Na ferric gluconate complex
Products billed under this code include Ferrlecit, Sodium Ferric Gluconate.
Payment limit per 12.5 MG, by effective quarter, 1Q21 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 Ferrlecit, Sodium Ferric Gluconate.
Payment limit per 12.5 MG, 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 |
|---|---|---|---|---|
| Ferrlecit | Sanofi-Aventis U.S. LLC | 00024-2792-10 | 50 | $97.80 |
| Ferrlecit | Sanofi-Aventis U.S. LLC | 00024-2794-10 | 50 | $97.80 |
| Sodium Ferric Gluconate | Hikma Pharmaceuticals USA Inc. | 00143-9298-10 | 50 | $97.80 |
| Sodium Ferric Gluconate | Hikma Pharmaceuticals USA Inc. | 00143-9570-10 | 50 | $97.80 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $1.956 | −$0.241 | 12.5 MG | Na ferric gluconate complex | v1, posted September 17, 2026 |
| 3Q26 | $2.197 | −$0.196 | 12.5 MG | Na ferric gluconate complex | v1, posted September 15, 2026 |
| 2Q26 | $2.393 | +$0.179 | 12.5 MG | Na ferric gluconate complex | v1, posted September 15, 2026 |
| 1Q26 | $2.214 | +$0.191 | 12.5 MG | Na ferric gluconate complex | v1, posted September 15, 2026 |
| 4Q25 | $2.023 | −$0.156 | 12.5 MG | Na ferric gluconate complex | v1, posted September 8, 2026 |
| 3Q25 | $2.179 | +$0.244 | 12.5 MG | Na ferric gluconate complex | v1, posted March 10, 2026 |
| 2Q25 | $1.935 | −$0.056 | 12.5 MG | Na ferric gluconate complex | v1, posted March 10, 2026 |
| 1Q25 | $1.991 | −$0.199 | 12.5 MG | Na ferric gluconate complex | v1, posted December 19, 2025 |
| 4Q24 | $2.19 | +$0.053 | 12.5 MG | Na ferric gluconate complex | v1, posted June 11, 2025 |
| 3Q24 | $2.137 | −$0.047 | 12.5 MG | Na ferric gluconate complex | v1, posted June 11, 2025 |
| 2Q24 | $2.184 | −$0.19 | 12.5 MG | Na ferric gluconate complex | v1, posted March 11, 2025 |
| 1Q24 | $2.374 | +$0.279 | 12.5 MG | Na ferric gluconate complex | v1, posted December 19, 2024 |
| 4Q23 | $2.095 | −$0.028 | 12.5 MG | Na ferric gluconate complex | v1, posted October 10, 2024 |
| 3Q23 | $2.123 | −$0.075 | 12.5 MG | Na ferric gluconate complex | v1, posted June 5, 2024 |
| 2Q23 | $2.198 | +$0.107 | 12.5 MG | Na ferric gluconate complex | v1, posted February 23, 2024 |
| 1Q23 | $2.091 | +$0.146 | 12.5 MG | Na ferric gluconate complex | v1, posted December 6, 2023 |
| 4Q22 | $1.945 | +$0.083 | 12.5 MG | Na ferric gluconate complex | v1, posted June 22, 2023 |
| 3Q22 | $1.862 | −$0.195 | 12.5 MG | Na ferric gluconate complex | v1, posted June 9, 2023 |
| 2Q22 | $2.057 | +$0.136 | 12.5 MG | Na ferric gluconate complex | v1, posted December 14, 2022 |
| 1Q22 | $1.921 | −$0.256 | 12.5 MG | Na ferric gluconate complex | v1, posted June 8, 2022 |
| 4Q21 | $2.177 | +$0.018 | 12.5 MG | Na ferric gluconate complex | v1, posted June 2, 2022 |
| 3Q21 | $2.159 | +$0.217 | 12.5 MG | Na ferric gluconate complex | v1, posted June 2, 2022 |
| 2Q21 | $1.942 | −$0.065 | 12.5 MG | Na ferric gluconate complex | v1, posted March 1, 2022 |
| 1Q21 | $2.007 | – | 12.5 MG | Na ferric gluconate complex | 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.