NDC codes

FDA NDC Directory
Product NDC (as listed)61442-114Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61442-0114Add 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
61442-114-016144201140112 BOTTLE, PLASTIC in 1 BOX (61442-114-01) / 100 CAPSULE in 1 BOTTLE, PLASTICMarketed from Aug 17, 2017
61442-114-056144201140512 BOTTLE, PLASTIC in 1 BOX (61442-114-05) / 500 CAPSULE in 1 BOTTLE, PLASTICMarketed from Aug 17, 2017

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 — 200 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206261
Marketing start
Listing expires
Other FDA classes
DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers
Product ID 61442-114_209d3e94-5d8e-8799-e063-6394a90ab9d1SPL ID 209d3e94-5d8e-8799-e063-6394a90ab9d1SPL set ID 37499620-6a17-40f1-b0db-dd79320ea21dRxCUI 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

N461442011401 followed by a unit qualifier and the quantity

Package 61442-0114-01. 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 206261

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

FDA NDC Directory listings under ANDA 206261
ProductStrengthForm · routeLabelerProduct NDC
AcyclovirAcyclovir 200 mg/1CapsuleOralProficient Rx LP71205-578
AcyclovirAcyclovir 200 mg/1CapsuleOralBryant Ranch Prepack71335-1290
AcyclovirAcyclovir 200 mg/1CapsuleOralNuCare Pharmaceuticals,Inc.68071-2299
AcyclovirAcyclovir 200 mg/1CapsuleOralGolden State Medical Supply, Inc.51407-852
AcyclovirAcyclovir 200 mg/1CapsuleOralBryant Ranch Prepack63629-2009

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