Home › Drug Codes › S Codes › S0160 · DEXTROAMPHETAMINE SULFATE
Updated October 1st, 2026

DEXTROAMPHETAMINE SULFATE S Code: S0160

Dextroamphetamine sulfate, 5 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q4 2026
APC Payment Limit ?
Not published
CMS publishes none for Q4 2026
ASP ?
No current ASP
Not available for Q4 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Dextroamphetamine sulfate, 5 mg
HCPCS Added Date April 1, 2004
Manufacturer Sunrise Pharmaceutical
Route of Administration Oral
Generic Status Single-Source; Branded
Dosage Form Tablet

About DEXTROAMPHETAMINE SULFATE

Dextroamphetamine Sulfate is a medication aligned to the HCPCS S Code: S0160 for billing, pricing, and reimbursement purposes in the United States. It is a Psychiatric drug administered via the oral route and manufactured by Sunrise Pharmaceutical.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to S0160. Package detail is available to logged-in subscribers.

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DEXTROAMPHETAMINE SULFATE Pricing & Reimbursement

S0160 Private Payer Reimbursement
$0.56 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna
Not on the CMS JW / JZ list

CMS does not include Dextroamphetamine Sulfate (S0160) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing S0160. Wastage billing guide →

DEXTROAMPHETAMINE SULFATE Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Attention Deficit Disorder with Hyperactivity Narcolepsy
Drug Class
Central Nervous System Stimulant [EPC]Central Nervous System Stimulation [PE]

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Frequently Asked Questions

Is there an available Dextroamphetamine Sulfate billing and coding guide?
We have not yet identified a manufacturer source of Dextroamphetamine Sulfate billing and coding information.
Are there any available Dextroamphetamine Sulfate patient assistance programs?
Our team did not identify a source for Dextroamphetamine Sulfate patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Dextroamphetamine Sulfate prescribing information?
DEXTROAMPHETAMINE SULFATE prescribing information can be found at the link below: Visit Here →
Where can I find Dextroamphetamine Sulfate side effect information?
Information regarding DEXTROAMPHETAMINE SULFATE's side effects can be found at MedlinePlus Visit Here →
Does billing DEXTROAMPHETAMINE SULFATE require JZ/JW wastage modifiers?
CMS does not include DEXTROAMPHETAMINE SULFATE (S0160) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing S0160. For more information, visit the link below.

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