- Code
- J0644
- Description
- Injection, leucovorin calcium (avyxa), 1 mg
NDC crosswalk
- 83831-0147-05 Vykoura, Avyxa Pharma, LLC. Billable units per 11-digit NDC: 50.
- 83831-0148-35 Vykoura, Avyxa Pharma, LLC. Billable units per 11-digit NDC: 350.
- 83831-0149-50 Vykoura, Avyxa Pharma, LLC. Billable units per 11-digit NDC: 500.
Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.