Multiple Manufacturers

Khapzory

ASP | WAC | AWP at the HCPCS Unit

Manufacturer:

Multiple Manufacturers

Khapzory HCPCS:

J0642

HCPCS Code Descriptor:

Injection, levoleucovorin (khapzory), 0.5 mg

Category:

J Code

Khapzory NDCs:

72893-0006-01, 68152-0112-01, 68152-0114-01, 72893-0004-01

Primary Type:

Unclassified

Generic/Specialty Status:

Multi-Source

Package Type:

Vial

Route of Administration:

Intravenous

Khapzory CPT Codes:

Some of the most common CPT administration codes for 'buy and bill' drugs can be found at the following link:

Potential NDC Listing Errors:

We have identified listing errors with the following NDCs:

68152-0114-01, 72893-0006-01, 68152-0112-01

About Khapzory:

Khapzory is a medication manufactured by multiple manufacturers and aligned to the J Code: J0642. Khapzory is administered via the intravenous route of administration.

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J0642 Added Date:

October 1, 2019

J0642 Effective Date:

January 1, 2023

J0642 Termination Date:

HCPCS Active

We have not yet identified a manufacturer source of Khapzory billing and coding information.
Khapzory patient assistance information can be found through Acrotech Patient Access at the URL: https://acrotechpatientaccess.com/
Khapzory prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date.
Our team has not yet identified a source of side effects information for Khapzory. Please check back in a few weeks.