NDC codes

FDA NDC Directory
Product NDC (as listed)69367-137Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69367-0137Add 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
69367-137-0169367013701100 TABLET in 1 BOTTLE (69367-137-01)Marketed from Jun 20, 2023
69367-137-0569367013705500 TABLET in 1 BOTTLE (69367-137-05)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 — 400 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Westminster Pharmaceuticals, LLCNDC labeler code 69367
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 69367-137_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

N469367013701 followed by a unit qualifier and the quantity

Package 69367-0137-01. 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.

Full label on DailyMed (opens in a new tab)

About NDC 69367-137

What is NDC 69367-137?
69367-137 is the product NDC for Acyclovir, Acyclovir 400 mg/1 tablet, listed with the FDA by Westminster Pharmaceuticals, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Acyclovir.
What is the active ingredient?
Acyclovir.
Who is the labeler?
Westminster Pharmaceuticals, LLC, NDC labeler code 69367. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Acyclovir?
192 other product NDCs are listed under this name. See all Acyclovir NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Acyclovir NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
acyclovirAcyclovir 50 mg/gOintmentTopicalc68788-414268788-4142-01
AcyclovirAcyclovir 200 mg/1CapsuleOralCardinal Health 107, LLC55154-019955154-0199-00
acyclovirAcyclovir 800 mg/1TabletOralNorthwind Health Company, LLC82868-10782868-0107-3082868-0107-35
AcyclovirAcyclovir 50 mg/gOintmentTopicalAryeh Pharma Corp85957-03685957-0036-0185957-0036-0285957-0036-03
AcyclovirAcyclovir 200 mg/1CapsuleOralAvet Pharmaceuticals Inc.23155-96223155-0962-0123155-0962-05
AcyclovirAcyclovir 200 mg/1CapsuleOralFlorida Pharmaceutical Products, LLC71921-14671921-0146-01
AcyclovirAcyclovir 200 mg/1CapsuleOralMajor Pharmaceuticals0904-751900904-7519-61
AcyclovirAcyclovir 400 mg/1TabletOralAurobindo Pharma Limited59651-96559651-0965-0159651-0965-0559651-0965-10
AcyclovirAcyclovir 800 mg/1TabletOralAurobindo Pharma Limited59651-96659651-0966-0159651-0966-0559651-0966-10
AcyclovirAcyclovir 800 mg/1TabletOralREMEDYREPACK INC.70518-445070518-4450-0070518-4450-01

All 193 Acyclovir NDCs

Other NDCs under ANDA 210401

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

FDA NDC Directory listings under ANDA 210401
ProductStrengthForm · routeLabelerProduct NDC
AcyclovirAcyclovir 800 mg/1TabletOralA-S Medication Solutions50090-6578
AcyclovirAcyclovir 400 mg/1TabletOralA-S Medication Solutions50090-7275
AcyclovirAcyclovir 400 mg/1TabletOralA-S Medication Solutions50090-7276
AcyclovirAcyclovir 400 mg/1TabletOralA-S Medication Solutions50090-7277
AcyclovirAcyclovir 800 mg/1TabletOralChartwell RX, LLC62135-019
AcyclovirAcyclovir 400 mg/1TabletOralRedpharm Drug67296-2162
AcyclovirAcyclovir 800 mg/1TabletOralRedpharm Drug67296-2254
AcyclovirAcyclovir 400 mg/1TabletOralPreferred Pharmaceuticals Inc68788-8724
AcyclovirAcyclovir 400 mg/1TabletOralYILING PHARMACEUTICAL, INC.69117-0018
AcyclovirAcyclovir 800 mg/1TabletOralYILING PHARMACEUTICAL, INC.69117-0019
AcyclovirAcyclovir 800 mg/1TabletOralWestminster Pharmaceuticals, LLC69367-138
AcyclovirAcyclovir 400 mg/1TabletOralProficient Rx LP71205-472
AcyclovirAcyclovir 800 mg/1TabletOralBryant Ranch Prepack71335-1222
AcyclovirAcyclovir 400 mg/1TabletOralBryant Ranch Prepack71335-3103
AcyclovirAcyclovir 400 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-587
AcyclovirAcyclovir 400 mg/1TabletOralProficient Rx LP82804-005
AcyclovirAcyclovir 800 mg/1TabletOralProficient Rx LP82804-012

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