What is NDC 82804-005?

82804-005 is the product NDC for Acyclovir, Acyclovir 400 mg/1 tablet, listed with the FDA by Proficient Rx LP. It has 8 package NDCs, shown above in 10- and 11-digit form.

Proficient Rx LP, NDC labeler code 82804. 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.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Acyclovir NDC 82804-005 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)82804-005Labeler and product segments. Claims need a package NDC.

Product NDC at billing width82804-0005Add 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 NDC	11-digit (billing)	Package
82804-005-06	8280400050682804000506	6 TABLET in 1 BOTTLE (82804-005-06)Marketed from Jan 9, 2024
82804-005-15	8280400051582804000515	15 TABLET in 1 BOTTLE (82804-005-15)Marketed from Jan 9, 2024
82804-005-20	8280400052082804000520	20 TABLET in 1 BOTTLE (82804-005-20)Marketed from Jan 9, 2024
82804-005-21	8280400052182804000521	21 TABLET in 1 BOTTLE (82804-005-21)Marketed from Jan 9, 2024
82804-005-30	8280400053082804000530	30 TABLET in 1 BOTTLE (82804-005-30)Marketed from Aug 31, 2023
82804-005-35	8280400053582804000535	35 TABLET in 1 BOTTLE (82804-005-35)Marketed from Jan 9, 2024
82804-005-60	8280400056082804000560	60 TABLET in 1 BOTTLE (82804-005-60)Marketed from Aug 31, 2023
82804-005-90	8280400059082804000590	90 TABLET in 1 BOTTLE (82804-005-90)Marketed from Aug 31, 2023

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
Labeler: Proficient Rx LPNDC labeler code 82804
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 210401
Marketing start: Jun 20, 2023
Listing expires: Dec 31, 2027
Other FDA classes: DNA Polymerase Inhibitors (Mechanism)Nucleoside Analog (EXT)
Identifiers: Product ID 82804-005_2ff9056b-ed65-4a2b-abb1-793b1fe9bf4cSPL ID 2ff9056b-ed65-4a2b-abb1-793b1fe9bf4cSPL set ID 97ed8713-4b3e-48a9-92c0-0a98ecf0485cRxCUI 197311UNII X4HES1O11FUPC 0382804005307
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

N482804000506 followed by a unit qualifier and the quantity

Package 82804-0005-06. 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 Jan 1, 2024.

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)

About NDC 82804-005

What is NDC 82804-005?: 82804-005 is the product NDC for Acyclovir, Acyclovir 400 mg/1 tablet, listed with the FDA by Proficient Rx LP. It has 8 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 82804. 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
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
acyclovir	Acyclovir 50 mg/g	OintmentTopical	c	68788-4142	68788-4142-01
Acyclovir	Acyclovir 200 mg/1	CapsuleOral	Cardinal Health 107, LLC	55154-0199	55154-0199-00
acyclovir	Acyclovir 800 mg/1	TabletOral	Northwind Health Company, LLC	82868-107	82868-0107-3082868-0107-35
Acyclovir	Acyclovir 50 mg/g	OintmentTopical	Aryeh Pharma Corp	85957-036	85957-0036-0185957-0036-0285957-0036-03
Acyclovir	Acyclovir 200 mg/1	CapsuleOral	Avet Pharmaceuticals Inc.	23155-962	23155-0962-0123155-0962-05
Acyclovir	Acyclovir 200 mg/1	CapsuleOral	Florida Pharmaceutical Products, LLC	71921-146	71921-0146-01
Acyclovir	Acyclovir 200 mg/1	CapsuleOral	Major Pharmaceuticals	0904-7519	00904-7519-61
Acyclovir	Acyclovir 800 mg/1	TabletOral	Aurobindo Pharma Limited	59651-966	59651-0966-0159651-0966-0559651-0966-10
Acyclovir	Acyclovir 400 mg/1	TabletOral	Aurobindo Pharma Limited	59651-965	59651-0965-0159651-0965-0559651-0965-10
Acyclovir	Acyclovir 800 mg/1	TabletOral	REMEDYREPACK INC.	70518-4450	70518-4450-0070518-4450-01

All 194 Acyclovir NDCs

Other NDCs under ANDA 210401

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

FDA NDC Directory listings under ANDA 210401
Product	Strength	Form · route	Labeler	Product NDC
Acyclovir	Acyclovir 800 mg/1	TabletOral	A-S Medication Solutions	50090-6578
Acyclovir	Acyclovir 400 mg/1	TabletOral	A-S Medication Solutions	50090-7275
Acyclovir	Acyclovir 400 mg/1	TabletOral	A-S Medication Solutions	50090-7276
Acyclovir	Acyclovir 400 mg/1	TabletOral	A-S Medication Solutions	50090-7277
Acyclovir	Acyclovir 800 mg/1	TabletOral	Chartwell RX, LLC	62135-019
Acyclovir	Acyclovir 400 mg/1	TabletOral	Redpharm Drug	67296-2162
Acyclovir	Acyclovir 800 mg/1	TabletOral	Redpharm Drug	67296-2254
Acyclovir	Acyclovir 400 mg/1	TabletOral	Preferred Pharmaceuticals Inc	68788-8724
Acyclovir	Acyclovir 400 mg/1	TabletOral	YILING PHARMACEUTICAL, INC.	69117-0018
Acyclovir	Acyclovir 800 mg/1	TabletOral	YILING PHARMACEUTICAL, INC.	69117-0019
Acyclovir	Acyclovir 400 mg/1	TabletOral	Westminster Pharmaceuticals, LLC	69367-137
Acyclovir	Acyclovir 800 mg/1	TabletOral	Westminster Pharmaceuticals, LLC	69367-138
Acyclovir	Acyclovir 400 mg/1	TabletOral	Proficient Rx LP	71205-472
Acyclovir	Acyclovir 800 mg/1	TabletOral	Bryant Ranch Prepack	71335-1222
Acyclovir	Acyclovir 400 mg/1	TabletOral	Bryant Ranch Prepack	71335-3103
Acyclovir	Acyclovir 400 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-587
Acyclovir	Acyclovir 800 mg/1	TabletOral	Proficient Rx LP	82804-012