Products billed under this code include Levalbuterol, Levalbuterol Hydrochloride.
Payment limit per 0.5 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 |
|---|---|---|---|---|
| Levalbuterol | Teva Pharmaceuticals USA, Inc. | 00093-4145-56 | 19 | $1.444 |
| Levalbuterol | Teva Pharmaceuticals USA, Inc. | 00093-4146-56 | 38 | $2.888 |
| Levalbuterol | Teva Pharmaceuticals USA, Inc. | 00093-4148-56 | 75 | $5.70 |
| Levalbuterol | Amneal Pharmaceuticals, LLC | 00115-9930-78 | 16 | $1.216 |
| Levalbuterol | Amneal Pharmaceuticals, LLC | 00115-9931-78 | 32 | $2.432 |
| Levalbuterol | Impax Laboratories, LLC | 00115-9932-78 | 63 | $4.788 |
| Levalbuterol | Mylan Pharmaceuticals Inc. | 00378-9690-52 | 16 | $1.216 |
| Levalbuterol | Mylan Pharmaceuticals Inc. | 00378-9691-52 | 32 | $2.432 |
| Levalbuterol | Mylan Pharmaceuticals Inc. | 00378-9692-52 | 63 | $4.788 |
| Levalbuterol | A-S Medication Solutions | 50090-6377-00 | 33 | $2.508 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Levalbuterol | Ritedose Pharmaceuticals, LLC | 76204-0700-01 | 19 | $1.444 |
| Levalbuterol | Ritedose Pharmaceuticals, LLC | 76204-0700-25 | 16 | $1.216 |
| Levalbuterol | Ritedose Pharmaceuticals, LLC | 76204-0800-01 | 38 | $2.888 |
| Levalbuterol | Ritedose Pharmaceuticals, LLC | 76204-0800-25 | 32 | $2.432 |
| Levalbuterol | Ritedose Pharmaceuticals, LLC | 76204-0900-01 | 75 | $5.70 |
| Levalbuterol | Ritedose Pharmaceuticals, LLC | 76204-0900-25 | 63 | $4.788 |
| Levalbuterol Hydrochloride | Burel Pharmaceuticals, LLC | 35573-0443-25 | 16 | $1.216 |
| Levalbuterol Hydrochloride | Burel Pharmaceuticals, LLC | 35573-0444-25 | 32 | $2.432 |
| Levalbuterol Hydrochloride | Burel Pharmaceuticals, LLC | 35573-0445-25 | 63 | $4.788 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.076 | +$0.001 | 0.5 MG | Levalbuterol non-comp unit | v1, posted September 17, 2026 |
| 3Q26 | $0.075 | −$0.011 | 0.5 MG | Levalbuterol non-comp unit | v1, posted September 15, 2026 |
| 2Q26 | $0.086 | +$0.003 | 0.5 MG | Levalbuterol non-comp unit | v1, posted September 15, 2026 |
| 1Q26 | $0.083 | −$0.008 | 0.5 MG | Levalbuterol non-comp unit | v1, posted September 15, 2026 |
| 4Q25 | $0.091 | +$0.003 | 0.5 MG | Levalbuterol non-comp unit | v1, posted September 8, 2026 |
| 3Q25 | $0.088 | +$0.001 | 0.5 MG | Levalbuterol non-comp unit | v1, posted March 10, 2026 |
| 2Q25 | $0.087 | +$0.002 | 0.5 MG | Levalbuterol non-comp unit | v1, posted March 10, 2026 |
| 1Q25 | $0.085 | +$0.005 | 0.5 MG | Levalbuterol non-comp unit | v1, posted December 19, 2025 |
| 4Q24 | $0.08 | −$0.003 | 0.5 MG | Levalbuterol non-comp unit | v1, posted June 11, 2025 |
| 3Q24 | $0.083 | −$0.002 | 0.5 MG | Levalbuterol non-comp unit | v1, posted June 11, 2025 |
| 2Q24 | $0.085 | +$0.01 | 0.5 MG | Levalbuterol non-comp unit | v1, posted March 11, 2025 |
| 1Q24 | $0.075 | +$0.025 | 0.5 MG | Levalbuterol non-comp unit | v1, posted December 19, 2024 |
| 4Q23 | $0.05 | +$0.015 | 0.5 MG | Levalbuterol non-comp unit | v1, posted October 10, 2024 |
| 3Q23 | $0.035 | −$0.005 | 0.5 MG | Levalbuterol non-comp unit | v1, posted June 5, 2024 |
| 2Q23 | $0.04 | −$0.01 | 0.5 MG | Levalbuterol non-comp unit | v1, posted February 23, 2024 |
| 1Q23 | $0.05 | +$0.003 | 0.5 MG | Levalbuterol non-comp unit | v1, posted December 6, 2023 |
| 4Q22 | $0.047 | −$0.017 | 0.5 MG | Levalbuterol non-comp unit | v1, posted June 22, 2023 |
| 3Q22 | $0.064 | $0.00 | 0.5 MG | Levalbuterol non-comp unit | v1, posted June 9, 2023 |
| 2Q22 | $0.064 | +$0.004 | 0.5 MG | Levalbuterol non-comp unit | v1, posted December 14, 2022 |
| 1Q22 | $0.06 | +$0.001 | 0.5 MG | Levalbuterol non-comp unit | v1, posted June 8, 2022 |
| 4Q21 | $0.059 | +$0.002 | 0.5 MG | Levalbuterol non-comp unit | v1, posted June 2, 2022 |
| 3Q21 | $0.057 | −$0.002 | 0.5 MG | Levalbuterol non-comp unit | v1, posted June 2, 2022 |
| 2Q21 | $0.059 | −$0.003 | 0.5 MG | Levalbuterol non-comp unit | v1, posted March 1, 2022 |
| 1Q21 | $0.062 | – | 0.5 MG | Levalbuterol non-comp unit | 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.
