Prescription drug · ANDA
Acyclovir NDC 69367-138
Acyclovir 800 mg/1 · Tablet · Oral · Westminster Pharmaceuticals, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69367-138-01 | 69367013801 | 100 TABLET in 1 BOTTLE (69367-138-01)Marketed from Jun 20, 2023 | |
| 69367-138-05 | 69367013805 | 500 TABLET in 1 BOTTLE (69367-138-05)Marketed from Jun 20, 2023 |
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 210401
- Marketing start
- Listing expires
- Other FDA classes
- DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
- Identifiers
- Product ID 69367-138_629d8ddb-bba0-4dd8-8621-1bd2a7b129dcSPL ID 629d8ddb-bba0-4dd8-8621-1bd2a7b129dcSPL set ID f352a641-988e-4878-8016-2b69cd6ee548RxCUI 197311, 197313UNII X4HES1O11FUPC 0369367137010, 0369367138017
- 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
N469367013801followed by a unit qualifier and the quantityPackage 69367-0138-01. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.
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 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 400 mg/1 | TabletOral | YILING PHARMACEUTICAL, INC. | 69117-0018 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | YILING PHARMACEUTICAL, INC. | 69117-0019 |