Diazepam injection
Products billed under this code include Diazepam.
Payment limit per 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 Diazepam.
Payment limit per 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 |
|---|---|---|---|---|
| Diazepam | Henry Schein Inc. | 00404-9762-10 | 10 | $50.69 |
| Diazepam | Henry Schein Inc. | 00404-9769-02 | 2 | $10.138 |
| Diazepam | Henry Schein Inc. | 00404-9848-10 | 10 | $50.69 |
| Diazepam | Henry Schein Inc. | 00404-9849-02 | 2 | $10.138 |
| Diazepam | Pfizer Inc | 00409-1273-32 | 20 | $101.38 |
| Diazepam | Pfizer Inc | 00409-3213-12 | 100 | $506.90 |
| Diazepam | Hikma Pharmaceuticals USA Inc. | 00641-6243-10 | 100 | $506.90 |
| Diazepam | Hikma Pharmaceuticals USA Inc. | 00641-6244-10 | 20 | $101.38 |
| Diazepam | Dr. Reddy's Laboratories Inc. | 43598-0106-10 | 20 | $101.38 |
| Diazepam | Alembic Pharmaceuticals Inc. | 62332-0811-20 | 20 | $101.38 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Diazepam | NATCO Pharma USA LLC | 69339-0136-34 | 20 | $101.38 |
| Diazepam | NATCO Pharma USA LLC | 69339-0136-97 | 20 | $101.38 |
| Diazepam | NATCO Pharma USA LLC | 69339-0137-05 | 50 | $253.45 |
| Diazepam | NATCO Pharma USA LLC | 69339-0137-95 | 50 | $253.45 |
| Diazepam | Civica, Inc. | 72572-0140-02 | 20 | $101.38 |
| Diazepam | FreseniUS Kabi USA, LLC | 76045-0204-20 | 48 | $243.312 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $5.069 | −$1.785 | 5 MG | Diazepam injection | v1, posted September 17, 2026 |
| 3Q26 | $6.854 | −$1.654 | 5 MG | Diazepam injection | v1, posted September 15, 2026 |
| 2Q26 | $8.508 | +$1.818 | 5 MG | Diazepam injection | v1, posted September 15, 2026 |
| 1Q26 | $6.69 | −$0.658 | 5 MG | Diazepam injection | v1, posted September 15, 2026 |
| 4Q25 | $7.348 | +$1.178 | 5 MG | Diazepam injection | v1, posted September 8, 2026 |
| 3Q25 | $6.17 | +$0.383 | 5 MG | Diazepam injection | v1, posted March 10, 2026 |
| 2Q25 | $5.787 | −$2.76 | 5 MG | Diazepam injection | v1, posted March 10, 2026 |
| 1Q25 | $8.547 | +$2.716 | 5 MG | Diazepam injection | v1, posted December 19, 2025 |
| 4Q24 | $5.831 | +$0.382 | 5 MG | Diazepam injection | v1, posted June 11, 2025 |
| 3Q24 | $5.449 | −$1.09 | 5 MG | Diazepam injection | v1, posted June 11, 2025 |
| 2Q24 | $6.539 | +$1.074 | 5 MG | Diazepam injection | v1, posted March 11, 2025 |
| 1Q24 | $5.465 | −$2.014 | 5 MG | Diazepam injection | v1, posted December 19, 2024 |
| 4Q23 | $7.479 | +$2.229 | 5 MG | Diazepam injection | v1, posted October 10, 2024 |
| 3Q23 | $5.25 | −$1.871 | 5 MG | Diazepam injection | v1, posted June 5, 2024 |
| 2Q23 | $7.121 | −$1.428 | 5 MG | Diazepam injection | v1, posted February 23, 2024 |
| 1Q23 | $8.549 | +$1.971 | 5 MG | Diazepam injection | v1, posted December 6, 2023 |
| 4Q22 | $6.578 | +$1.415 | 5 MG | Diazepam injection | v1, posted June 22, 2023 |
| 3Q22 | $5.163 | −$1.527 | 5 MG | Diazepam injection | v1, posted June 9, 2023 |
| 2Q22 | $6.69 | −$0.378 | 5 MG | Diazepam injection | v1, posted December 14, 2022 |
| 1Q22 | $7.068 | +$1.279 | 5 MG | Diazepam injection | v1, posted June 8, 2022 |
| 4Q21 | $5.789 | −$0.953 | 5 MG | Diazepam injection | v1, posted June 2, 2022 |
| 3Q21 | $6.742 | −$0.335 | 5 MG | Diazepam injection | v1, posted June 2, 2022 |
| 2Q21 | $7.077 | −$0.071 | 5 MG | Diazepam injection | v1, posted March 1, 2022 |
| 1Q21 | $7.148 | – | 5 MG | Diazepam 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.