Oral dexamethasone
Products billed under this code include Dexamethasone, Dexamethasone Intensol.
Payment limit per 0.25 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 Dexamethasone, Dexamethasone Intensol.
Payment limit per 0.25 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 |
|---|---|---|---|---|
| Dexamethasone | Hikma Pharmaceuticals USA Inc. | 00054-3177-63 | 200 | $4.40 |
| Dexamethasone | Hikma Pharmaceuticals USA Inc. | 00054-4184-25 | 1600 | $35.20 |
| Dexamethasone | Hikma Pharmaceuticals USA Inc. | 00054-8175-25 | 1600 | $35.20 |
| Dexamethasone | Hikma Pharmaceuticals USA Inc. | 00054-8180-25 | 300 | $6.60 |
| Dexamethasone | Hikma Pharmaceuticals USA Inc. | 00054-8181-25 | 600 | $13.20 |
| Dexamethasone | Major Pharmaceuticals | 00904-7266-61 | 1600 | $35.20 |
| Dexamethasone | Major Pharmaceuticals | 00904-7267-61 | 2400 | $52.80 |
| Dexamethasone | Major Pharmaceuticals | 00904-7444-61 | 800 | $17.60 |
| Dexamethasone | PD-Rx Pharmaceuticals, Inc. | 43063-0266-07 | 56 | $1.232 |
| Dexamethasone | A-S Medication Solutions | 50090-0088-04 | 96 | $2.112 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Dexamethasone | A-S Medication Solutions | 50090-0089-00 | 448 | $9.856 |
| Dexamethasone | A-S Medication Solutions | 50090-6151-04 | 96 | $2.112 |
| Dexamethasone | A-S Medication Solutions | 50090-6152-00 | 448 | $9.856 |
| Dexamethasone | PD-Rx Pharmaceuticals, Inc. | 55289-0582-04 | 64 | $1.408 |
| Dexamethasone | PD-Rx Pharmaceuticals, Inc. | 55289-0582-06 | 96 | $2.112 |
| Dexamethasone | PD-Rx Pharmaceuticals, Inc. | 55289-0582-28 | 448 | $9.856 |
| Dexamethasone | PD-Rx Pharmaceuticals, Inc. | 55289-0903-12 | 36 | $0.792 |
| Dexamethasone | Apotex Corp | 60505-6249-01 | 200 | $4.40 |
| Dexamethasone | Apotex Corp | 60505-6250-01 | 300 | $6.60 |
| Dexamethasone | Apotex Corp | 60505-6251-01 | 400 | $8.80 |
| Dexamethasone | Apotex Corp | 60505-6252-01 | 600 | $13.20 |
| Dexamethasone | Apotex Corp | 60505-6253-01 | 800 | $17.60 |
| Dexamethasone | Apotex Corp | 60505-6254-01 | 1600 | $35.20 |
| Dexamethasone | Apotex Corp | 60505-6255-01 | 2400 | $52.80 |
| Dexamethasone | American Health Packaging | 60687-0718-01 | 1600 | $35.20 |
| Dexamethasone | American Health Packaging | 60687-0729-01 | 2400 | $52.80 |
| Dexamethasone | American Health Packaging | 60687-0773-01 | 800 | $17.60 |
| Dexamethasone | Prasco Laboratories | 66993-0730-02 | 1600 | $35.20 |
| Dexamethasone | Prasco Laboratories | 66993-0730-80 | 1600 | $35.20 |
| Dexamethasone | Preferred Pharmaceuticals Inc | 68788-4113-01 | 192 | $4.224 |
| Dexamethasone | Preferred Pharmaceuticals Inc | 68788-7267-02 | 63 | $1.386 |
| Dexamethasone | Preferred Pharmaceuticals Inc | 68788-7267-03 | 90 | $1.98 |
| Dexamethasone | Preferred Pharmaceuticals Inc | 68788-8223-01 | 192 | $4.224 |
| Dexamethasone | Preferred Pharmaceuticals Inc | 68788-8223-03 | 480 | $10.56 |
| Dexamethasone | Preferred Pharmaceuticals Inc | 68788-8223-06 | 96 | $2.112 |
| Dexamethasone | Preferred Pharmaceuticals Inc | 68788-8467-01 | 192 | $4.224 |
