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NDC 00054-4496-13 Leucovorin Calcium 5 mg/1 Details
Leucovorin Calcium 5 mg/1
Leucovorin Calcium is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Hikma Pharmaceuticals USA Inc.. The primary component is LEUCOVORIN CALCIUM.
MedlinePlus Drug Summary
Leucovorin is used to prevent harmful effects of methotrexate (Rheumatrex, Trexall; cancer chemotherapy medication) when methotrexate is used to treat certain types of cancer. Leucovorin is also used to treat people who have accidentally received an overdose of methotrexate or similar medications. Leucovorin is in a class of medications called folic acid analogs. It works by protecting healthy cells from the effects of methotrexate or similar medications while allowing methotrexate to enter and kill cancer cells.
Related Packages: 00054-4496-13Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Leucovorin
Product Information
| NDC | 00054-4496 |
|---|---|
| Product ID | 0054-4496_4aaa6078-c6f4-49ba-98aa-a4c460126eee |
| Associated GPIs | 21755040100310 |
| GCN Sequence Number | 044539 |
| GCN Sequence Number Description | leucovorin calcium TABLET 5 MG ORAL |
| HIC3 | V1I |
| HIC3 Description | CHEMOTHERAPY RESCUE/ANTIDOTE AGENTS |
| GCN | 87558 |
| HICL Sequence Number | 001063 |
| HICL Sequence Number Description | LEUCOVORIN CALCIUM |
| Brand/Generic | Generic |
| Proprietary Name | Leucovorin Calcium |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Leucovorin Calcium |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET |
| Route | ORAL |
| Active Ingredient Strength | 5 |
| Active Ingredient Units | mg/1 |
| Substance Name | LEUCOVORIN CALCIUM |
| Labeler Name | Hikma Pharmaceuticals USA Inc. |
| Pharmaceutical Class | Folate Analog [EPC], Folic Acid [CS] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA072733 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00054-4496-13 (00054449613)
| NDC Package Code | 0054-4496-13 |
|---|---|
| Billing NDC | 00054449613 |
| Package | 30 TABLET in 1 BOTTLE (0054-4496-13) |
| Marketing Start Date | 1993-02-22 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.30193 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | LEUCOVORIN CALCIUM 5 MG TAB |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 1 |
| Classification for Rate Setting | G |
| As of Date | 2024-02-21 |
This pricing file, entitled the NADAC (National Average Drug Acquisition
Cost) files, provide
state Medicaid agencies with covered outpatient drug prices by averaging
survey invoice
prices from retail community pharmacies across the United States. These
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