Inj pemetrexed, hospira 10mg
Products billed under this code include Pemetrexed.
Payment limit per 10 MG, by effective quarter, 2Q23 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under J9294
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 |
|---|---|---|---|---|
| Pemetrexed | Pfizer Inc | 00409-0004-04 | 100 | $367.80 |
| Pemetrexed | Pfizer Inc | 00409-0020-02 | 10 | $36.78 |
| Pemetrexed | Pfizer Inc | 00409-0021-03 | 50 | $183.90 |
| Pemetrexed | Pfizer Inc | 00409-1045-01 | 10 | $36.78 |
| Pemetrexed | Pfizer Inc | 00409-2188-01 | 50 | $183.90 |
| Pemetrexed | Pfizer Inc | 00409-3532-01 | 100 | $367.80 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $3.678 | +$0.735 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted September 17, 2026 |
| 3Q26 | $2.943 | −$2.255 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted September 15, 2026 |
| 2Q26 | $5.198 | +$1.008 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted September 15, 2026 |
| 1Q26 | $4.19 | +$0.643 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted September 15, 2026 |
| 4Q25 | $3.547 | −$1.378 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted September 8, 2026 |
| 3Q25 | $4.925 | +$1.065 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted March 10, 2026 |
| 2Q25 | $3.86 | +$1.295 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted March 10, 2026 |
| 1Q25 | $2.565 | +$1.947 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted December 19, 2025 |
| 4Q24 | $0.618 | −$1.352 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted June 11, 2025 |
| 3Q24 | $1.97 | −$1.647 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted June 11, 2025 |
| 2Q24 | $3.617 | −$6.937 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted March 11, 2025 |
| 1Q24 | $10.554 | +$5.576 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted December 19, 2024 |
| 4Q23 | $4.978 | −$5.019 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted October 10, 2024 |
| 3Q23 | $9.997 | −$0.46 | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted June 5, 2024 |
| 2Q23 | $10.457 | – | 10 MG | Inj pemetrexed, hospira 10mg | v1, posted February 23, 2024 |
“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