| Source HCPCS Code |
|
Target NDC Code |
J0640
|
⇄
|
00054-4496-13
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00054-4496-25
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00054-4497-05
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00054-4497-10
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00054-4498-05
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00054-4498-10
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00054-4499-11
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00054-8496-19
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00054-8497-06
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00054-8498-06
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00054-8499-06
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
00074-4541-02
LEUCOVORIN CALCIUM (VIAL, FLIPTOP) 10 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/7/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
00074-4541-04
LEUCOVORIN CALCIUM (VIAL, FLIPTOP 30 ML) 10 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/7/2002 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
00143-9368-01
LEUCOVORIN CALCIUM NOVAPLUS (PF,LATEX-FREE) 200 MG
|
| Detail Information |
| Relationship Start Date |
03/09/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
00143-9552-01
LEUCOVORIN CALCIUM (PF,LYOPHILIZED) 350 MG
|
| Detail Information |
| Relationship Start Date |
08/24/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
00143-9553-01
LEUCOVORIN CALCIUM (PF,LATEX-FREE) 200 MG
|
| Detail Information |
| Relationship Start Date |
06/14/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
00143-9554-01
LEUCOVORIN CALCIUM (PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
06/14/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
00143-9555-01
LEUCOVORIN CALCIUM (PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
06/14/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
00517-8605-25
LEUCOVORIN CALCIUM (S.D.V.,PF) 10 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/9/2002 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0640
|
⇄
|
00641-2354-41
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00703-2793-01
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
00703-2797-01
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
00703-5140-01
LEUCOVORIN CALCIUM (VIAL,PF) 100 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
07/10/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
00703-5145-01
LEUCOVORIN CALCIUM (PF) 350 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
07/10/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
Injection, leucovorin calcium, per 50 mg
|
⇄
|
00703-5145-91
LEUCOVORIN CALCIUM 350 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2017 |
| Relationship End Date |
04/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
|
⇄
|
00904-2315-60
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Injection, leucovorin calcium, per 50 mg
|
⇄
|
25021-0813-10
LEUCOVORIN CALCIUM 50 MG VIAL
|
| Detail Information |
| Relationship Start Date |
12/17/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
|
⇄
|
25021-0813-66
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Injection, leucovorin calcium, per 50 mg
|
⇄
|
25021-0814-30
LEUCOVORIN CALCIUM 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
|
⇄
|
25021-0814-67
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Injection, leucovorin calcium, per 50 mg
|
⇄
|
25021-0815-30
LEUCOVORIN CALCIUM 200 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
|
⇄
|
25021-0815-67
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Injection, leucovorin calcium, per 50 mg
|
⇄
|
25021-0816-30
LEUCOVORIN CALCIUM 350 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
|
⇄
|
25021-0816-67
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
25021-0828-50
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
09/04/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
38779-0337-00
LEUCOVORIN CALCIUM HYDRATED (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
38779-0337-03
LEUCOVORIN CALCIUM HYDRATED (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
38779-0337-04
LEUCOVORIN CALCIUM HYDRATED (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/25/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
38779-0337-06
LEUCOVORIN CALCIUM HYDRATED (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
38779-0337-09
LEUCOVORIN CALCIUM HYDRATED (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
4/25/2002 |
| Relationship End Date |
1/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
49452-4036-01
LEUCOVORIN CALCIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
6/1/2015 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
49452-4036-02
LEUCOVORIN CALCIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
6/1/2015 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
49452-4036-04
LEUCOVORIN CALCIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
09/01/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.1 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0640
|
⇄
|
51079-0581-01
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
51079-0581-06
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
51079-0582-05
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
51927-2692-00
LEUCOVORIN CALCIUM (USP; ANHYDROUS)
|
| Detail Information |
| Relationship Start Date |
09/08/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0640
|
⇄
|
54868-3310-00
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
54868-3310-01
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
55390-0009-01
LEUCOVORIN CALCIUM (S.D.V.,PF) 10 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
55390-0051-10
LEUCOVORIN CALCIUM (VIAL) 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
55390-0052-10
LEUCOVORIN CALCIUM (VIAL) 100 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
55390-0053-01
LEUCOVORIN CALCIUM (VIAL) 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
55390-0054-01
LEUCOVORIN CALCIUM (S.D.V.,PF) 350 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
55390-0818-10
LEUCOVORIN CALCIUM NOVAPLUS (VIAL) 100 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/18/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
55390-0824-01
LEUCOVORIN CALCIUM NOVAPLUS (VIAL) 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/18/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
55390-0825-01
LEUCOVORIN CALCIUM NOVAPLUS (S.D.V.,PF) 350 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/18/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
55390-0826-01
LEUCOVORIN CALCIUM NOVAPLUS (S.D.V.,PF) 10 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/18/2013 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0640
|
⇄
|
58406-0623-07
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
58406-0626-74
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
61703-0410-50
LEUCOVORIN CALCIUM (S.D.V.,PF) 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/17/2005 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
|
⇄
|
62701-0900-30
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
62701-0900-99
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
|
⇄
|
62701-0901-25
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Injection, leucovorin calcium, per 50 mg
