NDC codes

FDA NDC Directory
Product NDC (as listed)0555-0484Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00555-0484Add 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
0555-0484-01005550484010055504840130 TABLET in 1 BOTTLE (0555-0484-01)Marketed from Jun 30, 1990
0555-0484-020055504840200555048402100 TABLET in 1 BOTTLE (0555-0484-02)Marketed from Jun 30, 1990

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)
Leucovorin Calcium
Generic name (nonproprietary)
leucovorin calcium
Active ingredients
Leucovorin calcium — 5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Teva Pharmaceuticals USA, Inc.NDC labeler code 0555
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 071198
Marketing start
Listing expires
Other FDA classes
Folic Acid (Chemical structure)
Identifiers
Product ID 0555-0484_3ba61b64-dd4e-44d7-8348-85a193c7c267SPL ID 3ba61b64-dd4e-44d7-8348-85a193c7c267SPL set ID 94669fc8-3c1c-4228-be27-09a1cd468c36RxCUI 197862, 197863UNII RPR1R4C0P4UPC 0305550484011
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

N400555048401 followed by a unit qualifier and the quantity

Package 00555-0484-01. 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 .

Indications (excerpt from the label)

Leucovorin calcium tablets are a folate analog indicated: To reduce the toxicity of: Methotrexate in adult patients with impaired methotrexate elimination, and Folic acid antagonists or dihydrofolate reductase (DHFR) inhibitors following an overdose in adult patients. ( 1.1 ) For the treatment of cerebral folate transport deficiency in adult and pediatric patients who have a confirmed variant in the folate receptor 1 gene (FOLR1-CFTD). ( 1.2 ) Limitations of Use Leucovorin calcium tablets are not recommended for use in patients with a deficiency of methenyltetrahydrofolate synthetase (MTHFS) because MTHFS is a primary enzyme in the metabolism of leucovorin to 5-methenyltetrahydrofolate. ( 1.…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0555-0484

What is NDC 0555-0484?
0555-0484 is the product NDC for Leucovorin Calcium, Leucovorin calcium 5 mg/1 tablet, listed with the FDA by Teva Pharmaceuticals USA, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Leucovorin Calcium.
What is the active ingredient?
Leucovorin calcium.
Who is the labeler?
Teva Pharmaceuticals USA, Inc., NDC labeler code 0555. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Leucovorin Calcium?
54 other product NDCs are listed under this name. See all Leucovorin Calcium 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 Leucovorin Calcium NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Leucovorin CalciumLeucovorin calcium 25 mg/1TabletOralMajor Pharmaceuticals0904-758400904-7584-10
Leucovorin CalciumLeucovorin calcium 350 mg/17.5mLInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousGland Pharma Limited68083-58768083-0587-01
Leucovorin CalciumLeucovorin calcium 350 mg/17.5mLInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousGLENMARK PHARMACEUTICALS INC., USA68462-76768462-0767-35
leucovorin calciumLeucovorin calcium 100 mg/10mLInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousBluePoint Laboratories68001-64868001-0648-36
leucovorin calciumLeucovorin calcium 200 mg/20mLInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousBluePoint Laboratories68001-64968001-0649-37
leucovorin calciumLeucovorin calcium 350 mg/17.5mLInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousBluePoint Laboratories68001-65068001-0650-38
Leucovorin CalciumLeucovorin calcium 350 mg/1Injection, Powder, Lyophilized, For solutionIntramuscular, IntravenousSlate Run Pharmaceuticals, LLC70436-11970436-0119-80
leucovorin calciumLeucovorin calcium 50 mg/5mLInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousMeitheal Pharmaceuticals Inc.71288-16071288-0160-10
leucovorin calciumLeucovorin calcium 100 mg/10mLInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousMeitheal Pharmaceuticals Inc.71288-16171288-0161-20
leucovorin calciumLeucovorin calcium 200 mg/20mLInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousMeitheal Pharmaceuticals Inc.71288-16271288-0162-30

All 55 Leucovorin Calcium NDCs

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