6505-01-028-1189 ( NDC00085-0720-04 , NDC00378-0574-01 , ETRAFON FORTE 4-25 )
NSN Information
| NSN | FSC | NIIN | Item Name | INC |
|---|---|---|---|---|
| 6505-01-028-1189 | 6505 | 010281189 | PERPHENAZINE AND AMITRIPTYLINE H | 2882 |
NSN Features
| MRC | Parameter | Characteristics |
|---|---|---|
| EXME | EXTERIOR CONTAINER CUBIC MEASURE | 1.00 CUBIC FEET |
| CXCY | PART NAME ASSIGNED BY CONTROLLING AGENCY | PERPHENAZINE AND AMITRIPTYLINE HYDROCHLORIDE 100S BT |
| THPE | THERAPEUTIC EQUIVALENT | SCHERING CORP |
| SUCB | UNIT OF ISSUE CUBE | 0.0069 CUBIC FEET |
| CQCT | PRIMARY CONTAINER TYPE | BOTTLE |
| SUWT | UNIT OF ISSUE WEIGHT | 0.21 POUNDS |
| ECWT | EXTERIOR CONTAINER WEIGHT | 30.00 POUNDS |
| EXQT | EXTERIOR CONTAINER QUANTITY | 144 |
| CRLK | PRIMARY CONTAINER CONTENT QUANTITY | 100.000 TABLETS |
| AKJA | ACTIVE MEDICAMENT MEDICINAL STRENGTH | 25.000 MILLIGRAMS AMITRIPTYLINE HYDROCHLORIDE ACTIVE INGREDIENT AND 4.000 MILLIGRAMS PERPHENAZINE ACTIVE INGREDIENT |
Manufacturing Part Numbers (SKUs)
| Part SKU | Cage | Status | RNVC | RNCC | SADC | DAC | RNAAC |
|---|---|---|---|---|---|---|---|
| NDC00085-0720-04 | 1F095 | A | 2 | 3 | 4 | KX | |
| NDC00378-0574-01 | 60895 | A | 1 | 5 | 4 | ZZ | |
| ETRAFON FORTE 4-25 | 53300 | A | 1 | 5 | 4 | KX |
Manufacturers
| Part SKU | Cage | Manufacturer | Type | Status |
|---|---|---|---|---|
| NDC00085-0720-04 | 1F095 | SCHERING-PLOUGH CORPORATION | A | A |
| NDC00378-0574-01 | 60895 | MYLAN PHARMACEUTICALS INC | A | A |
| ETRAFON FORTE 4-25 | 53300 | SCHERING CORP | A | A |
FLIS Identification
| PMIC | ADPE Code | CRITL Code | DEMIL Code | DEMIL INTG | NIIN Asgt | ESD | HMIC | ENAC | Schedule-B | INC |
|---|---|---|---|---|---|---|---|---|---|---|
| A | X | A | 1 | 09/24/1 | P | 3004909135 | 2882 |
FLIS Management
| MOE | REC Rep Code | Mgmt Ctl | USC | Phrase Code | Phrase Statement |
|---|---|---|---|---|---|
| DS | N | I | K | U/I CONTAINS 100 TT | |
| DF | ------- | F | K | U/I CONTAINS 100 TT | |
| DN | 9B----- | N | K | U/I CONTAINS 100 TT | |
| DA | Z | C2201X- | A | K | U/I CONTAINS 100 TT |
Demilitarization Codes & Management
| DML | PMI | HMIC | ADP | CC | ESDC |
|---|---|---|---|---|---|
| A | A | P | X |
Miscellaneous Management
| MOE (S_A) | SOS | AAC | QUP | UI | SLC | CIIC | RC | MCC | SVC |
|---|---|---|---|---|---|---|---|---|---|
| DA | SMS | L | 1 | BT | Q | U | Z | C2201X- | A |
| DS | SMS | L | 1 | BT | Q | U | D | ||
| DN | SMS | L | 1 | BT | Q | U | 9B----- | N | |
| DF | SMS | L | 1 | BT | Q | U | ------- | F |
Management Control Army
| MATCAT 1 | MATCAT 2 | MATCAT 3 | MATCAT 4 5 | ARC |
|---|---|---|---|---|
| C | 2 | 2 | 01 | X |
Freight
| NMFC | NMFC SUB | UFC | HMC | LTL | LCL | WCC | TCC | SHC | ADC | ACC | ASH | NMF DESC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|