NDC codes

FDA NDC Directory
Product NDC (as listed)71205-209Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71205-0209Add 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
71205-209-30712050209307120502093030 CAPSULE in 1 BOTTLE (71205-209-30)Marketed from Jan 1, 2019
71205-209-50712050209507120502095050 CAPSULE in 1 BOTTLE (71205-209-50)Marketed from Jan 1, 2019
71205-209-60712050209607120502096060 CAPSULE in 1 BOTTLE (71205-209-60)Marketed from Jan 1, 2019
71205-209-90712050209907120502099090 CAPSULE in 1 BOTTLE (71205-209-90)Marketed from Jan 1, 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
Labeler
Proficient Rx LPNDC labeler code 71205
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 71205-209_bc31d44b-7056-43ba-931c-42c3775a5085SPL ID bc31d44b-7056-43ba-931c-42c3775a5085SPL set ID 6714cfd9-97d3-4290-b618-54594d89cf4eRxCUI 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

N471205020930 followed by a unit qualifier and the quantity

Package 71205-0209-30. 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)

About NDC 71205-209

What is NDC 71205-209?
71205-209 is the product NDC for Acyclovir, Acyclovir 200 mg/1 capsule, listed with the FDA by Proficient Rx LP. It has 4 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?
Proficient Rx LP, NDC labeler code 71205. 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?
193 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 194 Acyclovir NDCs

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/1CapsuleOralA-S Medication Solutions50090-5610
AcyclovirAcyclovir 200 mg/1CapsuleOralQuinn Pharmaceuticals69076-146
AcyclovirAcyclovir 200 mg/1CapsuleOralBryant Ranch Prepack71335-0280
AcyclovirAcyclovir 200 mg/1CapsuleOralFlorida Pharmaceutical Products, LLC71921-146
AcyclovirAcyclovir 200 mg/1CapsuleOralBryant Ranch Prepack72162-1908

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