levofolinic acid ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
4384 80433-71-2

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • levoleucovorin calcium pentahydrate
  • levoleucovorin
  • calcium levofolinate
  • levoleucovorin calcium
  • levofolene
  • L-Folinic acid
  • levofolinic acid
  • sodium levofolinate
  • calcium levofolinate hydrate
A folate analog consisting of the pharmacologically active isomer of LEUCOVORIN.
  • Molecular weight: 473.45
  • Formula: C20H23N7O7
  • CLOGP: -1.98
  • LIPINSKI: 2
  • HAC: 14
  • HDO: 7
  • TPSA: 215.55
  • ALOGS: -3.20
  • ROTB: 9

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

DoseUnitRoute
30 mg O
30 mg P
30 mg P

ADMET properties:

PropertyValueReference
MRTD (Maximum Recommended Therapeutic Daily Dose) 11.43 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
Vd (Volume of distribution) 0.27 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 4.10 mL/min/kg Lombardo F, Berellini G, Obach RS
t_half (Half-life) 1.10 hours Lombardo F, Berellini G, Obach RS
S (Water solubility) 100 mg/mL Bocci G, Oprea TI, Benet LZ
BDDCS (Biopharmaceutical Drug Disposition Classification System) 1 Bocci G, Oprea TI, Benet LZ

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
kinase-safety-class ACVR2A,ACVR2B,ACVRL1,ALK,AURKA,AXL,BRAF,BTK,CAMK2B,CAMK2D,CDK4,CDK5,CDK9,DDR1,DYRK1B,EGFR,EIF2AK3,EPHB4,ERBB2,FLT3,GRK2,GRK3,GSK3B,IKBKB,ITK,JAK1,JAK2,KIT,MAP2K6,MAP3K14,MAP3K21,MAP3K7,MAP4K1,MAPK10,MAPK12,MAPK7,MAPK9,MAPKAPK2,MARK4,MTOR,NTRK1,NTRK2,PDK1,PDK2,PDPK1,PIK3CB,PIM2,PLK1,PRKCD,PRKDC,SIK2,SIK3,STK33,SYK,TEK,TGFBR1,TTK,ULK1 58
kinase-selectivity-class ACVR2B,AXL,BRAF,CDK9,DYRK1B,EIF2AK3,EPHB4,GRK2,GRK3,MAP2K6,MAP3K14,MAPK7,PDK1,SIK2,STK33,TEK,TTK 17
pfas-class PFAS structural alert (1 = True, 0 = False) 0

Approvals:

DateAgencyCompanyOrphan
March 7, 2008 FDA SPECTRUM PHARMS
Sept. 21, 2018 PMDA Pfizer Japan Inc.

