Tacrol astagraf ex rel oral
Products billed under this code include Astagraf XL.
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 this code include Astagraf XL.
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.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 |
|---|---|---|---|---|
| Astagraf XL | Astellas Pharma US, Inc. | 00469-0647-73 | 150 | $90.60 |
| Astagraf XL | Astellas Pharma US, Inc. | 00469-0677-73 | 300 | $181.20 |
| Astagraf XL | Astellas Pharma US, Inc. | 00469-0687-73 | 1500 | $906.00 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.604 | +$0.003 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted September 17, 2026 |
| 3Q26 | $0.601 | +$0.015 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted September 15, 2026 |
| 2Q26 | $0.586 | $0.00 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted September 15, 2026 |
| 1Q26 | $0.586 | $0.00 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted September 15, 2026 |
| 4Q25 | $0.586 | $0.00 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted September 8, 2026 |
| 3Q25 | $0.586 | +$0.017 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted March 10, 2026 |
| 2Q25 | $0.569 | +$0.001 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted March 10, 2026 |
| 1Q25 | $0.568 | +$0.001 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted December 19, 2025 |
| 4Q24 | $0.567 | +$0.004 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted June 11, 2025 |
| 3Q24 | $0.563 | +$0.012 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted June 11, 2025 |
| 2Q24 | $0.551 | −$0.001 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted March 11, 2025 |
| 1Q24 | $0.552 | −$0.001 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted December 19, 2024 |
| 4Q23 | $0.553 | +$0.004 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted October 10, 2024 |
| 3Q23 | $0.549 | +$0.026 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted June 5, 2024 |
| 2Q23 | $0.523 | −$0.001 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted February 23, 2024 |
| 1Q23 | $0.524 | −$0.001 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted December 6, 2023 |
| 4Q22 | $0.525 | +$0.005 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted June 22, 2023 |
| 3Q22 | $0.52 | +$0.025 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted June 9, 2023 |
| 2Q22 | $0.495 | +$0.001 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted December 14, 2022 |
| 1Q22 | $0.494 | $0.00 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted June 8, 2022 |
| 4Q21 | $0.494 | +$0.003 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted June 2, 2022 |
| 3Q21 | $0.491 | +$0.015 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted June 2, 2022 |
| 2Q21 | $0.476 | −$0.001 | 0.1 MG | Tacrol astagraf ex rel oral | v1, posted March 1, 2022 |
| 1Q21 | $0.477 | – | 0.1 MG | Tacrol astagraf ex rel oral | 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.