6505-01-153-4026 ( POLYCITRA , POLYCITRA SYRUP , NDC00575-0223-01 , NDC17314-9322-01 , NDC00121-0677-16 )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-153-4026 6505 011534026 TRICITRATES ORAL SOLUTION,USP 3673
NSN Features
MRC Parameter Characteristics
AKJA ACTIVE MEDICAMENT MEDICINAL STRENGTH 334.000 MILLIGRAMS CITRIC ACID, MONOHYDRATE PER MILLILITER AND 550.000 MILLIGRAMS POTASSIUM CITRATE, MONOHYDRATE PER MILLILITER AND 500.000 MILLIGRAMS SODIUM CITRATE, DIHYDRATE PER MILLILITER
FEAT SPECIAL FEATURES 1 MEQ POTASSIUM; 1 MEQ SODIUM; AND 2 MEQ BICARBONATE PER ML
CRLK PRIMARY CONTAINER CONTENT QUANTITY 16.000 FLUID OUNCES OR 473.000 MILLILITERS
CXCY PART NAME ASSIGNED BY CONTROLLING AGENCY TRICITRATES ORAL SOLUTION USP 16OZ BT
CQCT PRIMARY CONTAINER TYPE BOTTLE
Manufacturing Part Numbers (SKUs)
Part SKU Cage Status RNVC RNCC SADC DAC RNAAC
POLYCITRA 28617 A 1 5 4 KX
POLYCITRA SYRUP 28617 A 1 5 4 KX
NDC00575-0223-01 28617 A 9 5 4 ZZ
NDC17314-9322-01 55740 A 2 3 4 ZZ
NDC00121-0677-16 61181 A 2 3 4 ZZ
Manufacturers
Part SKU Cage Manufacturer Type Status
POLYCITRA 28617 WILLEN DRUG CO A A
POLYCITRA SYRUP 28617 WILLEN DRUG CO A A
NDC00575-0223-01 28617 WILLEN DRUG CO A A
NDC17314-9322-01 55740 ALZA CORP A A
NDC00121-0677-16 61181 PHARMACEUTICAL ASSOCIATES 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 05/15/1 P 3004909170 3673
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
DA C2201X- A K U/I CONTAINS 473 ML
DN 9B----- N K U/I CONTAINS 473 ML
DF ------- F K U/I CONTAINS 473 ML
DN 9B----- N R REFER TO NON-STD NON-DMSB REV
DS I K U/I CONTAINS 473 ML
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
DS SMS L 1 BT Q U D
DA SMS L 1 BT Q U C2201X- A
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
058770 Z 33400 W 532 Z 9 A M Z DRUGS/MEDICINES/VITAMINS NOI