NDC codes

FDA NDC Directory
Product NDC (as listed)42806-133Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42806-0133Add 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
42806-133-21428060133214280601332112 TABLET in 1 BOTTLE (42806-133-21)Marketed from Jan 1, 2021
42806-133-24428060133244280601332424 TABLET in 1 BOTTLE (42806-133-24)Marketed from Jan 1, 2021

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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 — 10 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Epic Pharma LLCNDC labeler code 42806
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074544
Marketing start
Listing expires
Other FDA classes
Folic Acid (Chemical structure)
Identifiers
Product ID 42806-133_9db189e6-7ecc-465c-8197-c454350a45dcSPL ID 9db189e6-7ecc-465c-8197-c454350a45dcSPL set ID 2627a485-05b5-4dab-ac20-dc840e5c469dRxCUI 197860, 197861, 197862, 197863UNII RPR1R4C0P4UPC 0342806133217, 0342806359259, 0342806134245, 0342806358016
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

N442806013321 followed by a unit qualifier and the quantity

Package 42806-0133-21. 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)

INDICATIONS AND USAGE Leucovorin calcium tablets are indicated to diminish the toxicity and counteract the effects of impaired methotrexate elimination and of inadvertent overdosages of folic acid antagonists.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 42806-133

What is NDC 42806-133?
42806-133 is the product NDC for Leucovorin Calcium, Leucovorin calcium 10 mg/1 tablet, listed with the FDA by Epic Pharma LLC. 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?
Epic Pharma LLC, NDC labeler code 42806. 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

Other NDCs under ANDA 074544

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 074544
ProductStrengthForm · routeLabelerProduct NDC
Leucovorin CalciumLeucovorin calcium 15 mg/1TabletOralEpic Pharma LLC42806-134
Leucovorin CalciumLeucovorin calcium 5 mg/1TabletOralEpic Pharma LLC42806-358
Leucovorin CalciumLeucovorin calcium 25 mg/1TabletOralEpic Pharma LLC42806-359

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