NDC codes

FDA NDC Directory
Product NDC (as listed)61442-113Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61442-0113Add 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
61442-113-016144201130124 BOTTLE, PLASTIC in 1 BOX (61442-113-01) / 100 TABLET in 1 BOTTLE, PLASTICMarketed from Jan 24, 2020
61442-113-056144201130512 BOTTLE, PLASTIC in 1 BOX (61442-113-05) / 500 TABLET in 1 BOTTLE, PLASTICMarketed from Jan 24, 2020

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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 — 800 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075382
Marketing start
Listing expires
Other FDA classes
DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers
Product ID 61442-113_209d3251-8d40-86dc-e063-6394a90a3492SPL ID 209d3251-8d40-86dc-e063-6394a90a3492SPL set ID a68e610a-841c-4b69-9233-673d060561e8RxCUI 197311, 197313UNII 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

N461442011301 followed by a unit qualifier and the quantity

Package 61442-0113-01. 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 .

Indications (excerpt from the label)

INDICATIONS AND USAGE Herpes Zoster Infections Acyclovir is indicated for the acute treatment of herpes zoster (shingles). Genital Herpes Acyclovir is indicated for the treatment of initial episodes and the management of recurrent episodes of genital herpes. Chickenpox Acyclovir is indicated for the treatment of chickenpox (varicella).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075382

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

FDA NDC Directory listings under ANDA 075382
ProductStrengthForm · routeLabelerProduct NDC
AcyclovirAcyclovir 400 mg/1TabletOralBryant Ranch Prepack72162-1735
AcyclovirAcyclovir 800 mg/1TabletOralBryant Ranch Prepack71335-9721
AcyclovirAcyclovir 400 mg/1TabletOralGolden State Medical Supply, Inc.51407-145
AcyclovirAcyclovir 800 mg/1TabletOralGolden State Medical Supply, Inc.51407-146
AcyclovirAcyclovir 400 mg/1TabletOralCarlsbad Technology, Inc.61442-112
AcyclovirAcyclovir 800 mg/1TabletOralProficient Rx LP71205-053
AcyclovirAcyclovir 400 mg/1TabletOralProficient Rx LP71205-056
AcyclovirAcyclovir 400 mg/1TabletOralBryant Ranch Prepack71335-1053
AcyclovirAcyclovir 400 mg/1TabletOralCardinal Health 107, LLC55154-4332
AcyclovirAcyclovir 400 mg/1TabletOralAvPAK50268-061
AcyclovirAcyclovir 800 mg/1TabletOralAvPAK50268-062
AcyclovirAcyclovir 800 mg/1TabletOralBryant Ranch Prepack63629-1678
AcyclovirAcyclovir 400 mg/1TabletOralBryant Ranch Prepack71335-2229
AcyclovirAcyclovir 800 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-2408
AcyclovirAcyclovir 400 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-2447

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