Vykoura J Code: J0644
Injection, leucovorin calcium (avyxa), 1 mg
Drug & Product Overview
About Vykoura
Vykoura is a medication aligned to the HCPCS J Code: J0644 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intramuscular or intravenous routes and manufactured by Avyxa Pharma.
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NDC Code Information
Based on publicly available CMS files. The list of NDCs below is not exhaustive.
| NDC Code | Package | Manufacturer | HCPCS Units | WAC | AWP |
|---|---|---|---|---|---|
| 83831-0147-05 | 50 MG / 5 MLVykoura Intramuscular Injection 50 MG/5ML - 1 VIAL, SINGLE-USE in 1 CARTON (83831-147-05) / 5 mL in 1 VIAL, SINGLE-USE | Avyxa Pharma, LLC | 50 | $125.00 $2.50 / unit | $150.00 $3.00 / unit |
| 83831-0148-35 | 350 MG / 35 MLVykoura Intramuscular Injection 350 MG/35ML - 1 VIAL, SINGLE-USE in 1 CARTON (83831-148-35) / 35 mL in 1 VIAL, SINGLE-USE | Avyxa Pharma, LLC | 350 | $875.00 $2.50 / unit | $1,050.00 $3.00 / unit |
| 83831-0149-50 | 500 MG / 50 MLVykoura Intramuscular Injection 500 MG/50ML - 1 VIAL, SINGLE-USE in 1 CARTON (83831-149-50) / 50 mL in 1 VIAL, SINGLE-USE | Avyxa Pharma, LLC | 500 | $1,250.00 $2.50 / unit | $1,500.00 $3.00 / unit |
Effective 3/16/26 (WAC & AWP)
Vykoura Pricing & Reimbursement
Historical Graphing and Billing Calculator
Estimates only. Payer reimbursement varies by contract, site of care, and sequestration.
Leucovorin Calcium 505(b)(2) Information:
| HCPCS Code | Manufacturer | Active Ingredient | HCPCS Description |
|---|---|---|---|
| C9310 | Avyxa Pharma | Leucovorin Calcium | Injection, leucovorin calcium (avyxa), 1 mg |
| J0644 | Avyxa Pharma | Leucovorin Calcium | Injection, leucovorin calcium (avyxa), 1 mg |
Vykoura CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
| 96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular |
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →
Vykoura Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
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