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Neutrophil count decreased 328.29 29.99 143 6900 71389 90550015
Dermatitis acneiform 252.99 29.99 65 6978 6289 90615115
Neutropenia 206.54 29.99 157 6886 224747 90396657
Paronychia 192.34 29.99 55 6988 7951 90613453
Decreased appetite 137.19 29.99 157 6886 376383 90245021
Neuropathy peripheral 119.71 29.99 93 6950 136877 90484527
Peripheral sensory neuropathy 117.58 29.99 39 7004 9211 90612193
Hyperammonaemia 105.63 29.99 33 7010 6442 90614962
Diarrhoea 105.27 29.99 227 6816 938963 89682441
Malignant neoplasm progression 96.47 29.99 74 6969 106796 90514608
Large intestine perforation 88.73 29.99 32 7011 9680 90611724
Myelosuppression 86.15 29.99 53 6990 53538 90567866
Mucosal inflammation 80.14 29.99 52 6991 57573 90563831
Nausea 74.45 29.99 221 6822 1110095 89511309
White blood cell count decreased 73.33 29.99 77 6966 167032 90454372
Stomatitis 70.07 29.99 96 6947 274602 90346802
Band sensation 66.79 29.99 16 7027 1157 90620247
Gastrointestinal perforation 66.17 29.99 21 7022 4311 90617093
Drug ineffective 63.64 29.99 15 7028 1384283 89237121
Disease progression 63.12 29.99 69 6974 156546 90464858
Febrile neutropenia 62.49 29.99 69 6974 158280 90463124
Azotaemia 61.82 29.99 21 7022 5327 90616077
Hypertensive crisis 54.68 29.99 27 7016 17757 90603647
Interstitial lung disease 54.23 29.99 46 6997 76359 90545045
Hypomagnesaemia 54.14 29.99 34 7009 35554 90585850
Dysentery 52.63 29.99 13 7030 1069 90620335
Cholangitis 52.16 29.99 20 7023 7162 90614242
Thrombocytopenia 51.75 29.99 72 6971 208653 90412751
Diarrhoea haemorrhagic 51.00 29.99 22 7021 10641 90610763
Anaemia 50.80 29.99 95 6948 352707 90268697
Extrasystoles 49.28 29.99 18 7025 5639 90615765
Hypertransaminasaemia 48.58 29.99 24 7019 15801 90605603
Cholinergic syndrome 47.53 29.99 11 7032 685 90620719
Bone marrow failure 47.06 29.99 30 7013 32191 90589213
Posterior reversible encephalopathy syndrome 46.15 29.99 26 7017 22313 90599091
Skin disorder 41.16 29.99 29 7014 36677 90584727
Palmar-plantar erythrodysaesthesia syndrome 40.69 29.99 26 7017 27997 90593407
Pain 39.77 29.99 14 7029 996327 89625077
Off label use 39.21 29.99 179 6864 1102073 89519331
Metastases to peritoneum 39.11 29.99 14 7029 4141 90617263
Platelet count decreased 38.11 29.99 50 6993 136919 90484485
Asthenia 37.15 29.99 108 6935 533643 90087761
Hyperthermia 35.71 29.99 17 7026 10318 90611086
Proteinuria 34.79 29.99 22 7021 23269 90598135
Dysgeusia 31.97 29.99 29 7014 52531 90568873
Colon cancer 31.82 29.99 16 7027 10928 90610476
Leukopenia 31.53 29.99 39 7004 100671 90520733
Cutaneous lupus erythematosus 31.22 29.99 11 7032 3107 90618297
Dry skin 30.67 29.99 36 7007 88037 90533367
Peritonitis 30.40 29.99 19 7024 19686 90601718

