Inj, retifanlimab-dlwr, 1 mg
Products billed under this code include Zynyz.
Payment limit per 1 MG, by effective quarter, 1Q24 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 Zynyz.
Payment limit per 1 MG, by effective quarter, 1Q24 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 |
|---|---|---|---|---|
| Zynyz | Incyte Corporation | 50881-0006-03 | 500 | $15,466.00 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $30.932 | −$0.049 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted September 17, 2026 |
| 3Q26 | $30.981 | +$0.578 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted September 15, 2026 |
| 2Q26 | $30.403 | −$0.124 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted September 15, 2026 |
| 1Q26 | $30.527 | −$0.029 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted September 15, 2026 |
| 4Q25 | $30.556 | +$0.574 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted September 8, 2026 |
| 3Q25 | $29.982 | +$0.246 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted March 10, 2026 |
| 2Q25 | $29.736 | +$0.472 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted March 10, 2026 |
| 1Q25 | $29.264 | +$0.065 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted December 19, 2025 |
| 4Q24 | $29.199 | −$0.162 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted June 11, 2025 |
| 3Q24 | $29.361 | −$0.139 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted June 11, 2025 |
| 2Q24 | $29.50 | −$0.334 | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted March 11, 2025 |
| 1Q24 | $29.834 | – | 1 MG | Inj, retifanlimab-dlwr, 1 mg | v1, posted December 19, 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.