| Dexamethasone | Preferred Pharmaceuticals Inc | 68788-8467-03 | 480 | $10.56 |
| Dexamethasone | Preferred Pharmaceuticals Inc | 68788-8763-03 | 90 | $1.98 |
| Dexamethasone | Preferred Pharmaceuticals Inc | 68788-8824-03 | 480 | $10.56 |
| Dexamethasone | ANI Pharmaceuticals, Inc. | 70954-0398-10 | 200 | $4.40 |
| Dexamethasone | ANI Pharmaceuticals, Inc. | 70954-0399-10 | 300 | $6.60 |
| Dexamethasone | Northstar RxLLC | 72603-0187-01 | 600 | $13.20 |
| Dexamethasone | Northstar RxLLC | 72603-0188-01 | 800 | $17.60 |
| Dexamethasone | Northstar RxLLC | 72603-0189-01 | 1600 | $35.20 |
| Dexamethasone | Northstar RxLLC | 72603-0190-01 | 2400 | $52.80 |
| Dexamethasone | Northstar RxLLC | 72603-0212-01 | 200 | $4.40 |
| Dexamethasone | Northstar RxLLC | 72603-0213-01 | 300 | $6.60 |
| Dexamethasone | PD-Rx Pharmaceuticals, Inc. | 72789-0501-20 | 60 | $1.32 |
| Dexamethasone Intensol | Hikma Pharmaceuticals USA Inc. | 00054-3176-44 | 120 | $2.64 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.022 | −$0.004 | 0.25 MG | Oral dexamethasone | v1, posted September 17, 2026 |
| 3Q26 | $0.026 | −$0.001 | 0.25 MG | Oral dexamethasone | v1, posted September 15, 2026 |
| 2Q26 | $0.027 | +$0.018 | 0.25 MG | Oral dexamethasone | v1, posted September 15, 2026 |
| 1Q26 | $0.009 | −$0.006 | 0.25 MG | Oral dexamethasone | v1, posted September 15, 2026 |
| 4Q25 | $0.015 | −$0.001 | 0.25 MG | Oral dexamethasone | v1, posted September 8, 2026 |
| 3Q25 | $0.016 | −$0.043 | 0.25 MG | Oral dexamethasone | v1, posted March 10, 2026 |
| 2Q25 | $0.059 | −$0.005 | 0.25 MG | Oral dexamethasone | v1, posted March 10, 2026 |
| 1Q25 | $0.064 | +$0.023 | 0.25 MG | Oral dexamethasone | v1, posted December 19, 2025 |
| 4Q24 | $0.041 | −$0.027 | 0.25 MG | Oral dexamethasone | v1, posted June 11, 2025 |
| 3Q24 | $0.068 | +$0.001 | 0.25 MG | Oral dexamethasone | v1, posted June 11, 2025 |
| 2Q24 | $0.067 | −$0.016 | 0.25 MG | Oral dexamethasone | v1, posted March 11, 2025 |
| 1Q24 | $0.083 | +$0.005 | 0.25 MG | Oral dexamethasone | v1, posted December 19, 2024 |
| 4Q23 | $0.078 | −$0.025 | 0.25 MG | Oral dexamethasone | v1, posted October 10, 2024 |
| 3Q23 | $0.103 | −$0.003 | 0.25 MG | Oral dexamethasone | v1, posted June 5, 2024 |
| 2Q23 | $0.106 | +$0.001 | 0.25 MG | Oral dexamethasone | v1, posted February 23, 2024 |
| 1Q23 | $0.105 | −$0.004 | 0.25 MG | Oral dexamethasone | v1, posted December 6, 2023 |
| 4Q22 | $0.109 | +$0.009 | 0.25 MG | Oral dexamethasone | v1, posted June 22, 2023 |
| 3Q22 | $0.10 | +$0.036 | 0.25 MG | Oral dexamethasone | v1, posted June 9, 2023 |
| 2Q22 | $0.064 | −$0.03 | 0.25 MG | Oral dexamethasone | v1, posted December 14, 2022 |
| 1Q22 | $0.094 | −$0.008 | 0.25 MG | Oral dexamethasone | v1, posted June 8, 2022 |
| 4Q21 | $0.102 | +$0.054 | 0.25 MG | Oral dexamethasone | v1, posted June 2, 2022 |
| 3Q21 | $0.048 | −$0.047 | 0.25 MG | Oral dexamethasone | v1, posted June 2, 2022 |
| 2Q21 | $0.095 | −$0.017 | 0.25 MG | Oral dexamethasone | v1, posted March 1, 2022 |
| 1Q21 | $0.112 | – | 0.25 MG | Oral dexamethasone | 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.