NDC codes

FDA NDC Directory
Product NDC (as listed)68788-8724Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68788-8724Add 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
68788-8724-168788872401100 TABLET in 1 BOTTLE (68788-8724-1)Marketed from Aug 16, 2024
68788-8724-26878887240221 TABLET in 1 BOTTLE (68788-8724-2)Marketed from Aug 16, 2024
68788-8724-36878887240330 TABLET in 1 BOTTLE (68788-8724-3)Marketed from Aug 16, 2024
68788-8724-46878887240440 TABLET in 1 BOTTLE (68788-8724-4)Marketed from Aug 16, 2024
68788-8724-56878887240550 TABLET in 1 BOTTLE (68788-8724-5)Marketed from Aug 16, 2024
68788-8724-86878887240835 TABLET in 1 BOTTLE (68788-8724-8)Marketed from Aug 16, 2024

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 — 400 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210401
Marketing start
Listing expires
Other FDA classes
DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers
Product ID 68788-8724_9ffeaf80-77c0-43c2-9acb-469d537c184aSPL ID 9ffeaf80-77c0-43c2-9acb-469d537c184aSPL set ID 75334fc5-d236-401a-875c-f4f9c7749c1aRxCUI 197311UNII 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

N468788872401 followed by a unit qualifier and the quantity

Package 68788-8724-01. 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 210401

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

FDA NDC Directory listings under ANDA 210401
ProductStrengthForm · routeLabelerProduct NDC
AcyclovirAcyclovir 400 mg/1TabletOralBryant Ranch Prepack71335-3103
AcyclovirAcyclovir 800 mg/1TabletOralChartwell RX, LLC62135-019
AcyclovirAcyclovir 400 mg/1TabletOralRedpharm Drug67296-2162
AcyclovirAcyclovir 400 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-587
AcyclovirAcyclovir 400 mg/1TabletOralProficient Rx LP71205-472
AcyclovirAcyclovir 400 mg/1TabletOralProficient Rx LP82804-005
AcyclovirAcyclovir 800 mg/1TabletOralRedpharm Drug67296-2254
AcyclovirAcyclovir 800 mg/1TabletOralProficient Rx LP82804-012
AcyclovirAcyclovir 800 mg/1TabletOralA-S Medication Solutions50090-6578
AcyclovirAcyclovir 800 mg/1TabletOralBryant Ranch Prepack71335-1222
AcyclovirAcyclovir 400 mg/1TabletOralWestminster Pharmaceuticals, LLC69367-137
AcyclovirAcyclovir 800 mg/1TabletOralWestminster Pharmaceuticals, LLC69367-138
AcyclovirAcyclovir 400 mg/1TabletOralA-S Medication Solutions50090-7276
AcyclovirAcyclovir 400 mg/1TabletOralA-S Medication Solutions50090-7275
AcyclovirAcyclovir 400 mg/1TabletOralA-S Medication Solutions50090-7277
AcyclovirAcyclovir 400 mg/1TabletOralYILING PHARMACEUTICAL, INC.69117-0018
AcyclovirAcyclovir 800 mg/1TabletOralYILING PHARMACEUTICAL, INC.69117-0019

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