Inj phenylephrine hcl 20 mcg
Products billed under this code include Phenylephrine HCl.
Payment limit per 20 MCG, by effective quarter, 2Q25 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 Phenylephrine HCl.
Payment limit per 20 MCG, by effective quarter, 2Q25 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 |
|---|---|---|---|---|
| Phenylephrine HCl | Henry Schein Inc. | 00404-9931-99 | 500 | $1.00 |
| Phenylephrine HCl | Hikma Pharmaceuticals USA Inc. | 00641-6142-25 | 12500 | $25.00 |
| Phenylephrine HCl | Hikma Pharmaceuticals USA Inc. | 00641-6188-10 | 25000 | $50.00 |
| Phenylephrine HCl | Hikma Pharmaceuticals USA Inc. | 00641-6189-10 | 50000 | $100.00 |
| Phenylephrine HCl | Hikma Pharmaceuticals USA Inc. | 00641-6229-25 | 12500 | $25.00 |
| Phenylephrine HCl | Sandoz Inc. | 00781-3422-92 | 5000 | $10.00 |
| Phenylephrine HCl | Sandoz Inc. | 00781-3458-95 | 25000 | $50.00 |
| Phenylephrine HCl | Sandoz Inc. | 00781-3466-70 | 5000 | $10.00 |
| Phenylephrine HCl | Sandoz Inc. | 00781-9227-95 | 25000 | $50.00 |
| Phenylephrine HCl | Sandoz Inc. | 00781-9228-70 | 5000 | $10.00 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Phenylephrine HCl | Heritage Pharmaceuticals Inc. | 23155-0620-41 | 12500 | $25.00 |
| Phenylephrine HCl | Sagent Pharmaceuticals | 25021-0315-01 | 12500 | $25.00 |
| Phenylephrine HCl | Sagent Pharmaceuticals | 25021-0315-98 | 5000 | $10.00 |
| Phenylephrine HCl | Sagent Pharmaceuticals | 25021-0315-99 | 25000 | $50.00 |
| Phenylephrine HCl | Endo USA, Inc. | 42023-0214-10 | 25000 | $50.00 |
| Phenylephrine HCl | Endo USA, Inc. | 42023-0215-01 | 5000 | $10.00 |
| Phenylephrine HCl | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1249-01 | 500 | $1.00 |
| Phenylephrine HCl | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1576-03 | 12500 | $25.00 |
| Phenylephrine HCl | Eugia US LLC | 55150-0300-25 | 12500 | $25.00 |
| Phenylephrine HCl | Eugia US LLC | 55150-0301-10 | 25000 | $50.00 |
| Phenylephrine HCl | Eugia US LLC | 55150-0302-01 | 5000 | $10.00 |
| Phenylephrine HCl | Apollo Pharmaceuticals Inc. | 61990-0211-03 | 12500 | $25.00 |
| Phenylephrine HCl | Apollo Pharmaceuticals Inc. | 61990-0212-02 | 25000 | $50.00 |
| Phenylephrine HCl | Apollo Pharmaceuticals Inc. | 61990-0213-01 | 5000 | $10.00 |
| Phenylephrine HCl | Hikma Injectables USA Inc. | 63037-0173-25 | 1250 | $2.50 |
| Phenylephrine HCl | Hikma Injectables USA Inc. | 63037-0174-25 | 625 | $1.25 |
| Phenylephrine HCl | FreseniUS Kabi USA, LLC | 63323-0751-01 | 12500 | $25.00 |
| Phenylephrine HCl | FreseniUS Kabi USA, LLC | 63323-0751-05 | 2500 | $5.00 |
| Phenylephrine HCl | FreseniUS Kabi USA, LLC | 63323-0751-10 | 5000 | $10.00 |
| Phenylephrine HCl | FreseniUS Kabi USA, LLC | 63323-0751-13 | 12500 | $25.00 |
| Phenylephrine HCl | Caplin Steriles USA Inc. | 65145-0115-25 | 12500 | $25.00 |
