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    NDC 42806-0133-24 Leucovorin Calcium 10 mg/1 Details

    Leucovorin Calcium 10 mg/1

    Leucovorin Calcium is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Epic Pharma LLC. The primary component is LEUCOVORIN CALCIUM.

    Product Information

    NDC 42806-0133
    Product ID 42806-133_9db189e6-7ecc-465c-8197-c454350a45dc
    Associated GPIs 21755040100325
    GCN Sequence Number 044536
    GCN Sequence Number Description leucovorin calcium TABLET 10 MG ORAL
    HIC3 V1I
    HIC3 Description CHEMOTHERAPY RESCUE/ANTIDOTE AGENTS
    GCN 87555
    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 10
    Active Ingredient Units mg/1
    Substance Name LEUCOVORIN CALCIUM
    Labeler Name Epic Pharma LLC
    Pharmaceutical Class Folate Analog [EPC], Folic Acid [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA074544
    Listing Certified Through 2024-12-31

    Package

    NDC 42806-0133-24 (42806013324)

    NDC Package Code 42806-133-24
    Billing NDC 42806013324
    Package 24 TABLET in 1 BOTTLE (42806-133-24)
    Marketing Start Date 2021-01-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 4.17509
    Pricing Unit EA
    Effective Date 2023-09-20
    NDC Description LEUCOVORIN CALCIUM 10 MG TAB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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 pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis