NDC codes

FDA NDC Directory
Product NDC (as listed)70771-1371Labeler and product segments. Claims need a package NDC.
Product NDC at billing width70771-1371Add 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
70771-1371-1707711371011 TUBE in 1 CARTON (70771-1371-1) / 15 g in 1 TUBEMarketed from Mar 21, 2019
70771-1371-2707711371021 TUBE in 1 CARTON (70771-1371-2) / 30 g in 1 TUBEMarketed from Mar 21, 2019

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 — 50 mg/g
Dosage form
Ointment
Route
Topical
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 205974
Marketing start
Listing expires
Other FDA classes
DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers
Product ID 70771-1371_ed4f7f52-6254-46ad-8be4-e830705bbcfaSPL ID ed4f7f52-6254-46ad-8be4-e830705bbcfaSPL set ID fdf6b492-a76e-4cea-89a1-a5b19c7938ffRxCUI 197312UNII X4HES1O11FUPC 0372578082017
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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N470771137101 followed by a unit qualifier and the quantity

Package 70771-1371-01. 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

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