NDC codes

FDA NDC Directory
Product NDC (as listed)43598-771Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43598-0771Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
43598-771-11435980771111 VIAL, SINGLE-DOSE in 1 CARTON (43598-771-11) / 17.5 mL in 1 VIAL, SINGLE-DOSEMarketed from Sep 26, 2018

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Levoleucovorin
Generic name (nonproprietary)
levoleucovorin
Active ingredients
Levoleucovorin calcium — 175 mg/17.5mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210892
Marketing start
Listing expires
Other FDA classes
Folic Acid (Chemical structure)
Identifiers
Product ID 43598-771_2f5844a8-825f-6a4f-996e-17e21c369359SPL ID 2f5844a8-825f-6a4f-996e-17e21c369359SPL set ID c003aaed-89c3-d6a6-0d34-18851b7e1255RxCUI 1720765, 1720773UNII 778XL6VBS8
Pharmacologic class
Folate Analog

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N443598077111 followed by a unit qualifier and the quantity

Package 43598-0771-11. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Levoleucovorin injection is a folate analog. Levoleucovorin injection rescue is indicated after high-dose methotrexate therapy in osteosarcoma. Levoleucovorin injection is also indicated to diminish the toxicity and counteract the effects of impaired methotrexate elimination and of inadvertent overdosage of folic acid antagonists. Levoleucovorin injection is indicated for use in combination chemotherapy with 5-fluorouracil in the palliative treatment of patients with advanced metastatic colorectal cancer. Levoleucovor injection is a folate analog indicated for: · Rescue after high-dose methotrexate therapy in osteosarcoma. · Diminishing the toxicity and counteracting the effects of impaired …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 210892

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 210892
ProductStrengthForm · routeLabelerProduct NDC
LevoleucovorinLevoleucovorin calcium 250 mg/25mLInjection, SolutionIntravenousDr.Reddy's Laboratories Inc43598-773
levoleucovorinLevoleucovorin calcium 10 mg/mLInjectionIntravenousGland Pharma Limited68083-279
levoleucovorinLevoleucovorin calcium 10 mg/mLInjectionIntravenousGland Pharma Limited68083-278

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