Products billed under this code include Sulfamethoxazole-Trimethoprim, Sulfamethoxazole/Trimethoprim.
Payment limit per 5MG-1MG, 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 |
|---|---|---|---|---|
| Sulfamethoxazole-Trimethoprim | Teva Parenteral Medicines, Inc. | 00703-9503-03 | 800 | $27.20 |
| Sulfamethoxazole-Trimethoprim | Teva Parenteral Medicines, Inc. | 00703-9514-03 | 1600 | $54.40 |
| Sulfamethoxazole-Trimethoprim | Teva Parenteral Medicines, Inc. | 00703-9514-83 | 1600 | $54.40 |
| Sulfamethoxazole-Trimethoprim | Teva Parenteral Medicines, Inc. | 00703-9514-93 | 1600 | $54.40 |
| Sulfamethoxazole-Trimethoprim | Teva Parenteral Medicines, Inc. | 00703-9526-01 | 480 | $16.32 |
| Sulfamethoxazole-Trimethoprim | Somerset Pharma, LLC | 70069-0361-10 | 800 | $27.20 |
| Sulfamethoxazole-Trimethoprim | Somerset Pharma, LLC | 70069-0362-10 | 1600 | $54.40 |
| Sulfamethoxazole-Trimethoprim | Somerset Pharma, LLC | 70069-0363-01 | 480 | $16.32 |
| Sulfamethoxazole/Trimethoprim | Teva Parenteral Medicines, Inc. | 00703-9526-81 | 480 | $16.32 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.034 | −$0.002 | 5MG-1MG | Inj sulfameth/trim 5 mg/1 mg | v1, posted September 17, 2026 |
| 3Q26 | $0.036 | −$0.001 | 5MG-1MG | Inj sulfameth/trim 5 mg/1 mg | v1, posted September 15, 2026 |
| 2Q26 | $0.037 | −$0.001 | 5MG-1MG | Inj sulfameth/trim 5 mg/1 mg | v1, posted September 15, 2026 |
| 1Q26 | $0.038 | −$0.008 | 5MG-1MG | Inj sulfameth/trim 5 mg/1 mg | v1, posted September 15, 2026 |
| 4Q25 | $0.046 | −$0.005 | 5MG-1MG | Inj sulfameth/trim 5 mg/1 mg | v1, posted September 8, 2026 |
| 3Q25 | $0.051 | −$0.005 | 5MG-1MG | Inj sulfameth/trim 5 mg/1 mg | v1, posted March 10, 2026 |
| 2Q25 | $0.056 | – | 5MG-1MG | Inj sulfameth/trim 5 mg/1 mg | 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.
