Fentanyl citrate injection
Products billed under this code include Fentanyl Citrate.
Payment limit per 0.1 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 J3010
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 |
|---|---|---|---|---|
| Fentanyl Citrate | Pfizer Inc | 00409-9093-11 | 10 | $13.62 |
| Fentanyl Citrate | Pfizer Inc | 00409-9094-22 | 25 | $34.05 |
| Fentanyl Citrate | Pfizer Inc | 00409-9094-25 | 63 | $85.806 |
| Fentanyl Citrate | Pfizer Inc | 00409-9094-28 | 125 | $170.25 |
| Fentanyl Citrate | Pfizer Inc | 00409-9094-31 | 250 | $340.50 |
| Fentanyl Citrate | Pfizer Inc | 00409-9094-61 | 625 | $851.25 |
| Fentanyl Citrate | Hikma Pharmaceuticals USA Inc. | 00641-6027-25 | 25 | $34.05 |
| Fentanyl Citrate | Hikma Pharmaceuticals USA Inc. | 00641-6028-10 | 25 | $34.05 |
| Fentanyl Citrate | Hikma Pharmaceuticals USA Inc. | 00641-6028-25 | 63 | $85.806 |
| Fentanyl Citrate | Hikma Pharmaceuticals USA Inc. | 00641-6029-01 | 10 | $13.62 |
Show all 25 products
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Fentanyl Citrate | Hikma Pharmaceuticals USA Inc. | 00641-6030-01 | 25 | $34.05 |
| Fentanyl Citrate | Hikma Pharmaceuticals USA Inc. | 00641-6247-25 | 13 | $17.706 |
| Fentanyl Citrate | Hikma Pharmaceuticals USA Inc. | 00641-6248-10 | 5 | $6.81 |
| Fentanyl Citrate | Hikma Pharmaceuticals USA Inc. | 00641-6249-10 | 3 | $4.086 |
| Fentanyl Citrate | FreseniUS Kabi USA, LLC | 63323-0806-01 | 13 | $17.706 |
| Fentanyl Citrate | FreseniUS Kabi USA, LLC | 63323-0806-02 | 25 | $34.05 |
| Fentanyl Citrate | FreseniUS Kabi USA, LLC | 63323-0806-05 | 63 | $85.806 |
| Fentanyl Citrate | FreseniUS Kabi USA, LLC | 63323-0806-20 | 250 | $340.50 |
| Fentanyl Citrate | FreseniUS Kabi USA, LLC | 63323-0806-50 | 25 | $34.05 |
| Fentanyl Citrate | FreseniUS Kabi USA, LLC | 63323-0808-11 | 5 | $6.81 |
| Fentanyl Citrate | FreseniUS Kabi USA, LLC | 63323-0810-20 | 20 | $27.24 |
| Fentanyl Citrate | Civica, Inc. | 72572-0170-25 | 25 | $34.05 |
| Fentanyl Citrate | Civica, Inc. | 72572-0171-10 | 25 | $34.05 |
| Fentanyl Citrate | Civica, Inc. | 72572-0172-01 | 25 | $34.05 |
| Fentanyl Citrate | Phlow Corporation | 81565-0205-02 | 25 | $34.05 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $1.362 | −$0.023 | 0.1 MG | Fentanyl citrate injection | v1, posted September 17, 2026 |
| 3Q26 | $1.385 | +$0.222 | 0.1 MG | Fentanyl citrate injection | v1, posted September 15, 2026 |
| 2Q26 | $1.163 | −$0.025 | 0.1 MG | Fentanyl citrate injection | v1, posted September 15, 2026 |
| 1Q26 | $1.188 | +$0.09 | 0.1 MG | Fentanyl citrate injection | v1, posted September 15, 2026 |
| 4Q25 | $1.098 | +$0.134 | 0.1 MG | Fentanyl citrate injection | v1, posted September 8, 2026 |
| 3Q25 | $0.964 | +$0.125 | 0.1 MG | Fentanyl citrate injection | v1, posted March 10, 2026 |
| 2Q25 | $0.839 | −$0.013 | 0.1 MG | Fentanyl citrate injection | v1, posted March 10, 2026 |
| 1Q25 | $0.852 | −$0.051 | 0.1 MG | Fentanyl citrate injection | v1, posted December 19, 2025 |
