HCPCS Level IIdrugActive
J0641
Inj levoleucovorin nos 0.5mg
BETOS: O1E
Effective: 2023-01-01
Referenced in 1 policies
Description
Injection, levoleucovorin, not otherwise specified, 0.5 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Levoleucovorin Calcium
Manufacturer
Slate Run Pharmaceuticals
HCPCS Dosage
0.5 MG
Billing Units
350.0000
4
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.