Acyclovir NDC 0591-1159

NDC codes

FDA NDC Directory

Product NDC (as listed)0591-1159Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00591-1159Add the package segment from the table below.

Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC	11-digit (billing)	Package	Copy
0591-1159-30	00591115930	1 TUBE in 1 CARTON (0591-1159-30) / 30 g in 1 TUBEMarketed from Apr 11, 2014

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary): Acyclovir
Generic name (nonproprietary): acyclovir
Active ingredients: Acyclovir — 50 mg/g
Dosage form: Ointment
Route: Topical
Labeler: ACTAVIS PHARMA, INC.
Product type: Prescription drug
Marketing category: NDA authorized genericApplication NDA 018604
Marketing start: Apr 11, 2014
Listing expires: Dec 31, 2026
Other FDA classes: DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers: Product ID 0591-1159_9a0c599a-742a-48f5-ae69-cd9e8cbaa604SPL ID 9a0c599a-742a-48f5-ae69-cd9e8cbaa604SPL set ID b360a808-a24d-4f3c-89a7-9941422d17d6RxCUI 197312UNII X4HES1O11F
Pharmacologic class: Herpes Simplex Virus Nucleoside Analog DNA Polymerase Inhibitor; Herpes Zoster Virus Nucleoside Analog DNA Polymerase Inhibitor; Herpesvirus Nucleoside Analog DNA Polymerase Inhibitor

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400591115930 followed by a unit qualifier and the quantity

Package 00591-1159-30. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective Oct 31, 2020.

Indications (excerpt from the label)

INDICATIONS AND USAGE Acyclovir Ointment 5% is indicated in the management of initial genital herpes and in limited non-lifethreatening mucocutaneous HSV infections in immunocompromised patients.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 018604

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 018604
Product	Strength	Form · route	Labeler	Product NDC
Zoviraxacyclovir	Acyclovir 50 mg/g	OintmentTopical	Bausch Health US, LLC	0187-0993