NDC codes

FDA NDC Directory
Product NDC (as listed)50090-5610Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-5610Add 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 NDC11-digit (billing)PackageCopy
50090-5610-05009056100025 CAPSULE in 1 BOTTLE (50090-5610-0)Marketed from Aug 5, 2021
50090-5610-15009056100150 CAPSULE in 1 BOTTLE (50090-5610-1)Marketed from Aug 5, 2021
50090-5610-75009056100730 CAPSULE in 1 BOTTLE (50090-5610-7)Marketed from Aug 5, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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 — 200 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075090
Marketing start
Listing expires
Other FDA classes
DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers
Product ID 50090-5610_a6cc5d9a-f1aa-4ca0-b3de-c7ee13eb9d86SPL ID a6cc5d9a-f1aa-4ca0-b3de-c7ee13eb9d86SPL set ID 6e813b35-4ead-42d6-bc51-9d7caf1db1efRxCUI 197310UNII 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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N450090561000 followed by a unit qualifier and the quantity

Package 50090-5610-00. 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 .

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075090

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

FDA NDC Directory listings under ANDA 075090
ProductStrengthForm · routeLabelerProduct NDC
AcyclovirAcyclovir 200 mg/1CapsuleOralBryant Ranch Prepack72162-1908
AcyclovirAcyclovir 200 mg/1CapsuleOralBryant Ranch Prepack71335-0280
AcyclovirAcyclovir 200 mg/1CapsuleOralFlorida Pharmaceutical Products, LLC71921-146
AcyclovirAcyclovir 200 mg/1CapsuleOralQuinn Pharmaceuticals69076-146
AcyclovirAcyclovir 200 mg/1CapsuleOralProficient Rx LP71205-209

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