Rxcurve
Medicare Part B payment limits Effective October 1 – December 31, 2026 Posted by CMS September 17, 2026
HCPCS Q5116 · per 10 MG

Inj., trazimera, 10 mg

Products billed under this code include Trazimera.

Payment limit per 10 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 Q5116

From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.

ProductLabelerNDCUnits / pkgLimit / pkg
Trazimera Pfizer Inc 00069-0305-01 42 $473.382
Trazimera Pfizer Inc 00069-0308-01 15 $169.065

Every quarter

QuarterPayment limitChangeBilling unitDescriptionSource file
4Q26 $11.271 −$1.762 10 MG Inj., trazimera, 10 mg v1, posted September 17, 2026
3Q26 $13.033 +$2.608 10 MG Inj., trazimera, 10 mg v1, posted September 15, 2026
2Q26 $10.425 +$2.22 10 MG Inj., trazimera, 10 mg v1, posted September 15, 2026
1Q26 $8.205 −$19.786 10 MG Inj., trazimera, 10 mg v1, posted September 15, 2026
4Q25 $27.991 −$0.625 10 MG Inj., trazimera, 10 mg v1, posted September 8, 2026
3Q25 $28.616 +$3.685 10 MG Inj., trazimera, 10 mg v1, posted March 10, 2026
2Q25 $24.931 +$5.962 10 MG Inj., trazimera, 10 mg v1, posted March 10, 2026
1Q25 $18.969 −$0.201 10 MG Inj., trazimera, 10 mg v1, posted December 19, 2025
4Q24 $19.17 +$6.526 10 MG Inj., trazimera, 10 mg v1, posted June 11, 2025
3Q24 $12.644 −$0.121 10 MG Inj., trazimera, 10 mg v1, posted June 11, 2025
2Q24 $12.765 −$3.602 10 MG Inj., trazimera, 10 mg v1, posted March 11, 2025
1Q24 $16.367 −$3.255 10 MG Inj., trazimera, 10 mg v1, posted December 19, 2024
4Q23 $19.622 −$2.306 10 MG Inj., trazimera, 10 mg v1, posted October 10, 2024
3Q23 $21.928 −$3.05 10 MG Inj., trazimera, 10 mg v1, posted June 5, 2024
2Q23 $24.978 −$6.958 10 MG Inj., trazimera, 10 mg v1, posted February 23, 2024
1Q23 $31.936 −$8.07 10 MG Inj., trazimera, 10 mg v1, posted December 6, 2023
4Q22 $40.006 −$5.474 10 MG Inj., trazimera, 10 mg v1, posted June 22, 2023
3Q22 $45.48 −$5.536 10 MG Inj., trazimera, 10 mg v1, posted June 9, 2023
2Q22 $51.016 −$4.771 10 MG Inj., trazimera, 10 mg v1, posted December 14, 2022
1Q22 $55.787 −$4.144 10 MG Inj., trazimera, 10 mg v1, posted June 8, 2022
4Q21 $59.931 −$4.857 10 MG Inj., trazimera, 10 mg v1, posted June 2, 2022
3Q21 $64.788 −$3.319 10 MG Inj., trazimera, 10 mg v1, posted June 2, 2022
2Q21 $68.107 −$6.061 10 MG Inj., trazimera, 10 mg v1, posted March 1, 2022
1Q21 $74.168 – 10 MG Inj., trazimera, 10 mg 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.

CMS source files