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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 |
|---|---|---|---|---|---|---|
| A9575 | 0.1 ML | 5 × 10 | 50 | 500 | ASP | Q3 2022 – Q4 2026 |
Medicare Part B payment limits for the crosswalked code(s).
A9575 · Q4 2026 · effective Oct 1, 2026 – Dec 31, 2026
$0.105per 0.1 ML
Official CMS ASP methodology (per CMS file)
Derived calculation 500 units × $0.105 = $52.50 per 11-digit NDC package (arithmetic only; not a payment determination).
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.