Inj, pentamidine isethionate
Products billed under this code include Pentamidine Isethionate.
Payment limit per 1 MG, by effective quarter, 1Q26 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under J2516
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 |
|---|---|---|---|---|
| Pentamidine Isethionate | PAI Holdings, LLC | 00121-1101-02 | 3000 | $1,446.00 |
| Pentamidine Isethionate | Heritage Pharmaceuticals Inc. | 23155-0748-41 | 3000 | $1,446.00 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.482 | +$0.322 | 1 MG | Inj, pentamidine isethionate | v1, posted September 17, 2026 |
| 3Q26 | $0.16 | $0.00 | 1 MG | Pentamidine non-comp unit | v1, posted September 15, 2026 |
| 2Q26 | $0.16 | −$0.075 | 1 MG | Pentamidine non-comp unit | v1, posted September 15, 2026 |
| 1Q26 | $0.235 | – | 1 MG | Pentamidine non-comp unit | v1, posted September 15, 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
- 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