Products billed under this code include Penicillin G Pot In Dextrose, Penicillin G Potassium, Pfizerpen, Pfizerpen-G.
Payment limit per 600000 UNITS, 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 |
|---|---|---|---|---|
| Penicillin G Pot In Dextrose | Baxter Healthcare Corporation | 00338-1023-41 | 4 | $3.124 |
| Penicillin G Pot In Dextrose | Baxter Healthcare Corporation | 00338-1025-41 | 5 | $3.905 |
| Penicillin G Potassium | Sandoz Inc. | 00781-6135-95 | 84 | $65.604 |
| Penicillin G Potassium | Sandoz Inc. | 00781-6136-94 | 34 | $26.554 |
| Penicillin G Potassium | Sagent Pharmaceuticals | 25021-0153-20 | 84 | $65.604 |
| Penicillin G Potassium | Sagent Pharmaceuticals | 25021-0154-51 | 34 | $26.554 |
| Penicillin G Potassium | WG Critical Care, LLC | 44567-0311-10 | 84 | $65.604 |
| Penicillin G Potassium | WG Critical Care, LLC | 44567-0312-01 | 34 | $26.554 |
| Penicillin G Potassium | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1436-01 | 9 | $7.029 |
| Penicillin G Potassium | Athenex Pharmaceutical Division, LLC | 70860-0126-20 | 84 | $65.604 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Penicillin G Potassium | Northstar RxLLC | 72603-0210-10 | 84 | $65.604 |
| Penicillin G Potassium | Northstar RxLLC | 72603-0345-01 | 34 | $26.554 |
| Penicillin G Potassium | Avenacy Inc. | 83634-0102-20 | 84 | $65.604 |
| Penicillin G Potassium | Avenacy Inc. | 83634-0103-51 | 34 | $26.554 |
| Pfizerpen | Pfizer Inc | 00049-0420-10 | 84 | $65.604 |
| Pfizerpen | Pfizer Inc | 00049-0430-20 | 34 | $26.554 |
| Pfizerpen-G | Pfizer Inc | 00049-0520-22 | 84 | $65.604 |
| Pfizerpen-G | Pfizer Inc | 00049-0520-83 | 84 | $65.604 |
| Pfizerpen-G | Pfizer Inc | 00049-0530-22 | 34 | $26.554 |
| Pfizerpen-G | Pfizer Inc | 00049-0530-28 | 34 | $26.554 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.781 | +$0.144 | 600000 UNITS | Penicillin g potassium inj | v1, posted September 17, 2026 |
| 3Q26 | $0.637 | −$0.046 | 600000 UNITS | Penicillin g potassium inj | v1, posted September 15, 2026 |
| 2Q26 | $0.683 | −$0.097 | 600000 UNITS | Penicillin g potassium inj | v1, posted September 15, 2026 |
| 1Q26 | $0.78 | −$0.014 | 600000 UNITS | Penicillin g potassium inj | v1, posted September 15, 2026 |
| 4Q25 | $0.794 | −$0.085 | 600000 UNITS | Penicillin g potassium inj | v1, posted September 8, 2026 |
| 3Q25 | $0.879 | +$0.104 | 600000 UNITS | Penicillin g potassium inj | v1, posted March 10, 2026 |
| 2Q25 | $0.775 | +$0.026 | 600000 UNITS | Penicillin g potassium inj | v1, posted March 10, 2026 |
| 1Q25 | $0.749 | −$0.264 | 600000 UNITS | Penicillin g potassium inj | v1, posted December 19, 2025 |
| 4Q24 | $1.013 | +$0.083 | 600000 UNITS | Penicillin g potassium inj | v1, posted June 11, 2025 |
| 3Q24 | $0.93 | +$0.102 | 600000 UNITS | Penicillin g potassium inj | v1, posted June 11, 2025 |
| 2Q24 | $0.828 | +$0.057 | 600000 UNITS | Penicillin g potassium inj | v1, posted March 11, 2025 |
| 1Q24 | $0.771 | −$0.046 | 600000 UNITS | Penicillin g potassium inj | v1, posted December 19, 2024 |
| 4Q23 | $0.817 | −$0.253 | 600000 UNITS | Penicillin g potassium inj | v1, posted October 10, 2024 |
| 3Q23 | $1.07 | +$0.314 | 600000 UNITS | Penicillin g potassium inj | v1, posted June 5, 2024 |
| 2Q23 | $0.756 | −$0.026 | 600000 UNITS | Penicillin g potassium inj | v1, posted February 23, 2024 |
| 1Q23 | $0.782 | +$0.003 | 600000 UNITS | Penicillin g potassium inj | v1, posted December 6, 2023 |
| 4Q22 | $0.779 | +$0.092 | 600000 UNITS | Penicillin g potassium inj | v1, posted June 22, 2023 |
| 3Q22 | $0.687 | −$0.083 | 600000 UNITS | Penicillin g potassium inj | v1, posted June 9, 2023 |
| 2Q22 | $0.77 | −$0.004 | 600000 UNITS | Penicillin g potassium inj | v1, posted December 14, 2022 |
| 1Q22 | $0.774 | −$0.146 | 600000 UNITS | Penicillin g potassium inj | v1, posted June 8, 2022 |
| 4Q21 | $0.92 | −$0.019 | 600000 UNITS | Penicillin g potassium inj | v1, posted June 2, 2022 |
| 3Q21 | $0.939 | −$0.149 | 600000 UNITS | Penicillin g potassium inj | v1, posted June 2, 2022 |
| 2Q21 | $1.088 | −$0.01 | 600000 UNITS | Penicillin g potassium inj | v1, posted March 1, 2022 |
| 1Q21 | $1.098 | – | 600000 UNITS | Penicillin g potassium inj | 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.
