NDC codes

FDA NDC Directory
Product NDC (as listed)71288-104Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71288-0104Add the package segment from the table below.

Product information

Brand name (proprietary)
Levoleucovorin
Generic name (nonproprietary)
levoleucovorin calcium
Active ingredients
Levoleucovorin calcium — 50 mg/5mL
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211003
Marketing start
Listing expires
Other FDA classes
Folic Acid (Chemical structure)
Identifiers
Product ID 71288-104_a0d839ca-80eb-4061-a0c4-30e5d94af094SPL ID a0d839ca-80eb-4061-a0c4-30e5d94af094SPL set ID b4dd0e14-d42a-4581-b1f0-7ba95b50bca6RxCUI 1720760UNII 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

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Levoleucovorin for Injection is indicated for: rescue after high-dose methotrexate therapy in adult and pediatric patients with osteosarcoma. diminishing the toxicity associated with overdosage of folic acid antagonists or impaired methotrexate elimination in adult and pediatric patients. the treatment of adults with metastatic colorectal cancer in combination with fluorouracil. Levoleucovorin for Injection is a folate analog indicated for: Rescue after high-dose methotrexate therapy in adult and pediatric patients with osteosarcoma. ( 1 ) Diminishing the toxicity associated with overdosage of folic acid antagonists or impaired methotrexate elimination in adult and pediatric patients. ( 1 ) …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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