| Phenylephrine HCl | Somerset Pharma, LLC | 70069-0801-25 | 12500 | $25.00 |
| Phenylephrine HCl | Somerset Pharma, LLC | 70069-0802-10 | 25000 | $50.00 |
| Phenylephrine HCl | Somerset Pharma, LLC | 70069-0803-01 | 5000 | $10.00 |
| Phenylephrine HCl | Somerset Pharma, LLC | 70069-0811-25 | 12500 | $25.00 |
| Phenylephrine HCl | Somerset Pharma, LLC | 70069-0812-10 | 25000 | $50.00 |
| Phenylephrine HCl | Somerset Pharma, LLC | 70069-0813-01 | 5000 | $10.00 |
| Phenylephrine HCl | Amneal Pharmaceuticals, LLC | 70121-1577-05 | 12500 | $25.00 |
| Phenylephrine HCl | Amneal Pharmaceuticals, LLC | 70121-1578-07 | 25000 | $50.00 |
| Phenylephrine HCl | Amneal Pharmaceuticals, LLC | 70121-1579-01 | 5000 | $10.00 |
| Phenylephrine HCl | Lifestar Pharma | 70756-0621-25 | 12500 | $25.00 |
| Phenylephrine HCl | Lifestar Pharma | 70756-0622-10 | 25000 | $50.00 |
| Phenylephrine HCl | Lifestar Pharma | 70756-0623-86 | 5000 | $10.00 |
| Phenylephrine HCl | Meitheal Pharmaceuticals Inc. | 71288-0807-02 | 12500 | $25.00 |
| Phenylephrine HCl | Meitheal Pharmaceuticals Inc. | 71288-0808-76 | 25000 | $50.00 |
| Phenylephrine HCl | Meitheal Pharmaceuticals Inc. | 71288-0808-77 | 5000 | $10.00 |
| Phenylephrine HCl | Novadoz Pharmaceuticals LLC | 72205-0264-25 | 12500 | $25.00 |
| Phenylephrine HCl | Novadoz Pharmaceuticals LLC | 72205-0265-07 | 25000 | $50.00 |
| Phenylephrine HCl | Novadoz Pharmaceuticals LLC | 72205-0266-07 | 50000 | $100.00 |
| Phenylephrine HCl | Armas Pharmaceuticals Inc. | 72485-0504-25 | 12500 | $25.00 |
| Phenylephrine HCl | Armas Pharmaceuticals Inc. | 72485-0505-10 | 25000 | $50.00 |
| Phenylephrine HCl | Armas Pharmaceuticals Inc. | 72485-0506-01 | 5000 | $10.00 |
| Phenylephrine HCl | Civica, Inc. | 72572-0570-10 | 50000 | $100.00 |
| Phenylephrine HCl | Civica, Inc. | 72572-0571-25 | 12500 | $25.00 |
| Phenylephrine HCl | Apollo Pharmaceuticals | 81284-0211-25 | 12500 | $25.00 |
| Phenylephrine HCl | Apollo Pharmaceuticals | 81284-0212-10 | 25000 | $50.00 |
| Phenylephrine HCl | Apollo Pharmaceuticals | 81284-0213-01 | 5000 | $10.00 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.002 | $0.00 | 20 MCG | Inj phenylephrine hcl 20 mcg | v1, posted September 17, 2026 |
| 3Q26 | $0.002 | $0.00 | 20 MCG | Inj phenylephrine hcl 20 mcg | v1, posted September 15, 2026 |
| 2Q26 | $0.002 | $0.00 | 20 MCG | Inj phenylephrine hcl 20 mcg | v1, posted September 15, 2026 |
| 1Q26 | $0.002 | $0.00 | 20 MCG | Inj phenylephrine hcl 20 mcg | v1, posted September 15, 2026 |
| 4Q25 | $0.002 | $0.00 | 20 MCG | Inj phenylephrine hcl 20 mcg | v1, posted September 8, 2026 |
| 3Q25 | $0.002 | $0.00 | 20 MCG | Inj phenylephrine hcl 20 mcg | v1, posted March 10, 2026 |
| 2Q25 | $0.002 | – | 20 MCG | Inj phenylephrine hcl 20 mcg | v1, posted March 10, 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.