Tacrolimus imme rel oral 1mg
Products billed under this code include Prograf, Tacolimus, Tacrolimus.
Payment limit per 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 this code include Prograf, Tacolimus, Tacrolimus.
Payment limit per 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.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 |
|---|---|---|---|---|
| Prograf | Astellas Pharma US, Inc. | 00469-0607-73 | 50 | $8.10 |
| Prograf | Astellas Pharma US, Inc. | 00469-0617-73 | 100 | $16.20 |
| Prograf | Astellas Pharma US, Inc. | 00469-0657-73 | 500 | $81.00 |
| Tacolimus | Quallent Pharmaceuticals | 82009-0164-01 | 50 | $8.10 |
| Tacrolimus | Mylan Pharmaceuticals Inc. | 00378-2045-01 | 50 | $8.10 |
| Tacrolimus | Mylan Pharmaceuticals Inc. | 00378-2046-01 | 100 | $16.20 |
| Tacrolimus | Mylan Pharmaceuticals Inc. | 00378-2047-01 | 500 | $81.00 |
| Tacrolimus | Sandoz Inc. | 00781-2102-01 | 50 | $8.10 |
| Tacrolimus | Sandoz Inc. | 00781-2103-01 | 100 | $16.20 |
| Tacrolimus | Sandoz Inc. | 00781-2104-01 | 500 | $81.00 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Tacrolimus | Major Pharmaceuticals | 00904-7097-61 | 100 | $16.20 |
| Tacrolimus | Northstar RxLLC | 16714-0098-01 | 50 | $8.10 |
| Tacrolimus | Northstar RxLLC | 16714-0099-01 | 100 | $16.20 |
| Tacrolimus | Northstar RxLLC | 16714-0100-01 | 500 | $81.00 |
| Tacrolimus | Accord Healthcare Inc | 16729-0041-01 | 50 | $8.10 |
| Tacrolimus | Accord Healthcare Inc | 16729-0042-01 | 100 | $16.20 |
| Tacrolimus | Accord Healthcare Inc | 16729-0043-01 | 500 | $81.00 |
| Tacrolimus | A-S Medication Solutions | 50090-5581-00 | 90 | $14.58 |
| Tacrolimus | A-S Medication Solutions | 50090-5596-00 | 90 | $14.58 |
| Tacrolimus | Dr. Reddy's Laboratories Inc. | 55111-0525-01 | 50 | $8.10 |
| Tacrolimus | Dr. Reddy's Laboratories Inc. | 55111-0526-01 | 100 | $16.20 |
| Tacrolimus | Dr. Reddy's Laboratories Inc. | 55111-0527-01 | 500 | $81.00 |
| Tacrolimus | Strides Pharma Science Limited | 64380-0720-06 | 50 | $8.10 |
| Tacrolimus | Strides Pharma Science Limited | 64380-0721-06 | 100 | $16.20 |
| Tacrolimus | Strides Pharma Science Limited | 64380-0722-06 | 500 | $81.00 |
| Tacrolimus | Ascend Laboratories, LLC | 67877-0278-01 | 50 | $8.10 |
| Tacrolimus | Ascend Laboratories, LLC | 67877-0279-01 | 100 | $16.20 |
| Tacrolimus | Ascend Laboratories, LLC | 67877-0280-01 | 500 | $81.00 |
| Tacrolimus | American Health Packaging | 68084-0449-01 | 50 | $8.10 |
| Tacrolimus | American Health Packaging | 68084-0450-01 | 100 | $16.20 |
| Tacrolimus | American Health Packaging | 68084-0451-01 | 500 | $81.00 |
| Tacrolimus | Glenmark Pharmaceuticals Inc., USA | 68462-0685-01 | 50 | $8.10 |
| Tacrolimus | Glenmark Pharmaceuticals Inc., USA | 68462-0686-01 | 100 | $16.20 |
| Tacrolimus | Glenmark Pharmaceuticals Inc., USA | 68462-0687-01 | 500 | $81.00 |
| Tacrolimus | Biocon Pharma Inc | 70377-0014-11 | 50 | $8.10 |
| Tacrolimus | Biocon Pharma Inc | 70377-0015-11 | 100 | $16.20 |
| Tacrolimus | Biocon Pharma Inc | 70377-0016-11 | 500 | $81.00 |
| Tacrolimus | Civica, Inc. | 72572-0760-01 | 50 | $8.10 |
| Tacrolimus | Civica, Inc. | 72572-0761-01 | 100 | $16.20 |
| Tacrolimus | Quallent Pharmaceuticals | 82009-0054-01 | 100 | $16.20 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.162 | −$0.038 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted September 17, 2026 |
| 3Q26 | $0.20 | −$0.03 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted September 15, 2026 |
| 2Q26 | $0.23 | +$0.033 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted September 15, 2026 |
| 1Q26 | $0.197 | +$0.028 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted September 15, 2026 |
| 4Q25 | $0.169 | +$0.015 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted September 8, 2026 |
| 3Q25 | $0.154 | −$0.04 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted March 10, 2026 |
| 2Q25 | $0.194 | +$0.018 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted March 10, 2026 |
| 1Q25 | $0.176 | −$0.079 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted December 19, 2025 |
| 4Q24 | $0.255 | +$0.02 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted June 11, 2025 |
| 3Q24 | $0.235 | −$0.036 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted June 11, 2025 |
| 2Q24 | $0.271 | +$0.035 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted March 11, 2025 |
| 1Q24 | $0.236 | −$0.064 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted December 19, 2024 |
| 4Q23 | $0.30 | +$0.013 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted October 10, 2024 |
| 3Q23 | $0.287 | −$0.063 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted June 5, 2024 |
| 2Q23 | $0.35 | +$0.05 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted February 23, 2024 |
| 1Q23 | $0.30 | −$0.008 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted December 6, 2023 |
| 4Q22 | $0.308 | −$0.067 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted June 22, 2023 |
| 3Q22 | $0.375 | −$0.075 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted June 9, 2023 |
| 2Q22 | $0.45 | −$0.069 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted December 14, 2022 |
| 1Q22 | $0.519 | −$0.029 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted June 8, 2022 |
| 4Q21 | $0.548 | +$0.028 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted June 2, 2022 |
| 3Q21 | $0.52 | −$0.048 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted June 2, 2022 |
| 2Q21 | $0.568 | −$0.001 | 1 MG | Tacrolimus imme rel oral 1mg | v1, posted March 1, 2022 |
| 1Q21 | $0.569 | – | 1 MG | Tacrolimus imme rel oral 1mg | 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.