Products billed under this code include Palonosetron, Palonosetron HCl, Palonosetron Hydrochloride.
Payment limit per 25 MCG, 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 |
|---|---|---|---|---|
| Palonosetron | Pfizer Inc | 00409-2504-10 | 10 | $4.69 |
| Palonosetron | Teva Parenteral Medicines, Inc. | 00703-4094-01 | 10 | $4.69 |
| Palonosetron | Sandoz Inc. | 00781-3312-75 | 10 | $4.69 |
| Palonosetron | Sandoz Inc. | 00781-3312-95 | 100 | $46.90 |
| Palonosetron | Sandoz Inc. | 00781-3415-75 | 10 | $4.69 |
| Palonosetron | Northstar RxLLC | 16714-0834-01 | 10 | $4.69 |
| Palonosetron | Sagent Pharmaceuticals | 25021-0783-05 | 10 | $4.69 |
| Palonosetron | Sagent Pharmaceuticals | 25021-0788-74 | 50 | $23.45 |
| Palonosetron | Baxter Healthcare Corporation | 36000-0326-02 | 10 | $4.69 |
| Palonosetron | Dr. Reddy's Laboratories Inc. | 55111-0694-07 | 10 | $4.69 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Palonosetron | Eugia US LLC | 55150-0186-05 | 10 | $4.69 |
| Palonosetron | Apotex Corp | 60505-6193-01 | 10 | $4.69 |
| Palonosetron | FreseniUS Kabi USA, LLC | 63323-0673-05 | 10 | $4.69 |
| Palonosetron | FreseniUS Kabi USA, LLC | 63323-0673-89 | 100 | $46.90 |
| Palonosetron | Mylan Institutional LLC | 67457-0317-25 | 10 | $4.69 |
| Palonosetron | BluePoint Laboratories | 68001-0355-25 | 10 | $4.69 |
| Palonosetron | Virtus Pharmaceuticals, LLC | 69543-0371-10 | 100 | $46.90 |
| Palonosetron | Meitheal Pharmaceuticals Inc. | 71288-0409-05 | 10 | $4.69 |
| Palonosetron HCl | Sandoz Inc. | 00781-3415-95 | 100 | $46.90 |
| Palonosetron HCl | Apotex Corp | 60505-6193-04 | 100 | $46.90 |
| Palonosetron HCl | Avenacy Inc. | 83634-0777-05 | 10 | $4.69 |
| Palonosetron Hydrochloride | Apotex Corp | 60505-6439-01 | 10 | $4.69 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.469 | −$0.105 | 25 MCG | Palonosetron hcl | v1, posted September 17, 2026 |
| 3Q26 | $0.574 | −$0.075 | 25 MCG | Palonosetron hcl | v1, posted September 15, 2026 |
| 2Q26 | $0.649 | +$0.296 | 25 MCG | Palonosetron hcl | v1, posted September 15, 2026 |
| 1Q26 | $0.353 | −$0.003 | 25 MCG | Palonosetron hcl | v1, posted September 15, 2026 |
| 4Q25 | $0.356 | −$0.089 | 25 MCG | Palonosetron hcl | v1, posted September 8, 2026 |
| 3Q25 | $0.445 | −$0.053 | 25 MCG | Palonosetron hcl | v1, posted March 10, 2026 |
| 2Q25 | $0.498 | −$0.092 | 25 MCG | Palonosetron hcl | v1, posted March 10, 2026 |
| 1Q25 | $0.59 | −$0.026 | 25 MCG | Palonosetron hcl | v1, posted December 19, 2025 |
| 4Q24 | $0.616 | −$0.361 | 25 MCG | Palonosetron hcl | v1, posted June 11, 2025 |
| 3Q24 | $0.977 | −$0.215 | 25 MCG | Palonosetron hcl | v1, posted June 11, 2025 |
| 2Q24 | $1.192 | +$0.347 | 25 MCG | Palonosetron hcl | v1, posted March 11, 2025 |
| 1Q24 | $0.845 | −$0.039 | 25 MCG | Palonosetron hcl | v1, posted December 19, 2024 |
| 4Q23 | $0.884 | −$0.117 | 25 MCG | Palonosetron hcl | v1, posted October 10, 2024 |
| 3Q23 | $1.001 | −$0.296 | 25 MCG | Palonosetron hcl | v1, posted June 5, 2024 |
| 2Q23 | $1.297 | +$0.284 | 25 MCG | Palonosetron hcl | v1, posted February 23, 2024 |
| 1Q23 | $1.013 | −$0.137 | 25 MCG | Palonosetron hcl | v1, posted December 6, 2023 |
| 4Q22 | $1.15 | +$0.245 | 25 MCG | Palonosetron hcl | v1, posted June 22, 2023 |
| 3Q22 | $0.905 | −$0.309 | 25 MCG | Palonosetron hcl | v1, posted June 9, 2023 |
| 2Q22 | $1.214 | +$0.357 | 25 MCG | Palonosetron hcl | v1, posted December 14, 2022 |
| 1Q22 | $0.857 | −$0.108 | 25 MCG | Palonosetron hcl | v1, posted June 8, 2022 |
| 4Q21 | $0.965 | −$0.935 | 25 MCG | Palonosetron hcl | v1, posted June 2, 2022 |
| 3Q21 | $1.90 | −$0.86 | 25 MCG | Palonosetron hcl | v1, posted June 2, 2022 |
| 2Q21 | $2.76 | −$0.425 | 25 MCG | Palonosetron hcl | v1, posted March 1, 2022 |
| 1Q21 | $3.185 | – | 25 MCG | Palonosetron hcl | 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.
