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    NDC 62135-0039-50 Acyclovir 200 mg/1 Details

    Acyclovir 200 mg/1

    Acyclovir is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Chartwell RX, LLC. The primary component is ACYCLOVIR.

    Product Information

    NDC 62135-0039
    Product ID 62135-039_06d0ff27-0223-f1d3-e063-6394a90a5ad5
    Associated GPIs
    GCN Sequence Number 009630
    GCN Sequence Number Description acyclovir CAPSULE 200 MG ORAL
    HIC3 W5A
    HIC3 Description ANTIVIRALS, GENERAL
    GCN 43790
    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 CAPSULE
    Route ORAL
    Active Ingredient Strength 200
    Active Ingredient Units mg/1
    Substance Name ACYCLOVIR
    Labeler Name Chartwell RX, LLC
    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 ANDA
    Application Number ANDA212173
    Listing Certified Through 2024-12-31

    Package

    NDC 62135-0039-50 (62135003950)

    NDC Package Code 62135-039-50
    Billing NDC 62135003950
    Package 50 CAPSULE in 1 BOTTLE (62135-039-50)
    Marketing Start Date 2022-07-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.11067
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description ACYCLOVIR 200 MG CAPSULE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2024-02-21
    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