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    NDC 00378-8712-73 Acyclovir 200 mg/5mL Details

    Acyclovir 200 mg/5mL

    Acyclovir is a ORAL SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Mylan Pharmaceuticals Inc.. The primary component is ACYCLOVIR.

    Product Information

    NDC 00378-8712
    Product ID 0378-8712_eac78d61-85e0-4666-a4ab-cf3a0530c060
    Associated GPIs 12405010001810
    GCN Sequence Number 014182
    GCN Sequence Number Description acyclovir ORAL SUSP 200 MG/5ML ORAL
    HIC3 W5A
    HIC3 Description ANTIVIRALS, GENERAL
    GCN 43731
    HICL Sequence Number 004183
    HICL Sequence Number Description ACYCLOVIR
    Brand/Generic Generic
    Proprietary Name Acyclovir
    Proprietary Name Suffix n/a
    Non-Proprietary Name Acyclovir
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SUSPENSION
    Route ORAL
    Active Ingredient Strength 200
    Active Ingredient Units mg/5mL
    Substance Name ACYCLOVIR
    Labeler Name Mylan Pharmaceuticals Inc.
    Pharmaceutical Class DNA Polymerase Inhibitors [MoA], Herpes Simplex Virus Nucleoside Analog DNA Polymerase Inhibitor [EPC], Herpes Zoster Virus Nucleoside Analog DNA Polymerase Inhibitor [EPC], Herpesvirus Nucleoside Analog DNA Polymerase Inhibitor [EPC], Nucleoside Analog [
    DEA Schedule n/a
    Marketing Category NDA AUTHORIZED GENERIC
    Application Number NDA019909
    Listing Certified Through n/a

    Package

    NDC 00378-8712-73 (00378871273)

    NDC Package Code 0378-8712-73
    Billing NDC 00378871273
    Package 473 mL in 1 BOTTLE (0378-8712-73)
    Marketing Start Date 2018-10-10
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.20444
    Pricing Unit ML
    Effective Date 2022-11-23
    NDC Description ACYCLOVIR 200 MG/5 ML SUSP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 5, 6
    Classification for Rate Setting G
    As of Date 2022-11-23
    This pricing file, entitled the NADAC (National Average Drug Acquisition Cost) files, provide state Medicaid agencies with covered outpatient drug prices by averaging survey invoice prices from retail community pharmacies across the United States. These pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis