Bleomycin sulfate injection
Products billed under this code include Bleomycin Sulfate.
Payment limit per 15 UNITS, 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 Bleomycin Sulfate.
Payment limit per 15 UNITS, 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 |
|---|---|---|---|---|
| Bleomycin Sulfate | Hikma Pharmaceuticals USA Inc. | 00143-9240-01 | 1 | $23.12 |
| Bleomycin Sulfate | Hikma Pharmaceuticals USA Inc. | 00143-9241-01 | 2 | $46.24 |
| Bleomycin Sulfate | Pfizer Inc | 00409-0323-20 | 2 | $46.24 |
| Bleomycin Sulfate | Pfizer Inc | 00409-0332-20 | 1 | $23.12 |
| Bleomycin Sulfate | Northstar RxLLC | 16714-0886-01 | 1 | $23.12 |
| Bleomycin Sulfate | Northstar RxLLC | 16714-0908-01 | 2 | $46.24 |
| Bleomycin Sulfate | Pfizer Inc | 61703-0323-22 | 2 | $46.24 |
| Bleomycin Sulfate | Pfizer Inc | 61703-0332-18 | 1 | $23.12 |
| Bleomycin Sulfate | FreseniUS Kabi USA, LLC | 63323-0136-10 | 1 | $23.12 |
| Bleomycin Sulfate | FreseniUS Kabi USA, LLC | 63323-0137-20 | 2 | $46.24 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Bleomycin Sulfate | Meitheal Pharmaceuticals Inc. | 71288-0106-10 | 1 | $23.12 |
| Bleomycin Sulfate | Meitheal Pharmaceuticals Inc. | 71288-0107-20 | 2 | $46.24 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $23.12 | −$1.718 | 15 UNITS | Bleomycin sulfate injection | v1, posted September 17, 2026 |
| 3Q26 | $24.838 | +$8.24 | 15 UNITS | Bleomycin sulfate injection | v1, posted September 15, 2026 |
| 2Q26 | $16.598 | −$6.42 | 15 UNITS | Bleomycin sulfate injection | v1, posted September 15, 2026 |
| 1Q26 | $23.018 | +$1.493 | 15 UNITS | Bleomycin sulfate injection | v1, posted September 15, 2026 |
| 4Q25 | $21.525 | +$0.626 | 15 UNITS | Bleomycin sulfate injection | v1, posted September 8, 2026 |
| 3Q25 | $20.899 | −$0.657 | 15 UNITS | Bleomycin sulfate injection | v1, posted March 10, 2026 |
| 2Q25 | $21.556 | +$0.645 | 15 UNITS | Bleomycin sulfate injection | v1, posted March 10, 2026 |
| 1Q25 | $20.911 | −$3.773 | 15 UNITS | Bleomycin sulfate injection | v1, posted December 19, 2025 |
| 4Q24 | $24.684 | −$0.453 | 15 UNITS | Bleomycin sulfate injection | v1, posted June 11, 2025 |
| 3Q24 | $25.137 | +$2.019 | 15 UNITS | Bleomycin sulfate injection | v1, posted June 11, 2025 |
| 2Q24 | $23.118 | +$2.094 | 15 UNITS | Bleomycin sulfate injection | v1, posted March 11, 2025 |
| 1Q24 | $21.024 | −$3.557 | 15 UNITS | Bleomycin sulfate injection | v1, posted December 19, 2024 |
| 4Q23 | $24.581 | +$0.048 | 15 UNITS | Bleomycin sulfate injection | v1, posted October 10, 2024 |
| 3Q23 | $24.533 | +$0.248 | 15 UNITS | Bleomycin sulfate injection | v1, posted June 5, 2024 |
| 2Q23 | $24.285 | −$0.96 | 15 UNITS | Bleomycin sulfate injection | v1, posted February 23, 2024 |
| 1Q23 | $25.245 | +$0.944 | 15 UNITS | Bleomycin sulfate injection | v1, posted December 6, 2023 |
| 4Q22 | $24.301 | +$0.184 | 15 UNITS | Bleomycin sulfate injection | v1, posted June 22, 2023 |
| 3Q22 | $24.117 | −$1.864 | 15 UNITS | Bleomycin sulfate injection | v1, posted June 9, 2023 |
| 2Q22 | $25.981 | −$0.819 | 15 UNITS | Bleomycin sulfate injection | v1, posted December 14, 2022 |
| 1Q22 | $26.80 | +$1.561 | 15 UNITS | Bleomycin sulfate injection | v1, posted June 8, 2022 |
| 4Q21 | $25.239 | −$4.229 | 15 UNITS | Bleomycin sulfate injection | v1, posted June 2, 2022 |
| 3Q21 | $29.468 | +$0.733 | 15 UNITS | Bleomycin sulfate injection | v1, posted June 2, 2022 |
| 2Q21 | $28.735 | +$1.727 | 15 UNITS | Bleomycin sulfate injection | v1, posted March 1, 2022 |
| 1Q21 | $27.008 | – | 15 UNITS | Bleomycin sulfate injection | 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.