Red Book(TM) for Windows®
Release: APRIL, 2006
Product Information
Product
Manuf/Dist
Identifier
Form
Strength
Size
UD
AWP
WAC
LEUCOVORIN
CALCIUM
APP
63323-0711-00
PDS
500 MG
ea
195.00
20.35
LEUCOVORIN
CALCIUM
Barr
00555-0485-27
TAB
25 MG
25s ea
600.00
223.53
LEUCOVORIN
CALCIUM
Barr
00555-0484-01
TAB
5 MG
30s ea
70.81
35.00
LEUCOVORIN
CALCIUM
Barr
00555-0484-02
TAB
5 MG
100s ea
235.20
120.00
LEUCOVORIN
CALCIUM
Bedford
55390-0053-01
PDS
200 MG
ea
14.40
12.00
LEUCOVORIN
CALCIUM
Bedford
55390-0054-01
PDS
350 MG
ea
24.00
20.00
LEUCOVORIN
CALCIUM
Bedford
55390-0051-10
PDS
50 MG
10s ea
36.00
30.00
LEUCOVORIN
CALCIUM
Bedford
55390-0052-10
PDS
100 MG
10s ea
48.00
40.00
LEUCOVORIN
CALCIUM
Bedford
55390-0009-01
SOL
10 MG/ML
50 ml
26.40
22.00
LEUCOVORIN
CALCIUM
PCCA
51927-2692-00
POW
1 gm
450.00
LEUCOVORIN
CALCIUM
Phys Total Care
54868-3310-01
TAB
5 MG
50s ea
156.72
LEUCOVORIN
CALCIUM
Phys Total Care
54868-3310-00
TAB
5 MG
60s ea
187.47
LEUCOVORIN
CALCIUM
Roxane
00054-4497-05
TAB
10 MG
12s ea
90.93
0.00
LEUCOVORIN
CALCIUM
Roxane
00054-4497-10
TAB
10 MG
24s ea
180.05
0.00
LEUCOVORIN
CALCIUM
Roxane
00054-4498-10
TAB
15 MG
24s ea
254.62
0.00
LEUCOVORIN
CALCIUM
Roxane
00054-4499-11
TAB
25 MG
25s ea
618.35
0.00
LEUCOVORIN
CALCIUM
Roxane
00054-4496-13
TAB
5 MG
30s ea
61.48
0.00
LEUCOVORIN
CALCIUM
Roxane
00054-8496-19
TAB
5 MG
50s ea
U
140.00
0.00
LEUCOVORIN
CALCIUM
Roxane
00054-4496-25
TAB
5 MG
100s ea
202.60
0.00
LEUCOVORIN
CALCIUM
Sicor Pharm., Inc.
00703-5145-01
PDS
350 MG
ea
18.75
15.00
LEUCOVORIN
CALCIUM
Sicor Pharm., Inc.
00703-5140-01
PDS
100 MG
ea
4.49
3.59
LEUCOVORIN
CALCIUM
Spectrum Pharmacy Pr
49452-4036-04
POW
0.1 gm
76.30
LEUCOVORIN
CALCIUM
Spectrum Pharmacy Pr
49452-4036-01
POW
0.5 gm
283.50
LEUCOVORIN
CALCIUM
Spectrum Pharmacy Pr
49452-4036-02
POW
1 gm
469.00
LEUCOVORIN
CALCIUM
UDL
51079-0582-05
TAB
25 MG
20s ea
U
273.75
220.00
LEUCOVORIN
CALCIUM
UDL
51079-0581-06
TAB
5 MG
50s ea
U
162.50
131.00
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
Detailed Product Information
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
APP
FORM:
POWDER FOR SOLUTION
STRENGTH:
500 MG
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
ADD'L DESC:
(S.D.V.,PF)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
63323-0711-00
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
195.00
195.0000
12/27/1999
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Barr
FORM:
TABLET
STRENGTH:
25 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00555-0485-27
SIZE:
25s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
600.00
24.0000
2/15/1991
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Barr
FORM:
TABLET
STRENGTH:
5 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
GENERIC NAME:LEUCOVORIN CALCIUM
NDC:
00555-0484-01
SIZE:
30s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
70.81
2.3603
3/1/1992
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Barr
FORM:
TABLET
STRENGTH:
5 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00555-0484-02
SIZE:
100s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
235.20
2.3520
3/1/1992
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Bedford
FORM:
POWDER FOR SOLUTION
STRENGTH:
200 MG
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
(VIAL)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
55390-0053-01
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Copyright © 2006, Thomson PDR.
