NDC codes

FDA NDC Directory
Product NDC (as listed)76420-050Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76420-0050Add 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
76420-050-157642000501515 TABLET in 1 BOTTLE (76420-050-15)Marketed from Sep 25, 2020
76420-050-307642000503030 TABLET in 1 BOTTLE (76420-050-30)Marketed from Sep 25, 2020
76420-050-607642000506060 TABLET in 1 BOTTLE (76420-050-60)Marketed from Sep 25, 2020

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
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077309
Marketing start
Listing expires
Other FDA classes
DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers
Product ID 76420-050_b01ced44-7b5d-5716-e053-2995a90a1263SPL ID b01ced44-7b5d-5716-e053-2995a90a1263SPL set ID e186fdc9-b60e-4280-8d60-36cae9f2838fRxCUI 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

N476420005015 followed by a unit qualifier and the quantity

Package 76420-0050-15. 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 tablets are indicated for the acute treatment of herpes zoster (shingles). Genital Herpes Acyclovir tablets are indicated for the treatment of initial episodes and the management of recurrent episodes of genital herpes. Chickenpox Acyclovir tablets are 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 077309

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

FDA NDC Directory listings under ANDA 077309
ProductStrengthForm · routeLabelerProduct NDC
acyclovirAcyclovir 400 mg/1TabletOralREMEDYREPACK INC.70518-0427
acyclovirAcyclovir 800 mg/1TabletOralBryant Ranch Prepack71335-1381
acyclovirAcyclovir 800 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-5100
acyclovirAcyclovir 400 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-2247
acyclovirAcyclovir 400 mg/1TabletOralProficient Rx LP71205-391
acyclovirAcyclovir 400 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-2287
acyclovirAcyclovir 800 mg/1TabletOralBryant Ranch Prepack63629-9174
acyclovirAcyclovir 400 mg/1TabletOralApotex Corp.60505-5306
acyclovirAcyclovir 800 mg/1TabletOralApotex Corp.60505-5307
acyclovirAcyclovir 800 mg/1TabletOralBryant Ranch Prepack72162-1724
acyclovirAcyclovir 800 mg/1TabletOralProficient Rx LP63187-192

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