Mycophenolate mofetil oral
This code is not in the latest file (4Q26). It was last listed in 3Q26.
Payment limit per 250 MG, by effective quarter, 1Q21 to 3Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.This code is not in the latest file (4Q26). It was last listed in 3Q26.
Payment limit per 250 MG, by effective quarter, 1Q21 to 3Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.No NDCs mapped to this code in the 4Q26 crosswalk.
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 3Q26 | $0.131 | −$0.008 | 250 MG | Mycophenolate mofetil oral | v1, posted September 15, 2026 |
| 2Q26 | $0.139 | −$0.007 | 250 MG | Mycophenolate mofetil oral | v1, posted September 15, 2026 |
| 1Q26 | $0.146 | −$0.011 | 250 MG | Mycophenolate mofetil oral | v1, posted September 15, 2026 |
| 4Q25 | $0.157 | $0.00 | 250 MG | Mycophenolate mofetil oral | v1, posted September 8, 2026 |
| 3Q25 | $0.157 | +$0.003 | 250 MG | Mycophenolate mofetil oral | v1, posted March 10, 2026 |
| 2Q25 | $0.154 | +$0.002 | 250 MG | Mycophenolate mofetil oral | v1, posted March 10, 2026 |
| 1Q25 | $0.152 | −$0.023 | 250 MG | Mycophenolate mofetil oral | v1, posted December 19, 2025 |
| 4Q24 | $0.175 | +$0.012 | 250 MG | Mycophenolate mofetil oral | v1, posted June 11, 2025 |
| 3Q24 | $0.163 | −$0.035 | 250 MG | Mycophenolate mofetil oral | v1, posted June 11, 2025 |
| 2Q24 | $0.198 | +$0.01 | 250 MG | Mycophenolate mofetil oral | v1, posted March 11, 2025 |
| 1Q24 | $0.188 | −$0.01 | 250 MG | Mycophenolate mofetil oral | v1, posted December 19, 2024 |
| 4Q23 | $0.198 | −$0.014 | 250 MG | Mycophenolate mofetil oral | v1, posted October 10, 2024 |
| 3Q23 | $0.212 | +$0.011 | 250 MG | Mycophenolate mofetil oral | v1, posted June 5, 2024 |
| 2Q23 | $0.201 | −$0.015 | 250 MG | Mycophenolate mofetil oral | v1, posted February 23, 2024 |
| 1Q23 | $0.216 | −$0.012 | 250 MG | Mycophenolate mofetil oral | v1, posted December 6, 2023 |
| 4Q22 | $0.228 | −$0.003 | 250 MG | Mycophenolate mofetil oral | v1, posted June 22, 2023 |
| 3Q22 | $0.231 | −$0.025 | 250 MG | Mycophenolate mofetil oral | v1, posted June 9, 2023 |
| 2Q22 | $0.256 | −$0.045 | 250 MG | Mycophenolate mofetil oral | v1, posted December 14, 2022 |
| 1Q22 | $0.301 | −$0.017 | 250 MG | Mycophenolate mofetil oral | v1, posted June 8, 2022 |
| 4Q21 | $0.318 | −$0.056 | 250 MG | Mycophenolate mofetil oral | v1, posted June 2, 2022 |
| 3Q21 | $0.374 | $0.00 | 250 MG | Mycophenolate mofetil oral | v1, posted June 2, 2022 |
| 2Q21 | $0.374 | −$0.101 | 250 MG | Mycophenolate mofetil oral | v1, posted March 1, 2022 |
| 1Q21 | $0.475 | – | 250 MG | Mycophenolate mofetil 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.