NDC codes

FDA NDC Directory
Product NDC (as listed)71205-908Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71205-0908Add 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
71205-908-0071205090800100 TABLET in 1 BOTTLE (71205-908-00)Marketed from Jul 16, 2021
71205-908-11712050908111000 TABLET in 1 BOTTLE (71205-908-11)Marketed from Jul 16, 2021
71205-908-307120509083030 TABLET in 1 BOTTLE (71205-908-30)Marketed from Jul 16, 2021
71205-908-5571205090855500 TABLET in 1 BOTTLE (71205-908-55)Marketed from Jul 16, 2021
71205-908-607120509086060 TABLET in 1 BOTTLE (71205-908-60)Marketed from Jul 16, 2021
71205-908-907120509089090 TABLET in 1 BOTTLE (71205-908-90)Marketed from Jul 16, 2021

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)
Leucovorin Calcium
Generic name (nonproprietary)
leucovorin calcium
Active ingredients
Leucovorin calcium — 5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 213929
Marketing start
Listing expires
Other FDA classes
Folic Acid (Chemical structure)
Identifiers
Product ID 71205-908_349c3831-62bc-4f66-9c19-5185520af6c6SPL ID 349c3831-62bc-4f66-9c19-5185520af6c6SPL set ID 46d12bd0-ec7d-4e2c-aeed-b8aa88e6dc5cRxCUI 197863UNII RPR1R4C0P4UPC 0371205908300
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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N471205090800 followed by a unit qualifier and the quantity

Package 71205-0908-00. 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)

INDICATIONS AND USAGE Leucovorin Calcium Tablets are indicated to diminish the toxicity and counteract the effects of impaired methotrexate elimination and of inadvertent overdosages of folic acid antagonists.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 213929

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

FDA NDC Directory listings under ANDA 213929
ProductStrengthForm · routeLabelerProduct NDC
Leucovorin CalciumLeucovorin calcium 10 mg/1TabletOralLeading Pharma, LLC69315-185
Leucovorin CalciumLeucovorin calcium 5 mg/1TabletOralLeading Pharma, LLC69315-184
Leucovorin CalciumLeucovorin calcium 15 mg/1TabletOralLeading Pharma, LLC69315-186
Leucovorin CalciumLeucovorin calcium 25 mg/1TabletOralLeading Pharma, LLC69315-187

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in