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Dermatitis acneiform 464.69 27.12 142 10991 7597 42602605
Paronychia 397.08 27.12 110 11023 4145 42606057
Interstitial lung disease 314.93 27.12 216 10917 78246 42531956
Neutrophil count decreased 272.01 27.12 182 10951 63233 42546969
Peripheral sensory neuropathy 221.23 27.12 84 11049 8678 42601524
Neuropathy peripheral 217.31 27.12 193 10940 101660 42508542
Decreased appetite 194.34 27.12 245 10888 192892 42417310
Stomatitis 193.25 27.12 135 10998 50194 42560008
Neutropenia 189.67 27.12 246 10887 199185 42411017
Hypomagnesaemia 147.12 27.12 92 11041 28396 42581806
Hyperammonaemia 141.29 27.12 59 11074 7807 42602395
Skin disorder 133.45 27.12 72 11061 16872 42593330
Nausea 110.49 27.12 287 10846 396512 42213690
Drug ineffective 97.26 27.12 23 11110 630174 41980028
Diarrhoea 94.87 27.12 299 10834 460550 42149652
Gastrointestinal perforation 85.11 27.12 35 11098 4451 42605751
Azotaemia 75.64 27.12 35 11098 5909 42604293
Palmar-plantar erythrodysaesthesia syndrome 73.76 27.12 53 11080 20529 42589673
Leukopenia 68.82 27.12 91 11042 74655 42535547
Thrombocytopenia 63.63 27.12 148 10985 190131 42420071
Hypersensitivity 60.38 27.12 84 11049 72286 42537916
White blood cell count decreased 58.50 27.12 104 11029 110292 42499910
Tumour perforation 55.74 27.12 15 11118 504 42609698
Anaphylactic shock 50.82 27.12 45 11088 23472 42586730
Dysgeusia 50.40 27.12 53 11080 34136 42576066
Sciatic nerve palsy 49.84 27.12 9 11124 41 42610161
Fixed eruption 49.47 27.12 20 11113 2434 42607768
Myelosuppression 46.38 27.12 55 11078 40406 42569796
Febrile neutropenia 44.99 27.12 128 11005 185575 42424627
Dry skin 44.69 27.12 59 11074 48279 42561923
Small intestinal perforation 42.74 27.12 19 11114 2922 42607280
Toxicity to various agents 42.58 27.12 5 11128 229131 42381071
Malignant neoplasm progression 42.57 27.12 90 11043 108310 42501892
Colony stimulating factor therapy 42.50 27.12 10 11123 192 42610010
Anaphylactoid reaction 42.48 27.12 19 11114 2964 42607238
Metastases to liver 40.89 27.12 34 11099 16292 42593910
Hypoalbuminaemia 40.12 27.12 33 11100 15577 42594625
Transient aphasia 39.66 27.12 12 11121 617 42609585
Pulmonary toxicity 37.36 27.12 25 11108 8630 42601572
Colon cancer 37.14 27.12 26 11107 9655 42600547
Disease progression 36.71 27.12 101 11032 143555 42466647
Erythema 36.69 27.12 85 11048 108708 42501494
Folliculitis 36.58 27.12 21 11112 5537 42604665
Vomiting 36.55 27.12 161 10972 289562 42320640
Enterocolitis 36.55 27.12 26 11107 9903 42600299
Malaise 36.51 27.12 130 11003 212026 42398176
Hypertransaminasaemia 35.91 27.12 25 11108 9202 42601000
Disseminated intravascular coagulation 35.76 27.12 38 11095 24756 42585446
Infusion related reaction 35.72 27.12 60 11073 60746 42549456
Pulmonary artery thrombosis 35.67 27.12 12 11121 870 42609332
Intestinal ischaemia 35.52 27.12 25 11108 9363 42600839
Cholinergic syndrome 34.71 27.12 11 11122 660 42609542
Bone marrow failure 34.68 27.12 43 11090 33050 42577152
Headache 34.32 27.12 10 11123 239359 42370843
Chemotherapeutic drug level increased 33.75 27.12 9 11124 292 42609910
Arthralgia 32.46 27.12 7 11126 205231 42404971
Necrotising fasciitis 32.13 27.12 18 11115 4528 42605674
Peritonitis 31.29 27.12 31 11102 18602 42591600
Malignant ascites 31.12 27.12 10 11123 628 42609574
Duodenal stenosis 27.65 27.12 8 11125 352 42609850

