6505-01-217-8844 ( NDC50419-0431-28 , TRI-LEVLEN 28 , NDC00008-2536-01 , TRIPHASIL-28 , NDC00008-2536-01 )
NSN Information
| NSN | FSC | NIIN | Item Name | INC |
|---|---|---|---|---|
| 6505-01-217-8844 | 6505 | 012178844 | LEVONORGESTREL AND ETHINYL ESTRA | 3693 |
NSN Features
| MRC | Parameter | Characteristics |
|---|---|---|
| CRLK | PRIMARY CONTAINER CONTENT QUANTITY | 28.000 TABLETS |
| AKJA | ACTIVE MEDICAMENT MEDICINAL STRENGTH | 0.050 MILLIGRAMS LEVONORGESTREL ACTIVE INGREDIENT AND 0.040 MILLIGRAMS ETHINYL ESTRADIOL ACTIVE INGREDIENT AND 0.030 MILLIGRAMS ETHINYL ESTRADIOL ACTIVE INGREDIENT AND 0.075 MILLIGRAMS LEVONORGESTREL ACTIVE INGREDIENT AND 0.125 MILLIGRAMS LEVONORGESTREL ACTIVE INGREDIENT |
| CSCW | TOTAL PRIMARY CONTAINER QUANTITY | 3 |
| CQCT | PRIMARY CONTAINER TYPE | CARD |
| FEAT | SPECIAL FEATURES | 3 CYCLES; 28 TABLETS PER CYCLE; D-DAY ITEM FOR DOD |
| CXCY | PART NAME ASSIGNED BY CONTROLLING AGENCY | LEVONORGESTREL AND ETHINYL ESTRADIOL TABLETS 84S |
| SUPP | SUPPLEMENTARY FEATURES | SHALL BE PACKAGED EITHER IN A THREE-CYCLE PLASTIC COMPACT WITH 28 TABLETS FOR EACH CYCLE,OR ONE-CYCLE PLASTIC COMPACT WITH THREE 28-TABLET BLISTER TYPE PACKAGES,OR 3 ONE-CYCLE COMPACTS WITH THREE 28-TABLET BLISTER TYPE PACKAGES; 84 TABLETS PER PACKAGE; EACH CARD CONSISTS OF 6 TABLETS CONTAINING 0.050 MG LEVONORGESTREL AND 0.030 MG ETHINYL ESTRADIOL,FOLLOWED BY 5 TABLETS CONTAINING 0.075 MG LEVONORGESTREL AND 0.040 MG ETHINYL ESTRADIOL,FOLLOWED BY 10 TABLETS CONTAINING 0.125 MG LEVONORGESTREL AND 0.030 MG ETHINYL ESTRADIOL,FOLLOWED BY 7 TABLETS CONTAINING INERT INGREDIENTS |
Manufacturing Part Numbers (SKUs)
| Part SKU | Cage | Status | RNVC | RNCC | SADC | DAC | RNAAC |
|---|---|---|---|---|---|---|---|
| NDC50419-0431-28 | 59463 | A | 9 | 5 | 4 | ZZ | |
| TRI-LEVLEN 28 | 59463 | A | 1 | 5 | 4 | KX | |
| NDC00008-2536-01 | 04543 | A | 2 | 3 | 4 | KX | |
| TRIPHASIL-28 | 04543 | A | 1 | 3 | 4 | KX | |
| NDC00008-2536-01 | 07TA6 | A | 2 | 3 | 4 | ZZ |
Manufacturers
| Part SKU | Cage | Manufacturer | Type | Status |
|---|---|---|---|---|
| NDC50419-0431-28 | 59463 | BAYER HEALTHCARE PHARMACEUTICALS | A | A |
| TRI-LEVLEN 28 | 59463 | BAYER HEALTHCARE PHARMACEUTICALS | A | A |
| NDC00008-2536-01 | 04543 | AMERICAN HOME PRODUCTS CORP | A | A |
| TRIPHASIL-28 | 04543 | AMERICAN HOME PRODUCTS CORP | A | A |
| NDC00008-2536-01 | 07TA6 | CARDINAL HEALTH 200 LLC | F | A |
FLIS Identification
| PMIC | ADPE Code | CRITL Code | DEMIL Code | DEMIL INTG | NIIN Asgt | ESD | HMIC | ENAC | Schedule-B | INC |
|---|---|---|---|---|---|---|---|---|---|---|
| A | X | A | 10/05/1 | P | 3006600000 | 3693 |
FLIS Management
| MOE | REC Rep Code | Mgmt Ctl | USC | Phrase Code | Phrase Statement |
|---|---|---|---|---|---|
| DN | 9B----- | N | R | REFER TO NOT YET AVAILABLE | |
| DF | ------- | F | K | U/I CONTAINS 84 EA | |
| DA | C2201X- | A | K | U/I CONTAINS 84 EA | |
| DS | I | K | U/I CONTAINS 84 EA | ||
| DN | 9B----- | N | K | U/I CONTAINS 84 EA |
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 | Y | 1 | PG | M | U | D | ||
| DA | SMS | Y | 1 | PG | M | U | C2201X- | A | |
| DN | SMS | Y | 1 | PG | M | U | 9B----- | N | |
| DF | SMS | Y | 1 | PG | M | 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 | 534 | Z | 9 | A | M | Z | DRUGS/MEDICINES/VITAMINS NOI |