Prescription drug · ANDA
Acyclovir NDC 69117-0018
Acyclovir 400 mg/1 · Tablet · Oral · YILING PHARMACEUTICAL, INC.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69117-0018-1 | 69117001801 | 100 TABLET in 1 BOTTLE (69117-0018-1)Marketed from May 4, 2018 | |
| 69117-0018-2 | 69117001802 | 500 TABLET in 1 BOTTLE (69117-0018-2)Marketed from May 4, 2018 |
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
- Labeler
- YILING PHARMACEUTICAL, INC.
- 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 69117-0018_47285cec-4cb5-07cc-e063-6294a90af06aSPL ID 47285cec-4cb5-07cc-e063-6294a90af06aSPL set ID 677edfd5-2d04-b932-e053-2a91aa0a26b0RxCUI 197311UNII X4HES1O11FUPC 0369117001813, 0369117001820
- 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
N469117001801followed by a unit qualifier and the quantityPackage 69117-0018-01. 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.
Other NDCs under ANDA 210401
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Bryant Ranch Prepack | 71335-3103 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | Chartwell RX, LLC | 62135-019 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Redpharm Drug | 67296-2162 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | PD-Rx Pharmaceuticals, Inc. | 72789-587 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Proficient Rx LP | 71205-472 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Proficient Rx LP | 82804-005 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | Redpharm Drug | 67296-2254 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | Proficient Rx LP | 82804-012 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | A-S Medication Solutions | 50090-6578 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | Bryant Ranch Prepack | 71335-1222 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Westminster Pharmaceuticals, LLC | 69367-137 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | Westminster Pharmaceuticals, LLC | 69367-138 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | A-S Medication Solutions | 50090-7276 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | A-S Medication Solutions | 50090-7275 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | A-S Medication Solutions | 50090-7277 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Preferred Pharmaceuticals Inc | 68788-8724 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | YILING PHARMACEUTICAL, INC. | 69117-0019 |