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Dermatitis acneiform 685.38 25.24 193 17838 12502 110558766
Neutrophil count decreased 566.12 25.24 310 17721 120631 110450637
Paronychia 519.72 25.24 151 17880 10930 110560338
Neutropenia 429.36 25.24 407 17624 374213 110197055
Interstitial lung disease 383.41 25.24 254 17777 139080 110432188
Neuropathy peripheral 363.36 25.24 271 17760 179006 110392262
Decreased appetite 311.96 25.24 385 17646 475461 110095807
Peripheral sensory neuropathy 307.47 25.24 112 17919 16568 110554700
Hyperammonaemia 241.20 25.24 89 17942 13643 110557625
Diarrhoea 199.95 25.24 516 17515 1138989 109432279
Hypomagnesaemia 180.31 25.24 116 17915 60254 110511014
Stomatitis 177.08 25.24 219 17812 270023 110301245
Skin disorder 157.41 25.24 94 17937 42819 110528449
Nausea 153.86 25.24 495 17536 1235195 109336073
Azotaemia 143.30 25.24 56 17975 10029 110561239
Thrombocytopenia 137.93 25.24 222 17809 348663 110222605
Drug ineffective 136.16 25.24 40 17991 1520500 109050768
White blood cell count decreased 132.97 25.24 175 17856 229215 110342053
Gastrointestinal perforation 129.72 25.24 48 17983 7408 110563860
Malignant neoplasm progression 123.21 25.24 147 17884 174420 110396848
Febrile neutropenia 113.63 25.24 193 17838 316574 110254694
Myelosuppression 112.29 25.24 105 17926 94235 110477033
Leukopenia 111.12 25.24 129 17902 148662 110422606
Palmar-plantar erythrodysaesthesia syndrome 108.28 25.24 73 17958 40952 110530316
Disease progression 93.22 25.24 153 17878 243881 110327387
Bone marrow failure 85.93 25.24 73 17958 57775 110513493
Large intestine perforation 84.18 25.24 45 17986 16584 110554684
Cholinergic syndrome 79.83 25.24 22 18009 1310 110569958
Dysgeusia 79.64 25.24 76 17955 69909 110501359
Hypertransaminasaemia 78.34 25.24 49 17982 24206 110547062
Hypertensive crisis 75.62 25.24 48 17983 24324 110546944
Metastases to liver 74.85 25.24 55 17976 35331 110535937
Hypoalbuminaemia 72.75 25.24 50 17981 28924 110542344
Tumour perforation 69.57 25.24 17 18014 628 110570640
Arthralgia 68.62 25.24 21 18010 779611 109791657
Colon cancer 68.14 25.24 39 17992 16404 110554864
Mucosal inflammation 67.83 25.24 81 17950 96060 110475208
Dry skin 65.19 25.24 84 17947 107569 110463699
Anaphylactic shock 64.45 25.24 59 17972 51487 110519781
Headache 64.12 25.24 32 17999 882345 109688923
Pain 63.09 25.24 39 17992 954916 109616352
Hyperthermia 61.31 25.24 40 17991 21232 110550036
Dysentery 61.23 25.24 18 18013 1353 110569915
Platelet count decreased 59.46 25.24 122 17909 230321 110340947
Disseminated intravascular coagulation 59.06 25.24 51 17980 41235 110530033
Metastases to peritoneum 58.63 25.24 25 18006 5585 110565683
Cholangitis 57.84 25.24 35 17996 16300 110554968
Band sensation 56.36 25.24 16 18015 1062 110570206
Proteinuria 54.36 25.24 48 17983 39970 110531298
Small intestinal perforation 50.75 25.24 21 18010 4355 110566913
Hyperbilirubinaemia 50.30 25.24 41 17990 30630 110540638
Pulmonary artery thrombosis 50.11 25.24 16 18015 1586 110569682
Sciatic nerve palsy 49.20 25.24 9 18022 77 110571191