| 4Q24 | $0.903 | +$0.065 | 0.1 MG | Fentanyl citrate injection | v1, posted June 11, 2025 |
| 3Q24 | $0.838 | −$0.153 | 0.1 MG | Fentanyl citrate injection | v1, posted June 11, 2025 |
| 2Q24 | $0.991 | +$0.023 | 0.1 MG | Fentanyl citrate injection | v1, posted March 11, 2025 |
| 1Q24 | $0.968 | +$0.118 | 0.1 MG | Fentanyl citrate injection | v1, posted December 19, 2024 |
| 4Q23 | $0.85 | +$0.013 | 0.1 MG | Fentanyl citrate injection | v1, posted October 10, 2024 |
| 3Q23 | $0.837 | −$0.138 | 0.1 MG | Fentanyl citrate injection | v1, posted June 5, 2024 |
| 2Q23 | $0.975 | +$0.057 | 0.1 MG | Fentanyl citrate injection | v1, posted February 23, 2024 |
| 1Q23 | $0.918 | +$0.024 | 0.1 MG | Fentanyl citrate injection | v1, posted December 6, 2023 |
| 4Q22 | $0.894 | +$0.053 | 0.1 MG | Fentanyl citrate injection | v1, posted June 22, 2023 |
| 3Q22 | $0.841 | +$0.12 | 0.1 MG | Fentanyl citrate injection | v1, posted June 9, 2023 |
| 2Q22 | $0.721 | +$0.052 | 0.1 MG | Fentanyl citrate injection | v1, posted December 14, 2022 |
| 1Q22 | $0.669 | +$0.035 | 0.1 MG | Fentanyl citrate injection | v1, posted June 8, 2022 |
| 4Q21 | $0.634 | +$0.013 | 0.1 MG | Fentanyl citrate injection | v1, posted June 2, 2022 |
| 3Q21 | $0.621 | −$0.046 | 0.1 MG | Fentanyl citrate injection | v1, posted June 2, 2022 |
| 2Q21 | $0.667 | −$0.05 | 0.1 MG | Fentanyl citrate injection | v1, posted March 1, 2022 |
| 1Q21 | $0.717 | – | 0.1 MG | Fentanyl citrate injection | 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.
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
- 4Q25: 2026-09-08_october-2025-asp-pricing-final-file.zipposted September 8, 2026
- 3Q25: 2026-03-10_july-2025-asp-pricing-file.zipposted March 10, 2026
- 2Q25: 2026-03-10_april-2025-asp-pricing-file.zipposted March 10, 2026
- 1Q25: 2025-12-19_january-2025-asp-pricing-file-03-11-25-final-file.zipposted December 19, 2025
- 4Q24: 2025-06-11_october-2024-asp-pricing-file.zipposted June 11, 2025
- 3Q24: 2025-06-11_july-2024-asp-pricing-file.zipposted June 11, 2025
- 2Q24: 2025-03-11_april-2024-asp-pricing-file.zipposted March 11, 2025
- 1Q24: 2024-12-19_january-2024-asp-pricing-file.zipposted December 19, 2024
- 4Q23: 2024-10-10_october-2023-asp-pricing-file.zipposted October 10, 2024
- 3Q23: 2024-06-05_july-2023-asp-pricing-file.zipposted June 5, 2024
- 2Q23: 2024-02-23_april-2023-asp-pricing-file.zipposted February 23, 2024
- 1Q23: 2023-12-06_january-2023-asp-pricing-file.zipposted December 6, 2023
- 4Q22: 2023-06-22_october-2022-asp-pricing-file.zipposted June 22, 2023
- 3Q22: 2023-06-09_july-2022-asp-pricing-file.zipposted June 9, 2023
- 2Q22: 2022-12-14_april-2022-asp-pricing-file.zipposted December 14, 2022
- 1Q22: 2022-06-08_january-2022-asp-pricing-file.zipposted June 8, 2022
- 4Q21: 2022-06-02_october-2021-asp-pricing-file.zipposted June 2, 2022
- 3Q21: 2022-06-02_july-2021-asp-pricing-file.zipposted June 2, 2022
- 2Q21: 2022-03-01_april-2021-asp-pricing-file.zipposted March 1, 2022
- 1Q21: 2021-12-10_january-2021-asp-pricing-file.zipposted December 10, 2021