Rxcurve
Medicare Part B payment limits Effective October 1 – December 31, 2026 Posted by CMS September 17, 2026
HCPCS Q5119 · per 10 MG

Inj ruxience, 10 mg

Products billed under this code include Ruxience.

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 Q5119

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

ProductLabelerNDCUnits / pkgLimit / pkg
Ruxience Pfizer Inc 00069-0238-01 10 $57.92
Ruxience Pfizer Inc 00069-0249-01 50 $289.60

Every quarter

QuarterPayment limitChangeBilling unitDescriptionSource file
4Q26 $5.792 −$10.368 10 MG Inj ruxience, 10 mg v1, posted September 17, 2026
3Q26 $16.16 +$2.474 10 MG Inj ruxience, 10 mg v1, posted September 15, 2026
2Q26 $13.686 +$0.416 10 MG Inj ruxience, 10 mg v1, posted September 15, 2026
1Q26 $13.27 −$14.575 10 MG Inj ruxience, 10 mg v1, posted September 15, 2026
4Q25 $27.845 +$1.342 10 MG Inj ruxience, 10 mg v1, posted September 8, 2026
3Q25 $26.503 +$1.56 10 MG Inj ruxience, 10 mg v1, posted March 10, 2026
2Q25 $24.943 +$1.354 10 MG Inj ruxience, 10 mg v1, posted March 10, 2026
1Q25 $23.589 +$1.152 10 MG Inj ruxience, 10 mg v1, posted December 19, 2025
4Q24 $22.437 +$3.186 10 MG Inj ruxience, 10 mg v1, posted June 11, 2025
3Q24 $19.251 −$1.024 10 MG Inj ruxience, 10 mg v1, posted June 11, 2025
2Q24 $20.275 −$0.172 10 MG Inj ruxience, 10 mg v1, posted March 11, 2025
1Q24 $20.447 −$1.857 10 MG Inj ruxience, 10 mg v1, posted December 19, 2024
4Q23 $22.304 −$2.414 10 MG Inj ruxience, 10 mg v1, posted October 10, 2024
3Q23 $24.718 −$2.867 10 MG Inj ruxience, 10 mg v1, posted June 5, 2024
2Q23 $27.585 −$3.502 10 MG Inj ruxience, 10 mg v1, posted February 23, 2024
1Q23 $31.087 −$8.654 10 MG Inj ruxience, 10 mg v1, posted December 6, 2023
4Q22 $39.741 −$4.288 10 MG Inj ruxience, 10 mg v1, posted June 22, 2023
3Q22 $44.029 −$5.787 10 MG Inj ruxience, 10 mg v1, posted June 9, 2023
2Q22 $49.816 −$6.554 10 MG Inj ruxience, 10 mg v1, posted December 14, 2022
1Q22 $56.37 −$2.426 10 MG Inj ruxience, 10 mg v1, posted June 8, 2022
4Q21 $58.796 −$3.686 10 MG Inj ruxience, 10 mg v1, posted June 2, 2022
3Q21 $62.482 −$2.025 10 MG Inj ruxience, 10 mg v1, posted June 2, 2022
2Q21 $64.507 −$2.816 10 MG Inj ruxience, 10 mg v1, posted March 1, 2022
1Q21 $67.323 – 10 MG Inj ruxience, 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