Erythema 48.54 25.24 130 17901 291317 110279951
Peritonitis 48.11 25.24 41 17990 32566 110538702
Fixed eruption 48.04 25.24 20 18011 4212 110567056
Toxicity to various agents 47.90 25.24 10 18021 480545 110090723
Vomiting 45.94 25.24 279 17752 910396 109660872
Enterocolitis 45.92 25.24 32 17999 18917 110552351
Anaemia 44.69 25.24 192 17839 546894 110024374
Nasopharyngitis 44.16 25.24 6 18025 394355 110176913
Ileus 44.03 25.24 38 17993 30691 110540577
Malaise 44.01 25.24 221 17810 671598 109899670
Transient aphasia 43.83 25.24 12 18019 697 110570571
Pyrexia 42.04 25.24 270 17761 897995 109673273
Anaphylactoid reaction 41.81 25.24 21 18010 6805 110564463
Altered state of consciousness 41.37 25.24 49 17982 57577 110513691
Product dose omission issue 40.95 25.24 3 18028 321779 110249489
Colony stimulating factor therapy 40.31 25.24 11 18020 631 110570637
Depression 40.26 25.24 3 18028 317332 110253936
Papilloedema 40.19 25.24 21 18010 7388 110563880
Malignant ascites 39.69 25.24 13 18018 1397 110569871
Paraesthesia 38.85 25.24 116 17915 276405 110294863
Metastases to lung 38.18 25.24 31 18000 23032 110548236
Product use in unapproved indication 37.62 25.24 13 18018 447364 110123904
Rheumatoid arthritis 37.54 25.24 3 18028 299610 110271658
Drug intolerance 37.46 25.24 10 18021 406502 110164766
Peripheral swelling 37.11 25.24 10 18021 404024 110167244
Intestinal obstruction 36.14 25.24 44 17987 53183 110518085
Off label use 35.73 25.24 387 17644 1499798 109071470
Ascites 35.11 25.24 58 17973 92750 110478518
Necrotising fasciitis 34.14 25.24 19 18012 7572 110563696
Weight increased 33.92 25.24 13 18018 419631 110151637
Intestinal ischaemia 33.87 25.24 25 18006 16154 110555114
Chemotherapeutic drug level increased 33.04 25.24 9 18022 513 110570755
Confusional state 32.49 25.24 18 18013 468662 110102606
Pain in extremity 31.94 25.24 20 18011 487098 110084170
Duodenal stenosis 31.56 25.24 10 18021 967 110570301
Dizziness 31.12 25.24 41 17990 698152 109873116
Venoocclusive liver disease 30.72 25.24 23 18008 15184 110556084
Abdominal discomfort 30.52 25.24 13 18018 393845 110177423
Nephrotic syndrome 30.38 25.24 22 18009 13809 110557459
Asthma 30.02 25.24 3 18028 250288 110320980
Extrasystoles 29.91 25.24 18 18013 8300 110562968
Asthenia 29.68 25.24 203 17828 688796 109882472
Pulmonary toxicity 29.68 25.24 24 18007 17722 110553546
Fall 29.46 25.24 33 17998 603449 109967819
Cerebral infarction 29.12 25.24 39 17992 51799 110519469
Musculoskeletal stiffness 27.50 25.24 6 18025 279816 110291452
Portal hypertension 26.76 25.24 17 18014 8620 110562648
Acral peeling skin syndrome 26.54 25.24 5 18026 51 110571217
Stoma site haemorrhage 26.10 25.24 11 18020 2387 110568881
Hypertension 26.08 25.24 157 17874 509927 110061341
Maternal exposure during pregnancy 26.01 25.24 5 18026 254878 110316390
Tumour necrosis 25.93 25.24 11 18020 2425 110568843
Leukoencephalopathy 25.79 25.24 17 18014 9178 110562090
Dermatitis bullous 25.77 25.24 22 18009 17507 110553761
Glossodynia 25.76 25.24 3 18028 222001 110349267
Hyperhidrosis 25.74 25.24 78 17953 187220 110384048

