NDC codes

FDA NDC Directory
Product NDC (as listed)72578-002Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72578-0002Add 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
72578-002-0172578000201100 CAPSULE in 1 BOTTLE (72578-002-01)Marketed from Aug 23, 2019
72578-002-0572578000205500 CAPSULE in 1 BOTTLE (72578-002-05)Marketed from Aug 23, 2019
72578-002-067257800020630 CAPSULE in 1 BOTTLE (72578-002-06)Marketed from Aug 23, 2019
72578-002-10725780002101000 CAPSULE in 1 BOTTLE (72578-002-10)Marketed from Aug 23, 2019
72578-002-167257800021690 CAPSULE in 1 BOTTLE (72578-002-16)Marketed from Aug 23, 2019

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 204313
Marketing start
Listing expires
Other FDA classes
DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers
Product ID 72578-002_b797bf2f-d83c-413a-90bf-63c3a0eabf89SPL ID b797bf2f-d83c-413a-90bf-63c3a0eabf89SPL set ID e580b7e9-9060-43f5-9b58-33998078d7e4RxCUI 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

N472578000201 followed by a unit qualifier and the quantity

Package 72578-0002-01. 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 capsules are indicated for the acute treatment of herpes zoster (shingles). Genital Herpes: Acyclovir capsules are indicated for the treatment of initial episodes and the management of recurrent episodes of genital herpes. Chickenpox: Acyclovir capsules are 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 204313

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

FDA NDC Directory listings under ANDA 204313
ProductStrengthForm · routeLabelerProduct NDC
acyclovirAcyclovir 200 mg/1CapsuleOralNorthwind Health Company, LLC51655-965
acyclovirAcyclovir 200 mg/1CapsuleOralPD-Rx Pharmaceuticals, Inc.72789-536
acyclovirAcyclovir 200 mg/1CapsuleOralZydus Lifesciences Limited65841-829
acyclovirAcyclovir 200 mg/1CapsuleOralREMEDYREPACK INC.70518-3436
acyclovirAcyclovir 200 mg/1CapsuleOralA-S Medication Solutions50090-7216
acyclovirAcyclovir 200 mg/1CapsuleOralProficient Rx LP82804-245
acyclovirAcyclovir 200 mg/1CapsuleOralBryant Ranch Prepack71335-2261
AcyclovirAcyclovir 200 mg/1CapsuleOralNuCare Pharmaceuticals,Inc.68071-2526

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