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    NDC 69117-0019-01 Acyclovir 800 mg/1 Details

    Acyclovir 800 mg/1

    Acyclovir is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by YILING PHARMACEUTICAL, INC.. The primary component is ACYCLOVIR.

    Product Information

    NDC 69117-0019
    Product ID 69117-0019_0da6772f-5483-1c69-e063-6394a90a070d
    Associated GPIs 12405010000330
    GCN Sequence Number 015979
    GCN Sequence Number Description acyclovir TABLET 800 MG ORAL
    HIC3 W5A
    HIC3 Description ANTIVIRALS, GENERAL
    GCN 13721
    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 800
    Active Ingredient Units mg/1
    Substance Name ACYCLOVIR
    Labeler Name YILING PHARMACEUTICAL, 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 ANDA
    Application Number ANDA210401
    Listing Certified Through 2024-12-31

    Package

    NDC 69117-0019-01 (69117001901)

    NDC Package Code 69117-0019-1
    Billing NDC 69117001901
    Package 100 TABLET in 1 BOTTLE (69117-0019-1)
    Marketing Start Date 2018-05-04
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.19034
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description ACYCLOVIR 800 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    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