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC V03AF04 VARIOUS
ALL OTHER THERAPEUTIC PRODUCTS
ALL OTHER THERAPEUTIC PRODUCTS
Detoxifying agents for antineoplastic treatment
ATC V03AF10 VARIOUS
ALL OTHER THERAPEUTIC PRODUCTS
ALL OTHER THERAPEUTIC PRODUCTS
Detoxifying agents for antineoplastic treatment
FDA CS M0008658 Folic Acid
FDA EPC N0000178369 Folate Analog
MeSH PA D000931 Antidotes
MeSH PA D020011 Protective Agents
CHEBI has role CHEBI:35610 antineoplastic agent
CHEBI has role CHEBI:75835 anti-anaemic agent

Related Drugs by ATC class:

V03AF Detoxifying agents for antineoplastic treatment 10 drugs

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Megaloblastic anemia indication 53165003 DOID:13382
Folic acid deficiency indication 190633005
Malignant tumor of stomach indication 363349007 DOID:10534
Small intestine cancer indication 363509000 DOID:10154
Methotrexate Toxicity indication
Adjunct to Fluorouracil Treatment of Colorectal Cancer indication
Pyrimethamine Toxicity indication
Trimethoprim Toxicity indication
Sulfadiazine Toxicity indication
Trimetrexate Toxicity indication
Bone Marrow Suppression due to Folic Acid Antagonism indication




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 3.61 acidic
pKa2 5.29 acidic
pKa3 10.26 acidic
pKa4 12.96 acidic
pKa5 4.59 Basic
pKa6 2.23 Basic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

None

External reference:

IDSource
4028507 VUID
N0000182085 NUI
419573-16-3 SECONDARY_CAS_RN
68538-85-2 SECONDARY_CAS_RN
4028507 VANDF
4028508 VANDF
CHEBI:63606 CHEBI
CHEMBL1908841 ChEMBL_ID
CHEMBL1908361 ChEMBL_ID
CHEMBL3707343 ChEMBL_ID
DB11596 DRUGBANK_ID
1648126 RXNORM
132962 MMSL
21723 MMSL
25218 MMSL
35726 MMSL
d05842 MMSL
005532 NDDF
005533 NDDF
395769006 SNOMEDCT_US
429990006 SNOMEDCT_US
433468002 SNOMEDCT_US
782479008 SNOMEDCT_US
C2721771 UMLSCUI
D058766 MESH_DESCRIPTOR_UI
FOZ PDB_CHEM_ID
135398559 PUBCHEM_CID
WA16A5Y52X UNII
6883 INN_ID

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Levoleucovorin HUMAN PRESCRIPTION DRUG LABEL 1 0143-9558 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 23 sections
LEVOLEUCOVORIN CALCIUM HUMAN PRESCRIPTION DRUG LABEL 1 14335-340 INJECTION, SOLUTION 10 mg INTRAVENOUS ANDA 24 sections
LEVOLEUCOVORIN CALCIUM HUMAN PRESCRIPTION DRUG LABEL 1 14335-341 INJECTION, SOLUTION 10 mg INTRAVENOUS ANDA 24 sections
LEVOLEUCOVORIN HUMAN PRESCRIPTION DRUG LABEL 1 43598-771 INJECTION, SOLUTION 175 mg INTRAVENOUS ANDA 25 sections
LEVOLEUCOVORIN HUMAN PRESCRIPTION DRUG LABEL 1 43598-773 INJECTION, SOLUTION 250 mg INTRAVENOUS ANDA 25 sections
Biopar delta-FORTE HUMAN PRESCRIPTION DRUG LABEL 6 64661-793 CAPSULE 2.50 mg ORAL unapproved drug other 11 sections
levoleucovorin Human Prescription Drug Label 1 68083-278 INJECTION 10 mg INTRAVENOUS ANDA 23 sections
levoleucovorin Human Prescription Drug Label 1 68083-279 INJECTION 10 mg INTRAVENOUS ANDA 23 sections
Levoleucovorin Calcium HUMAN PRESCRIPTION DRUG LABEL 1 70121-1572 INJECTION, SOLUTION 10 mg INTRAVENOUS ANDA 22 sections
LEVOLEUCOVORIN CALCIUM HUMAN PRESCRIPTION DRUG LABEL 1 70436-209 INJECTION, SOLUTION 10 mg INTRAVENOUS ANDA 23 sections
LEVOLEUCOVORIN CALCIUM HUMAN PRESCRIPTION DRUG LABEL 1 70436-210 INJECTION, SOLUTION 10 mg INTRAVENOUS ANDA 23 sections
Levoleucovorin HUMAN PRESCRIPTION DRUG LABEL 1 71288-104 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 24 sections
Levoleucovorin HUMAN PRESCRIPTION DRUG LABEL 1 71288-105 INJECTION, SOLUTION 10 mg INTRAVENOUS ANDA 23 sections