NDC codes

FDA NDC Directory
Product NDC (as listed)72162-1735Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72162-1735Add 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
72162-1735-172162173501120 TABLET in 1 BOTTLE, PLASTIC (72162-1735-1)Marketed from Sep 6, 2024
72162-1735-27216217350220 TABLET in 1 BOTTLE, PLASTIC (72162-1735-2)Marketed from Sep 6, 2024
72162-1735-37216217350330 TABLET in 1 BOTTLE, PLASTIC (72162-1735-3)Marketed from Aug 15, 2024
72162-1735-47216217350428 TABLET in 1 BOTTLE, PLASTIC (72162-1735-4)Marketed from Sep 6, 2024
72162-1735-57216217350510 TABLET in 1 BOTTLE, PLASTIC (72162-1735-5)Marketed from Sep 6, 2024
72162-1735-67216217350660 TABLET in 1 BOTTLE, PLASTIC (72162-1735-6)Marketed from Sep 6, 2024
72162-1735-77216217350750 TABLET in 1 BOTTLE, PLASTIC (72162-1735-7)Marketed from Sep 6, 2024

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 — 400 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075382
Marketing start
Listing expires
Other FDA classes
DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers
Product ID 72162-1735_8c615600-bebe-4c68-8803-8100d5260676SPL ID 8c615600-bebe-4c68-8803-8100d5260676SPL set ID f09cdb3f-dfd2-4e47-bb5e-a5d26d8bcc89RxCUI 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

N472162173501 followed by a unit qualifier and the quantity

Package 72162-1735-01. 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)

Other NDCs under ANDA 075382

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

FDA NDC Directory listings under ANDA 075382
ProductStrengthForm · routeLabelerProduct NDC
AcyclovirAcyclovir 800 mg/1TabletOralBryant Ranch Prepack71335-9721
AcyclovirAcyclovir 400 mg/1TabletOralGolden State Medical Supply, Inc.51407-145
AcyclovirAcyclovir 800 mg/1TabletOralGolden State Medical Supply, Inc.51407-146
AcyclovirAcyclovir 400 mg/1TabletOralCarlsbad Technology, Inc.61442-112
AcyclovirAcyclovir 800 mg/1TabletOralCarlsbad Technology, Inc.61442-113
AcyclovirAcyclovir 800 mg/1TabletOralProficient Rx LP71205-053
AcyclovirAcyclovir 400 mg/1TabletOralProficient Rx LP71205-056
AcyclovirAcyclovir 400 mg/1TabletOralBryant Ranch Prepack71335-1053
AcyclovirAcyclovir 400 mg/1TabletOralCardinal Health 107, LLC55154-4332
AcyclovirAcyclovir 400 mg/1TabletOralAvPAK50268-061
AcyclovirAcyclovir 800 mg/1TabletOralAvPAK50268-062
AcyclovirAcyclovir 800 mg/1TabletOralBryant Ranch Prepack63629-1678
AcyclovirAcyclovir 400 mg/1TabletOralBryant Ranch Prepack71335-2229
AcyclovirAcyclovir 800 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-2408
AcyclovirAcyclovir 400 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-2447

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