NDC codes

FDA NDC Directory
Product NDC (as listed)71335-2555Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71335-2555Add 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
71335-2555-071335255500500 TABLET in 1 BOTTLE (71335-2555-0)Marketed from Jan 23, 2025
71335-2555-17133525550125 TABLET in 1 BOTTLE (71335-2555-1)Marketed from Jan 23, 2025
71335-2555-27133525550235 TABLET in 1 BOTTLE (71335-2555-2)Marketed from Jan 23, 2025
71335-2555-37133525550330 TABLET in 1 BOTTLE (71335-2555-3)Marketed from Jan 23, 2025
71335-2555-47133525550460 TABLET in 1 BOTTLE (71335-2555-4)Marketed from Jan 23, 2025
71335-2555-57133525550550 TABLET in 1 BOTTLE (71335-2555-5)Marketed from Jan 23, 2025
71335-2555-67133525550610 TABLET in 1 BOTTLE (71335-2555-6)Marketed from Jan 23, 2025
71335-2555-77133525550740 TABLET in 1 BOTTLE (71335-2555-7)Marketed from Jan 23, 2025
71335-2555-87133525550821 TABLET in 1 BOTTLE (71335-2555-8)Marketed from Jan 23, 2025
71335-2555-97133525550990 TABLET in 1 BOTTLE (71335-2555-9)Marketed from Jan 23, 2025

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 — 800 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209366
Marketing start
Listing expires
Other FDA classes
DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers
Product ID 71335-2555_904c860d-4d2e-4360-ab30-4242e43d379eSPL ID 904c860d-4d2e-4360-ab30-4242e43d379eSPL set ID 713960c2-8278-4778-b781-08ec89a9cfceRxCUI 197313UNII 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

N471335255500 followed by a unit qualifier and the quantity

Package 71335-2555-00. 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)

Other NDCs under ANDA 209366

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

FDA NDC Directory listings under ANDA 209366
ProductStrengthForm · routeLabelerProduct NDC
AcyclovirAcyclovir 800 mg/1TabletOralSQUARE PHARMACEUTICALS LIMITED76483-042
AcyclovirAcyclovir 400 mg/1TabletOralREMEDYREPACK INC.70518-4414
AcyclovirAcyclovir 400 mg/1TabletOralSQUARE PHARMACEUTICALS LIMITED76483-047
AcyclovirAcyclovir 400 mg/1TabletOralBionpharma Inc.69452-290
AcyclovirAcyclovir 800 mg/1TabletOralBionpharma Inc.69452-291
AcyclovirAcyclovir 400 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-3573
AcyclovirAcyclovir 400 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-2811
AcyclovirAcyclovir 800 mg/1TabletOralREMEDYREPACK INC.70518-4450
AcyclovirAcyclovir 400 mg/1TabletOralBryant Ranch Prepack71335-2619
AcyclovirAcyclovir 400 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8203
AcyclovirAcyclovir 800 mg/1TabletOralA-S Medication Solutions50090-6335
AcyclovirAcyclovir 400 mg/1TabletOralDirect_Rx72189-631
AcyclovirAcyclovir 400 mg/1TabletOralBryant Ranch Prepack71335-9620

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