NDC codes

FDA NDC Directory
Product NDC (as listed)0069-5886Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00069-5886Add 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
0069-5886-24000695886240006958862424 TABLET in 1 BOTTLE (0069-5886-24)Marketed from Dec 18, 2025
0069-5886-990006958869900069588699100 TABLET in 1 BOTTLE (0069-5886-99)Marketed from Dec 18, 2025

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Lederle Leucovorin
Generic name (nonproprietary)
calcium folinate
Active ingredients
Leucovorin calcium — 5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Pfizer Laboratories Div Pfizer IncNDC labeler code 0069
Product type
Prescription drug
Marketing category
Unapproved drug for use in drug shortage
Marketing start
Marketing end
Other FDA classes
Folic Acid (Chemical structure)
Identifiers
Product ID 0069-5886_4734ce39-440d-4a8f-8613-2905408b42cdSPL ID 4734ce39-440d-4a8f-8613-2905408b42cdSPL set ID 4734ce39-440d-4a8f-8613-2905408b42cdRxCUI 197863UNII RPR1R4C0P4UPC 0066063817221, 0066063817207
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

N400069588624 followed by a unit qualifier and the quantity

Package 00069-5886-24. 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 .

Full label on DailyMed (opens in a new tab)

About NDC 0069-5886

What is NDC 0069-5886?
0069-5886 is the product NDC for Lederle Leucovorin (calcium folinate), Leucovorin calcium 5 mg/1 tablet, listed with the FDA by Pfizer Laboratories Div Pfizer Inc. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lederle Leucovorin (Calcium folinate).
What is the active ingredient?
Leucovorin calcium.
Who is the labeler?
Pfizer Laboratories Div Pfizer Inc, NDC labeler code 0069. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lederle Leucovorin?
1 other product NDC are listed under this name. See all Lederle Leucovorin NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Lederle Leucovorin NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Lederle Leucovorincalcium folinateLeucovorin calcium 5 mg/1TabletOralFARMASIERRA MANUFACTURING SL73591-588673591-5886-0173591-5886-02

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