6505-01-279-5288 ( NDC50242-0044-13 , NDC50242-0044-13 , ACTIVASE )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-279-5288 6505 012795288 ALTEPLASE FOR INJECTION 4057
NSN Features
MRC Parameter Characteristics
CSCW TOTAL PRIMARY CONTAINER QUANTITY 1
CXCY PART NAME ASSIGNED BY CONTROLLING AGENCY ALTEPLASE FOR INJECTION 50MG VIAL AND 50ML VIAL STERILE WATER
FEAT SPECIAL FEATURES 50MG ALTEPLASE EQUIVALENT TO 29 MILLION I.U.; ALSO CONTAINS 1.7GM L-ARGININE,0.5GM PHOSPHORIC ACID,AND LESS THAN 4MG POLYSCORBATE 80; RECOMBINANT; W/ONE 50ML VIAL OF STERILE WATER FOR INJECTION,USP,PER PACKAGE
CRLK PRIMARY CONTAINER CONTENT QUANTITY 50.000 MILLIGRAMS OF ACTIVE INGREDIENT
AGXW PHYSICAL FORM FREEZE-DRIED POWDER
CBBL FEATURES PROVIDED DILUENT AND STERILE
CQCT PRIMARY CONTAINER TYPE VIAL, SINGLE DOSE
Manufacturing Part Numbers (SKUs)
Part SKU Cage Status RNVC RNCC SADC DAC RNAAC
NDC50242-0044-13 4LQT5 A 2 5 4 ZZ
NDC50242-0044-13 1HZ12 A 2 3 4 KX
ACTIVASE 1HZ12 A 9 5 4 KX
Manufacturers
Part SKU Cage Manufacturer Type Status
NDC50242-0044-13 4LQT5 VETERANS HEALTH F A
NDC50242-0044-13 1HZ12 GENENTECH INC. A A
ACTIVASE 1HZ12 GENENTECH 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 05/21/1 P 3004909120 4057
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
VA V
DS I R REFER TO EDI ITEM
DS I K U/I CONTAINS 3 EA
DA C2201X- A K U/I CONTAINS 3 EA
DF ------- F R REFER TO EDI ITEM
DN 9B----- N K U/I CONTAINS 3 EA
DF ------- F K U/I CONTAINS 3 EA
DA C2201X- A R REFER TO EDI ITEM
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
VA I 0 EA M U V
DF SMS L 1 PG M U ------- F
DS SMS L 1 PG M U D
DA SMS L 1 PG M U C2201X- A
DN SMS L 1 PG M U 9B----- N
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