NDC codes

FDA NDC Directory
Product NDC (as listed)69315-184Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69315-0184Add 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
69315-184-016931501840169315018401100 TABLET in 1 BOTTLE (69315-184-01)Marketed from Nov 16, 2020
69315-184-03693150184036931501840330 TABLET in 1 BOTTLE (69315-184-03)Marketed from Nov 16, 2020

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 — 5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Leading Pharma, LLCNDC labeler code 69315
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 213929
Marketing start
Listing expires
Other FDA classes
Folic Acid (Chemical structure)
Identifiers
Product ID 69315-184_b7876a82-b489-48c3-92a5-15a0e30935f4SPL ID b7876a82-b489-48c3-92a5-15a0e30935f4SPL set ID c8102043-79f2-421a-b849-94bac19007a6RxCUI 197860, 197861, 197862, 197863UNII RPR1R4C0P4
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

N469315018401 followed by a unit qualifier and the quantity

Package 69315-0184-01. 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 is 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 is 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. (1.2) Limitations of Use Leucovorin is not…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69315-184

What is NDC 69315-184?
69315-184 is the product NDC for Leucovorin Calcium, Leucovorin calcium 5 mg/1 tablet, listed with the FDA by Leading 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?
Leading Pharma, LLC, NDC labeler code 69315. 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 213929

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

FDA NDC Directory listings under ANDA 213929
ProductStrengthForm · routeLabelerProduct NDC
Leucovorin CalciumLeucovorin calcium 10 mg/1TabletOralLeading Pharma, LLC69315-185
Leucovorin CalciumLeucovorin calcium 15 mg/1TabletOralLeading Pharma, LLC69315-186
Leucovorin CalciumLeucovorin calcium 25 mg/1TabletOralLeading Pharma, LLC69315-187
Leucovorin CalciumLeucovorin calcium 5 mg/1TabletOralProficient Rx LP71205-908

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