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    NDC 68084-0108-01 Acyclovir 400 mg/1 Details

    Acyclovir 400 mg/1

    Acyclovir is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by American Health Packaging. The primary component is ACYCLOVIR.

    Product Information

    NDC 68084-0108
    Product ID 68084-108_ea3f34c4-3cf7-5f29-e053-2995a90ac0bf
    Associated GPIs 12405010000320
    GCN Sequence Number 016408
    GCN Sequence Number Description acyclovir TABLET 400 MG ORAL
    HIC3 W5A
    HIC3 Description ANTIVIRALS, GENERAL
    GCN 13724
    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 TABLET
    Route ORAL
    Active Ingredient Strength 400
    Active Ingredient Units mg/1
    Substance Name ACYCLOVIR
    Labeler Name American Health Packaging
    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 ANDA077309
    Listing Certified Through 2024-12-31

    Package

    NDC 68084-0108-01 (68084010801)

    NDC Package Code 68084-108-01
    Billing NDC 68084010801
    Package 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-108-01) / 1 TABLET in 1 BLISTER PACK (68084-108-11)
    Marketing Start Date 2014-01-21
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.10152
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description ACYCLOVIR 400 MG TABLET
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL 70038a69-badc-4073-a13e-ebc9bb8146bc Details

    Revised: 10/2022