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NDC 00781-3201-94 To HCPCS Mapping

NDC “00781-3201-94” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
00781-3201-94
LEVOLEUCOVORIN 175 MG/17.5 		⇄ J0641
Injection, levoleucovorin calcium, 0.5 mg
Detail Information
Relationship Start Date 06/15/2016
Relationship End Date 04/30/2023
Number Of Items In Ndc Package 17.5
Ndc Package Measure ML
Ndc Package Type VIAL
Route Of Administration IV
Billing Units EA