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This NDC is not in the CMS Medicaid Drug Rebate Program product file for Q2 2026. Medicaid generally covers outpatient drugs only from labelers with a rebate agreement — verify with the state.
Official CMS crosswalk rows for this NDC, newest first.
| HCPCS | HCPCS dosage | Pkg size × qty | Units / item | Units / NDC | Crosswalk | Quarters |
|---|---|---|---|---|---|---|
| NOC (Alfentanil Hcl) | 500 MCG | 5 × 10 | 5 | 50 | NOC | Q1 2021 – Q2 2023Not in latest file |
| J0216 | 500 MCG | 5 × 10 | 5 | 50 | ASP | Q3 2023Not in latest file |
Medicare Part B payment limits for the crosswalked code(s).
J0216 · Q3 2023 · effective Jul 1, 2023 – Sep 30, 2023
$2.565per 500 MCG
Official CMS ASP methodology (per CMS file)
Disclaimer. This application provides informational coding and reimbursement reference data. It does not constitute legal, clinical, coding, or billing advice. Codes, payment amounts, payer rules, and coverage policies can change. Verify all information with current CMS publications, the applicable payer, and your organization’s compliance policies before submitting a claim. CodeRx is not affiliated with or endorsed by CMS, FDA, Medicare, or any payer.