HCPCS Level IIdrugActive
J0640
Leucovorin calcium injection
BETOS: O1E
Effective: 1997-01-01
Referenced in 1 policies
Description
Injection, leucovorin calcium, per 50 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Leucovorin Calcium
Manufacturer
Hikma Pharmaceuticals USA Inc.
HCPCS Dosage
50 MG
Billing Units
4.0000
34
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.