|
⇄
|
63323-0631-10
LEUCOVORIN CAL 100 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
12/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0640
Injection, leucovorin calcium, per 50 mg
|
⇄
|
63323-0631-50
LEUCOVORIN CAL 500 MG/50 ML
|
| Detail Information |
| Relationship Start Date |
12/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0640
Injection, leucovorin calcium, per 50 mg
|
⇄
|
63323-0710-50
LEUCOVORIN CALCIUM 200 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
|
⇄
|
63323-0710-59
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Injection, leucovorin calcium, per 50 mg
|
⇄
|
63323-0711-00
LEUCOVORIN CALCIUM 500 MG VL
|
| Detail Information |
| Relationship Start Date |
04/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
66479-0247-25
LEUCOVORIN CALCIUM (PF) 350 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/15/2005 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
67457-0528-10
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
07/23/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
67457-0529-20
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 200 MG
|
| Detail Information |
| Relationship Start Date |
07/23/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
67457-0530-35
LEUCOVORIN CALCIUM (PF,LYOPHILIZED) 350 MG
|
| Detail Information |
| Relationship Start Date |
01/02/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68001-0285-36
LEUCOVORIN CALCIUM (PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
11/23/2016 |
| Relationship End Date |
11/12/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68001-0285-37
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 200 MG
|
| Detail Information |
| Relationship Start Date |
11/23/2016 |
| Relationship End Date |
11/12/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68001-0285-40
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
11/23/2016 |
| Relationship End Date |
11/12/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68001-0286-38
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 350 MG
|
| Detail Information |
| Relationship Start Date |
11/23/2016 |
| Relationship End Date |
11/12/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68001-0416-36
LEUCOVORIN CALCIUM (PF,LYOPHILIZED) 100 MG
|
| Detail Information |
| Relationship Start Date |
11/11/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68001-0417-37
LEUCOVORIN CALCIUM (PF,LYOPHILIZED) 200 MG
|
| Detail Information |
| Relationship Start Date |
11/11/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68001-0418-38
LEUCOVORIN CALCIUM (PF,LYOPHILIZED) 350 MG
|
| Detail Information |
| Relationship Start Date |
11/11/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68001-0648-36
LEUCOVORIN CALCIUM SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
06/25/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68001-0649-37
LEUCOVORIN CALCIUM SDV,LYOPHILIZED 200 MG
|
| Detail Information |
| Relationship Start Date |
06/25/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68001-0650-38
LEUCOVORIN CALCIUM SDV,LYOPHILIZED 350 MG
|
| Detail Information |
| Relationship Start Date |
06/25/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
68462-0767-35
Leucovorin Calcium SDV,LYOPHILIZED 350 MG
|
| Detail Information |
| Relationship Start Date |
12/22/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
70436-0116-82
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
12/18/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
70436-0117-80
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
12/18/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
70436-0118-80
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 200 MG
|
| Detail Information |
| Relationship Start Date |
12/18/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
70436-0119-80
LEUCOVORIN CALCIUM SDV,LYOPHILIZED 350 MG
|
| Detail Information |
| Relationship Start Date |
01/20/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
70436-0120-80
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
12/18/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
71288-0160-10
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
09/04/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
71288-0161-20
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
09/04/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
71288-0162-30
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 200 MG
|
| Detail Information |
| Relationship Start Date |
09/04/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
71288-0163-30
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 350 MG
|
| Detail Information |
| Relationship Start Date |
09/04/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 MG
|
⇄
|
71288-0164-50
LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
09/04/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
68001-0416-36
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
68001-0417-37
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
68001-0418-38
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
68001-0648-36
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
68001-0649-37
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
68001-0650-38
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
63323-0631-10
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
63323-0631-50
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
63323-0710-50
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
63323-0711-00
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
68462-0767-35
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
00143-9368-01
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
00143-9552-01
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
00143-9553-01
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
00143-9554-01
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
00143-9555-01
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
71288-0160-10
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
71288-0161-20
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
71288-0162-30
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
71288-0163-30
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
71288-0164-50
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
67457-0528-10
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
67457-0529-20
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
67457-0530-35
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
25021-0813-10
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
25021-0814-30
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
25021-0815-30
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
25021-0816-30
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
25021-0816-67
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
25021-0828-50
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
70436-0116-82
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
70436-0117-80
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
70436-0118-80
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
70436-0119-80
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0640
Leucovorin calcium injection
|
⇄
|
70436-0120-80
Leucovorin Calcium
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|