| Source NDC Code |
|
Target HCPCS Code |
68001-0650-38
LEUCOVORIN CALCIUM SDV,LYOPHILIZED 350 MG
|
⇄
|
J0640
INJECTION, LEUCOVORIN CALCIUM, PER 50 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 |
|
|
|
68001-0650-38
Leucovorin Calcium
|
⇄
|
J0640
Leucovorin calcium injection
|
| 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 |
|
|
|
|