $8.016 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.167 | +$0.024 | 1 MG | Inj midazolam hydrochloride | v1, posted September 17, 2026 |
| 3Q26 | $0.143 | −$0.022 | 1 MG | Inj midazolam hydrochloride | v1, posted September 15, 2026 |
| 2Q26 | $0.165 | +$0.024 | 1 MG | Inj midazolam hydrochloride | v1, posted September 15, 2026 |
| 1Q26 | $0.141 | −$0.013 | 1 MG | Inj midazolam hydrochloride | v1, posted September 15, 2026 |
| 4Q25 | $0.154 | −$0.005 | 1 MG | Inj midazolam hydrochloride | v1, posted September 8, 2026 |
| 3Q25 | $0.159 | +$0.03 | 1 MG | Inj midazolam hydrochloride | v1, posted March 10, 2026 |
| 2Q25 | $0.129 | −$0.002 | 1 MG | Inj midazolam hydrochloride | v1, posted March 10, 2026 |
| 1Q25 | $0.131 | +$0.001 | 1 MG | Inj midazolam hydrochloride | v1, posted December 19, 2025 |
| 4Q24 | $0.13 | −$0.013 | 1 MG | Inj midazolam hydrochloride | v1, posted June 11, 2025 |
| 3Q24 | $0.143 | +$0.007 | 1 MG | Inj midazolam hydrochloride | v1, posted June 11, 2025 |
| 2Q24 | $0.136 | −$0.006 | 1 MG | Inj midazolam hydrochloride | v1, posted March 11, 2025 |
| 1Q24 | $0.142 | −$0.024 | 1 MG | Inj midazolam hydrochloride | v1, posted December 19, 2024 |
| 4Q23 | $0.166 | +$0.026 | 1 MG | Inj midazolam hydrochloride | v1, posted October 10, 2024 |
| 3Q23 | $0.14 | −$0.026 | 1 MG | Inj midazolam hydrochloride | v1, posted June 5, 2024 |
| 2Q23 | $0.166 | +$0.009 | 1 MG | Inj midazolam hydrochloride | v1, posted February 23, 2024 |
| 1Q23 | $0.157 | −$0.02 | 1 MG | Inj midazolam hydrochloride | v1, posted December 6, 2023 |
| 4Q22 | $0.177 | +$0.009 | 1 MG | Inj midazolam hydrochloride | v1, posted June 22, 2023 |
| 3Q22 | $0.168 | +$0.035 | 1 MG | Inj midazolam hydrochloride | v1, posted June 9, 2023 |
| 2Q22 | $0.133 | +$0.019 | 1 MG | Inj midazolam hydrochloride | v1, posted December 14, 2022 |
| 1Q22 | $0.114 | −$0.015 | 1 MG | Inj midazolam hydrochloride | v1, posted June 8, 2022 |
| 4Q21 | $0.129 | +$0.013 | 1 MG | Inj midazolam hydrochloride | v1, posted June 2, 2022 |
| 3Q21 | $0.116 | +$0.003 | 1 MG | Inj midazolam hydrochloride | v1, posted June 2, 2022 |
| 2Q21 | $0.113 | −$0.003 | 1 MG | Inj midazolam hydrochloride | v1, posted March 1, 2022 |
| 1Q21 | $0.116 | – | 1 MG | Inj midazolam hydrochloride | 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
- 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
- 3Q26: 2026-09-15_july-2026-medicare-part-b-payment-limit-files.zipposted September 15, 2026
- 2Q26: 2026-09-15_april-2026-medicare-part-b-payment-limit-files-final-file.zipposted September 15, 2026
- 1Q26: 2026-09-15_january-2026-medicare-part-b-payment-limit-files.zipposted September 15, 2026
- 4Q25: 2026-09-08_october-2025-asp-pricing-final-file.zipposted September 8, 2026
- 3Q25: 2026-03-10_july-2025-asp-pricing-file.zipposted March 10, 2026
- 2Q25: 2026-03-10_april-2025-asp-pricing-file.zipposted March 10, 2026
- 1Q25: 2025-12-19_january-2025-asp-pricing-file-03-11-25-final-file.zipposted December 19, 2025
- 4Q24: 2025-06-11_october-2024-asp-pricing-file.zipposted June 11, 2025
- 3Q24: 2025-06-11_july-2024-asp-pricing-file.zipposted June 11, 2025
- 2Q24: 2025-03-11_april-2024-asp-pricing-file.zipposted March 11, 2025
- 1Q24: 2024-12-19_january-2024-asp-pricing-file.zipposted December 19, 2024
- 4Q23: 2024-10-10_october-2023-asp-pricing-file.zipposted October 10, 2024
- 3Q23: 2024-06-05_july-2023-asp-pricing-file.zipposted June 5, 2024
- 2Q23: 2024-02-23_april-2023-asp-pricing-file.zipposted February 23, 2024
- 1Q23: 2023-12-06_january-2023-asp-pricing-file.zipposted December 6, 2023
- 4Q22: 2023-06-22_october-2022-asp-pricing-file.zipposted June 22, 2023
- 3Q22: 2023-06-09_july-2022-asp-pricing-file.zipposted June 9, 2023
- 2Q22: 2022-12-14_april-2022-asp-pricing-file.zipposted December 14, 2022
- 1Q22: 2022-06-08_january-2022-asp-pricing-file.zipposted June 8, 2022
- 4Q21: 2022-06-02_october-2021-asp-pricing-file.zipposted June 2, 2022
- 3Q21: 2022-06-02_july-2021-asp-pricing-file.zipposted June 2, 2022
- 2Q21: 2022-03-01_april-2021-asp-pricing-file.zipposted March 1, 2022
- 1Q21: 2021-12-10_january-2021-asp-pricing-file.zipposted December 10, 2021