Sirolimus, oral
Products billed under this code include Rapamune, Sirolimus.
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 J7520
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 |
|---|---|---|---|---|
| Rapamune | Pfizer Inc | 00008-1041-05 | 100 | $60.90 |
| Rapamune | Pfizer Inc | 00008-1042-05 | 200 | $121.80 |
| Sirolimus | Northstar RxLLC | 16714-0187-01 | 50 | $30.45 |
| Sirolimus | Northstar RxLLC | 16714-0188-01 | 100 | $60.90 |
| Sirolimus | Northstar RxLLC | 16714-0189-01 | 200 | $121.80 |
| Sirolimus | AvPAK | 50268-0718-13 | 30 | $18.27 |
| Sirolimus | Dr. Reddy's Laboratories Inc. | 55111-0653-01 | 100 | $60.90 |
| Sirolimus | Dr. Reddy's Laboratories Inc. | 55111-0654-01 | 200 | $121.80 |
| Sirolimus | Mylan Pharmaceuticals Inc. | 59762-1001-01 | 50 | $30.45 |
| Sirolimus | Mylan Pharmaceuticals Inc. | 59762-1002-01 | 100 | $60.90 |
Show all 23 products
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Sirolimus | Mylan Pharmaceuticals Inc. | 59762-1003-01 | 200 | $121.80 |
| Sirolimus | Mylan Pharmaceuticals Inc. | 59762-1205-06 | 60 | $36.54 |
| Sirolimus | Apotex Corp | 60505-6197-02 | 60 | $36.54 |
| Sirolimus | Ascend Laboratories, LLC | 67877-0746-01 | 50 | $30.45 |
| Sirolimus | Ascend Laboratories, LLC | 67877-0747-01 | 100 | $60.90 |
| Sirolimus | Ascend Laboratories, LLC | 67877-0748-01 | 200 | $121.80 |
| Sirolimus | American Health Packaging | 68084-0915-25 | 30 | $18.27 |
| Sirolimus | Glenmark Pharmaceuticals Inc., USA | 68462-0682-01 | 50 | $30.45 |
| Sirolimus | Glenmark Pharmaceuticals Inc., USA | 68462-0683-01 | 100 | $60.90 |
| Sirolimus | Glenmark Pharmaceuticals Inc., USA | 68462-0684-01 | 200 | $121.80 |
| Sirolimus | Amneal Pharmaceuticals, LLC | 69238-1594-03 | 60 | $36.54 |
| Sirolimus | Novadoz Pharmaceuticals LLC | 72205-0099-78 | 60 | $36.54 |
| Sirolimus | Northstar RxLLC | 72603-0409-01 | 60 | $36.54 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.609 | −$0.135 | 1 MG | Sirolimus, oral | v1, posted September 17, 2026 |
| 3Q26 | $0.744 | −$0.522 | 1 MG | Sirolimus, oral | v1, posted September 15, 2026 |
| 2Q26 | $1.266 | +$0.297 | 1 MG | Sirolimus, oral | v1, posted September 15, 2026 |
| 1Q26 | $0.969 | +$0.099 | 1 MG | Sirolimus, oral | v1, posted September 15, 2026 |
| 4Q25 | $0.87 | −$0.086 | 1 MG | Sirolimus, oral | v1, posted September 8, 2026 |
| 3Q25 | $0.956 | −$0.188 | 1 MG | Sirolimus, oral | v1, posted March 10, 2026 |
| 2Q25 | $1.144 | +$0.081 | 1 MG | Sirolimus, oral | v1, posted March 10, 2026 |
| 1Q25 | $1.063 | −$0.264 | 1 MG | Sirolimus, oral | v1, posted December 19, 2025 |
| 4Q24 | $1.327 | −$0.008 | 1 MG | Sirolimus, oral | v1, posted June 11, 2025 |
| 3Q24 | $1.335 | −$1.125 | 1 MG | Sirolimus, oral | v1, posted June 11, 2025 |
| 2Q24 | $2.46 | −$0.212 | 1 MG | Sirolimus, oral | v1, posted March 11, 2025 |
| 1Q24 | $2.672 | −$0.483 | 1 MG | Sirolimus, oral | v1, posted December 19, 2024 |
| 4Q23 | $3.155 | +$0.048 | 1 MG | Sirolimus, oral | v1, posted October 10, 2024 |
| 3Q23 | $3.107 | +$0.17 | 1 MG | Sirolimus, oral | v1, posted June 5, 2024 |
| 2Q23 | $2.937 | −$0.209 | 1 MG | Sirolimus, oral | v1, posted February 23, 2024 |
| 1Q23 | $3.146 | −$0.271 | 1 MG | Sirolimus, oral | v1, posted December 6, 2023 |
| 4Q22 | $3.417 | +$1.202 | 1 MG | Sirolimus, oral | v1, posted June 22, 2023 |
| 3Q22 | $2.215 | −$1.78 | 1 MG | Sirolimus, oral | v1, posted June 9, 2023 |
| 2Q22 | $3.995 | −$0.506 | 1 MG | Sirolimus, oral | v1, posted December 14, 2022 |
| 1Q22 | $4.501 | −$0.001 | 1 MG | Sirolimus, oral | v1, posted June 8, 2022 |
| 4Q21 | $4.502 | −$1.071 | 1 MG | Sirolimus, oral | v1, posted June 2, 2022 |
| 3Q21 | $5.573 | −$0.976 | 1 MG | Sirolimus, oral | v1, posted June 2, 2022 |
| 2Q21 | $6.549 | +$0.047 | 1 MG | Sirolimus, oral | v1, posted March 1, 2022 |
| 1Q21 | $6.502 | – | 1 MG | Sirolimus, 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.
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