6505-01-093-5457 ( NDC63323-0248-10 , NDC55390-0881-10 )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-093-5457 6505 010935457 LEVOTHYROXINE SODIUM FOR INJECTI 3214
NSN Features
MRC Parameter Characteristics
FEAT SPECIAL FEATURES ALSO CONTAINS 10.0 MG MANNITOL,USP AND 0.7 MG TRIBASIC SODIUM PHOSPHATE ANHYDROUS; NOTE: F
CBBL FEATURES PROVIDED STERILE
CQCT PRIMARY CONTAINER TYPE VIAL
CRLK PRIMARY CONTAINER CONTENT QUANTITY 500.000 MICROGRAMS OF ACTIVE INGREDIENT
AKJA ACTIVE MEDICAMENT MEDICINAL STRENGTH 500.000 MICROGRAMS LEVOTHYROXINE SODIUM ACTIVE INGREDIENT
CXCY PART NAME ASSIGNED BY CONTROLLING AGENCY LEVOTHYROXINE SODIUM FOR INJECTION 500MCG VIAL 6S
CSCW TOTAL PRIMARY CONTAINER QUANTITY 6
AGXW PHYSICAL FORM LYOPHILIZED
Manufacturing Part Numbers (SKUs)
Part SKU Cage Status RNVC RNCC SADC DAC RNAAC
NDC63323-0248-10 1DQP2 A 2 3 4 ZZ
NDC55390-0881-10 077R4 A 2 3 4 ZZ
Manufacturers
Part SKU Cage Manufacturer Type Status
NDC63323-0248-10 1DQP2 AMERICAN PHARMACEUTICAL PARTNERS A A
NDC55390-0881-10 077R4 BEN VENUE LABORATORIES INC 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 04/19/1 Y 3004909170 3214
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
VA V K U/I CONTAINS 6 EA
DF ------- F K U/I CONTAINS 6 EA
DN 9B----- N K U/I CONTAINS 6 EA
DA C2201X- A K U/I CONTAINS 6 EA
DS I K U/I CONTAINS 6 EA
DN 9B----- N R REFER TO NON-STD NON-DMSB REV
Demilitarization Codes & Management
DML PMI HMIC ADP CC ESDC
A A Y X
Miscellaneous Management
MOE (S_A) SOS AAC QUP UI SLC CIIC RC MCC SVC
DS SMS L 1 PG K U D
VA I 0 PG K U V
DN SMS L 1 PG K U 9B----- N
DF SMS L 1 PG K U ------- F
DA SMS L 1 PG K U C2201X- A
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