Prescription drug · ANDA
Acyclovir NDC 0904-7507
Acyclovir 400 mg/1 · Tablet · Oral · Major Pharmaceuticals
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0904-7507-61 | 00904750761 | 100 BLISTER PACK in 1 CARTON (0904-7507-61) / 1 TABLET in 1 BLISTER PACKMarketed from Jan 28, 2025 |
How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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 — 400 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- Major Pharmaceuticals
- Product type
- Prescription drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 203834
- Marketing start
- Listing expires
- Other FDA classes
- DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
- Identifiers
- Product ID 0904-7507_a5909f5b-fb25-4050-990a-19d29eef0457SPL ID a5909f5b-fb25-4050-990a-19d29eef0457SPL set ID 46150f19-ce5d-42a0-80a7-f96fda2b9879RxCUI 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
N400904750761followed by a unit qualifier and the quantityPackage 00904-7507-61. 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 203834
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 | NuCare Pharmaceuticals,Inc. | 68071-1841 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | Camber Pharmaceuticals, Inc. | 31722-778 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Bryant Ranch Prepack | 71335-0323 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Camber Pharmaceuticals, Inc. | 31722-777 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Proficient Rx LP | 63187-253 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | REMEDYREPACK INC. | 70518-2117 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | NuCare Pharmaceuticals, Inc. | 68071-3222 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | PD-Rx Pharmaceuticals, Inc. | 43063-928 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | St. Mary's Medical Park Pharmacy | 60760-778 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Advanced Rx Pharmacy of Tennessee, LLC | 80425-0270 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | PharmPak, Inc. | 54348-624 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | PharmPak, Inc. | 54348-627 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | Northwind Health Company, LLC | 51655-679 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | A-S Medication Solutions | 50090-6844 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | NuCare Pharmaceuticals,Inc. | 68071-4799 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | Preferred Pharmaceuticals, Inc. | 68788-7575 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | REMEDYREPACK INC. | 70518-2455 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | REMEDYREPACK INC. | 70518-2518 |
| Acyclovir | Acyclovir 800 mg/1 | TabletOral | PD-Rx Pharmaceuticals, Inc. | 43063-589 |
| Acyclovir | Acyclovir 400 mg/1 | TabletOral | Northwind Health Company, LLC | 51655-300 |
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