NDC codes

FDA NDC Directory
Product NDC (as listed)72162-1908Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72162-1908Add 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
72162-1908-07216219080030 CAPSULE in 1 BOTTLE (72162-1908-0)Marketed from May 8, 2023
72162-1908-17216219080125 CAPSULE in 1 BOTTLE (72162-1908-1)Marketed from May 8, 2023
72162-1908-27216219080235 CAPSULE in 1 BOTTLE (72162-1908-2)Marketed from May 8, 2023
72162-1908-37216219080350 CAPSULE in 1 BOTTLE (72162-1908-3)Marketed from May 8, 2023
72162-1908-472162190804100 CAPSULE in 1 BOTTLE (72162-1908-4)Marketed from May 8, 2023
72162-1908-57216219080540 CAPSULE in 1 BOTTLE (72162-1908-5)Marketed from May 8, 2023
72162-1908-67216219080660 CAPSULE in 1 BOTTLE (72162-1908-6)Marketed from May 8, 2023
72162-1908-772162190807120 CAPSULE in 1 BOTTLE (72162-1908-7)Marketed from May 8, 2023
72162-1908-87216219080820 CAPSULE in 1 BOTTLE (72162-1908-8)Marketed from May 8, 2023
72162-1908-97216219080990 CAPSULE in 1 BOTTLE (72162-1908-9)Marketed from May 8, 2023

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 — 200 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075090
Marketing start
Listing expires
Other FDA classes
DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers
Product ID 72162-1908_b14c9945-fd73-48e0-af82-302ccf0184ffSPL ID b14c9945-fd73-48e0-af82-302ccf0184ffSPL set ID e8433261-07f1-448b-aaf4-631414598c08RxCUI 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

N472162190800 followed by a unit qualifier and the quantity

Package 72162-1908-00. 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 .

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075090

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

FDA NDC Directory listings under ANDA 075090
ProductStrengthForm · routeLabelerProduct NDC
AcyclovirAcyclovir 200 mg/1CapsuleOralBryant Ranch Prepack71335-0280
AcyclovirAcyclovir 200 mg/1CapsuleOralA-S Medication Solutions50090-5610
AcyclovirAcyclovir 200 mg/1CapsuleOralFlorida Pharmaceutical Products, LLC71921-146
AcyclovirAcyclovir 200 mg/1CapsuleOralQuinn Pharmaceuticals69076-146
AcyclovirAcyclovir 200 mg/1CapsuleOralProficient Rx LP71205-209

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