Mycophenol mofetil oral 5 mg
Products billed under this code include Cellcept, Mycophenolate Mofetil.
Payment limit per 5 MG, by effective quarter, 4Q26 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 Cellcept, Mycophenolate Mofetil.
Payment limit per 5 MG, by effective quarter, 4Q26 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 |
|---|---|---|---|---|
| Cellcept | Genentech, Inc. | 00004-0259-01 | 5000 | $10.00 |
| Cellcept | Genentech, Inc. | 00004-0259-43 | 25000 | $50.00 |
| Cellcept | Genentech, Inc. | 00004-0260-01 | 10000 | $20.00 |
| Cellcept | Genentech, Inc. | 00004-0260-43 | 50000 | $100.00 |
| Mycophenolate Mofetil | Teva Pharmaceuticals USA, Inc. | 00093-7334-01 | 5000 | $10.00 |
| Mycophenolate Mofetil | Teva Pharmaceuticals USA, Inc. | 00093-7334-05 | 25000 | $50.00 |
| Mycophenolate Mofetil | Sandoz Inc. | 00781-2067-01 | 5000 | $10.00 |
| Mycophenolate Mofetil | Sandoz Inc. | 00781-2067-05 | 25000 | $50.00 |
| Mycophenolate Mofetil | Sandoz Inc. | 00781-5175-01 | 10000 | $20.00 |
| Mycophenolate Mofetil | Sandoz Inc. | 00781-5175-05 | 50000 | $100.00 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Mycophenolate Mofetil | Major Pharmaceuticals | 00904-7078-61 | 10000 | $20.00 |
| Mycophenolate Mofetil | Heritage Pharmaceuticals Inc. | 23155-0830-01 | 5000 | $10.00 |
| Mycophenolate Mofetil | Heritage Pharmaceuticals Inc. | 23155-0830-05 | 25000 | $50.00 |
| Mycophenolate Mofetil | Heritage Pharmaceuticals Inc. | 23155-0836-01 | 10000 | $20.00 |
| Mycophenolate Mofetil | Heritage Pharmaceuticals Inc. | 23155-0836-05 | 50000 | $100.00 |
| Mycophenolate Mofetil | A-S Medication Solutions | 50090-4275-00 | 18000 | $36.00 |
| Mycophenolate Mofetil | AvPAK | 50268-0557-15 | 2500 | $5.00 |
| Mycophenolate Mofetil | AvPAK | 50268-0558-15 | 5000 | $10.00 |
| Mycophenolate Mofetil | Aurobindo Pharma Usa, Inc. | 59651-0624-01 | 5000 | $10.00 |
| Mycophenolate Mofetil | Aurobindo Pharma Usa, Inc. | 59651-0624-05 | 25000 | $50.00 |
| Mycophenolate Mofetil | Aurobindo Pharma Usa, Inc. | 59651-0638-01 | 10000 | $20.00 |
| Mycophenolate Mofetil | American Health Packaging | 60687-0438-01 | 10000 | $20.00 |
| Mycophenolate Mofetil | American Health Packaging | 60687-0885-01 | 5000 | $10.00 |
| Mycophenolate Mofetil | Strides Pharma Science Limited | 64380-0725-06 | 10000 | $20.00 |
| Mycophenolate Mofetil | Strides Pharma Science Limited | 64380-0725-07 | 50000 | $100.00 |
| Mycophenolate Mofetil | Strides Pharma Science Limited | 64380-0726-06 | 5000 | $10.00 |
| Mycophenolate Mofetil | Strides Pharma Science Limited | 64380-0726-07 | 25000 | $50.00 |
| Mycophenolate Mofetil | Ascend Laboratories, LLC | 67877-0225-01 | 10000 | $20.00 |
| Mycophenolate Mofetil | Ascend Laboratories, LLC | 67877-0225-05 | 50000 | $100.00 |
| Mycophenolate Mofetil | Ascend Laboratories, LLC | 67877-0266-01 | 5000 | $10.00 |
| Mycophenolate Mofetil | Ascend Laboratories, LLC | 67877-0266-05 | 25000 | $50.00 |
| Mycophenolate Mofetil | AvPAK | 73190-0009-01 | 5000 | $10.00 |
| Mycophenolate Mofetil | AvPAK | 73190-0009-50 | 25000 | $50.00 |
| Mycophenolate Mofetil | AvPAK | 73190-0010-01 | 10000 | $20.00 |
| Mycophenolate Mofetil | AvPAK | 73190-0010-50 | 50000 | $100.00 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.002 | – | 5 MG | Mycophenol mofetil oral 5 mg | v1, posted September 17, 2026 |
“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.