Page 2
Red Book(TM) for Windows®
Release: APRIL, 2006
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
14.40
14.4000
3/7/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Bedford
FORM:
POWDER FOR SOLUTION
STRENGTH:
350 MG
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
(S.D.V.,PF)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
55390-0054-01
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
24.00
24.0000
3/7/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Bedford
FORM:
POWDER FOR SOLUTION
STRENGTH:
50 MG
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
(VIAL)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
55390-0051-10
SIZE:
10s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
36.00
3.6000
3/7/2003
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 3
Red Book(TM) for Windows®
Release: APRIL, 2006
PRODUCT: LEUCOVORIN CALCIUM
MANUFACTURER:
Bedford
FORM:
POWDER FOR SOLUTION
STRENGTH:
100 MG
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
(VIAL)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
55390-0052-10
SIZE:
10s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
48.00
4.8000
3/7/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Bedford
FORM:
SOLUTION
STRENGTH:
10 MG/ML
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
(S.D.V.,PF)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
55390-0009-01
SIZE:
50 ml
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
26.40
0.5280
3/7/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
PCCA
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(USP; ANHYDROUS)
GENERIC NAME:
LEUCOVORIN CALCIUM
Copyright © 2006, Thomson PDR.
Page 4
Red Book(TM) for Windows®
Release: APRIL, 2006
NDC:
51927-2692-00
SIZE:
1 gm
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
450.00
450.0000
9/8/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Phys Total Care
FORM:
TABLET
STRENGTH:
5 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
EE
ADD'L DESC:
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
54868-3310-01
SIZE:
50s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
Y
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
156.72
3.1344
10/6/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Phys Total Care
FORM:
TABLET
STRENGTH:
5 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
EE
ADD'L DESC:
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
54868-3310-00
SIZE:
60s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
Y
GENERIC (Y/N):
Y
Current Pricing Information
Copyright © 2006, Thomson PDR.
Page 5
Red Book(TM) for Windows®
Release: APRIL, 2006
PKG
UNIT
EFF. DATE
AWP
187.47
3.1245
10/6/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Roxane
FORM:
TABLET
STRENGTH:
10 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00054-4497-05
SIZE:
12s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
90.93
7.5775
6/1/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Roxane
FORM:
TABLET
STRENGTH:
10 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00054-4497-10
SIZE:
24s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
180.05
7.5021
6/1/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Roxane
Copyright © 2006, Thomson PDR.
Page 6
Red Book(TM) for Windows®
Release: APRIL, 2006
FORM:
TABLET
STRENGTH:
15 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00054-4498-10
SIZE:
24s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
254.62
10.6092
6/1/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Roxane
FORM:
TABLET
STRENGTH:
25 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00054-4499-11
SIZE:
25s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
618.35
24.7340
6/1/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Roxane
FORM:
TABLET
STRENGTH:
5 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00054-4496-13
SIZE:
30s ea
Copyright © 2006, Thomson PDR.
Page 7
Red Book(TM) for Windows®
Release: APRIL, 2006
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
61.48
2.0493
4/11/1994
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Roxane
FORM:
TABLET
STRENGTH:
5 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
(5X10)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00054-8496-19
SIZE:
50s ea
DEA Class:
RX
UNIT DOSE (Y/N):
Y
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
140.00
2.8000
6/19/1995
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Roxane
FORM:
TABLET
STRENGTH:
5 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00054-4496-25
SIZE:
100s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
Copyright © 2006, Thomson PDR.
Page 8
Red Book(TM) for Windows®
Release: APRIL, 2006
AWP
202.60
2.0260
4/11/1994
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Sicor Pharm., Inc.
FORM:
POWDER FOR SOLUTION
STRENGTH:
350 MG
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
(PF)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00703-5145-01
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
18.75
18.7500
10/1/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Sicor Pharm., Inc.
FORM:
POWDER FOR SOLUTION
STRENGTH:
100 MG
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
(VIAL,PF)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
00703-5140-01
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
4.49
4.4900
10/1/2003
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Spectrum Pharmacy Pr
FORM:
POWDER
Copyright © 2006, Thomson PDR.
Page 9
Red Book(TM) for Windows®
Release: APRIL, 2006
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(U.S.P.)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
49452-4036-04
SIZE:
0.1 gm
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
76.30
763.0000
1/1/2005
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Spectrum Pharmacy Pr
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(U.S.P.)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
49452-4036-01
SIZE:
0.5 gm
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
283.50
567.0000
1/1/2005
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
Spectrum Pharmacy Pr
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(U.S.P.)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
49452-4036-02
SIZE:
1 gm
DEA Class:
RX
Copyright © 2006, Thomson PDR.
Page 10
Red Book(TM) for Windows®
Release: APRIL, 2006
UNIT DOSE (Y/N):N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
469.00
469.0000
1/1/2005
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
UDL
FORM:
TABLET
STRENGTH:
25 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
(2X10)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
51079-0582-05
SIZE:
20s ea
DEA Class:
RX
UNIT DOSE (Y/N):
Y
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
273.75
13.6875
4/15/1989
DIR
HCFA
PRODUCT:
LEUCOVORIN CALCIUM
MANUFACTURER:
UDL
FORM:
TABLET
STRENGTH:
5 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
AB
ADD'L DESC:
(5X10)
GENERIC NAME:
LEUCOVORIN CALCIUM
NDC:
51079-0581-06
SIZE:
50s ea
DEA Class:
RX
UNIT DOSE (Y/N):
Y
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
162.50
3.2500
4/15/1989
Copyright © 2006, Thomson PDR.
Page 11
Red Book(TM) for Windows®
Release: APRIL, 2006
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 12
