C9310 – Injection, leucovorin calcium (avyxa), 1 mg

Long description

Injection, leucovorin calcium (avyxa), 1 mg

Short description

Inj, leucovorin cal (avyxa)

Pricing indicator

53 Statute

Medicare coverage

D Special coverage instructions apply

BETOS category

O1E Other drugs

Added

July 1, 2026

Last change

October 1, 2026 – Discontinued

Termination date

September 30, 2026

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