6505-01-260-1153 ( NDC00054-4498-10 , NDC58406-0626-74 )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-260-1153 6505 012601153 LEUCOVORIN CALCIUM TABLETS 3617
NSN Features
MRC Parameter Characteristics
CQCT PRIMARY CONTAINER TYPE BOTTLE
AKJA ACTIVE MEDICAMENT MEDICINAL STRENGTH 15.000 MILLIGRAMS LEUCOVORIN CALCIUM ACTIVE INGREDIENT
CRLK PRIMARY CONTAINER CONTENT QUANTITY 24.000 TABLETS
SUPP SUPPLEMENTARY FEATURES MEDSEP ITEM FOR DOD, LEDERLE LABORATORIES
CXCY PART NAME ASSIGNED BY CONTROLLING AGENCY LEUCOVORIN CALCIUM TABLETS 15MG 24S BT
Manufacturing Part Numbers (SKUs)
Part SKU Cage Status RNVC RNCC SADC DAC RNAAC
NDC00054-4498-10 34471 A 2 5 4 ZZ
NDC58406-0626-74 0P4V3 A 2 3 4 ZZ
Manufacturers
Part SKU Cage Manufacturer Type Status
NDC00054-4498-10 34471 BOEHRINGER INGELHEIM ROXANE INC. A A
NDC58406-0626-74 0P4V3 AMGEN 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 07/25/1 Y 3004909115 3617
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
DF ------- F K U/I CONTAINS 24 TT
DA C2201X- A K U/I CONTAINS 24 TT
DS I K U/I CONTAINS 24 TT
DN 9B----- N K U/I CONTAINS 24 TT
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 BT M U D
DA SMS L 1 BT M U C2201X- A
DN SMS L 1 BT M U 9B----- N
DF SMS L 1 BT 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