6505-01-176-2543 ( NDC00173-0631-55 , NDC00182-1869-01 , NDC00054-4496-25 , NDC00781-1220-01 , NDC00555-0484-02 )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-176-2543 6505 011762543 LEUCOVORIN CALCIUM TABLETS 3617
NSN Features
MRC Parameter Characteristics
THPE THERAPEUTIC EQUIVALENT WELLCOVORIN BY BURROUGHS-WELLCOME CO.
AKJA ACTIVE MEDICAMENT MEDICINAL STRENGTH 5.000 MILLIGRAMS LEUCOVORIN CALCIUM EQUIVALENT
CQCT PRIMARY CONTAINER TYPE BOTTLE
CRLK PRIMARY CONTAINER CONTENT QUANTITY 100.000 TABLETS
CXCY PART NAME ASSIGNED BY CONTROLLING AGENCY LEUCOVORIN CALCIUM TABLETS EQUIV TO 5MG LEUCOVORIN 100S BT
Manufacturing Part Numbers (SKUs)
Part SKU Cage Status RNVC RNCC SADC DAC RNAAC
NDC00173-0631-55 34006 A 2 5 4 ZZ
NDC00182-1869-01 2U436 A 2 3 4 ZZ
NDC00054-4496-25 34471 A 2 5 4 ZZ
NDC00781-1220-01 0THL4 A 2 5 4 ZZ
NDC00555-0484-02 56490 A 2 5 4 ZZ
Manufacturers
Part SKU Cage Manufacturer Type Status
NDC00173-0631-55 34006 GLAXO WELLCOME INC A A
NDC00182-1869-01 2U436 GOLDLINE LABORATORIES A A
NDC00054-4496-25 34471 BOEHRINGER INGELHEIM ROXANE INC. A A
NDC00781-1220-01 0THL4 SANDOZ INC. F A
NDC00555-0484-02 56490 BARR 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 04/10/1 P 3004909115 3617
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
DA C2201X- A
DS I
VA V K U/I CONTAINS 100 TT
DN 9B----- N
DF ------- F
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 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
VA I 1 BT Q U V
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 33800 W 532 Z 9 A M Z DRUGS/MEDICINES/VITAMINS NOI