6505-01-288-0528 ( NDC00703-5140-01 , NDC00703-5140-01 )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-288-0528 6505 012880528 LEUCOVORIN CALCIUM FOR INJECTION 3582
NSN Features
MRC Parameter Characteristics
AJCN PROTECTIVE STORAGE FEATURE ANTINEOPLASTIC DRUG
AKJA ACTIVE MEDICAMENT MEDICINAL STRENGTH 100.000 MILLIGRAMS LEUCOVORIN EQUIVALENT
CQCT PRIMARY CONTAINER TYPE VIAL
CRLK PRIMARY CONTAINER CONTENT QUANTITY 100.000 MILLIGRAMS OF ACTIVE INGREDIENT
AGXW PHYSICAL FORM FREEZE-DRIED POWDER
CXCY PART NAME ASSIGNED BY CONTROLLING AGENCY LEUCOVORIN CALCIUM FOR INJECTION POWDER FORM 100MG VIAL
CSGS ADMINISTRATION INTRAMUSCULAR
Manufacturing Part Numbers (SKUs)
Part SKU Cage Status RNVC RNCC SADC DAC RNAAC
NDC00703-5140-01 0Y512 A 2 3 4 ZZ
NDC00703-5140-01 1BTW3 F 9 3 4 ZZ
Manufacturers
Part SKU Cage Manufacturer Type Status
NDC00703-5140-01 0Y512 SICOR PHARMACEUTICALS SALES INC F A
NDC00703-5140-01 1BTW3 GENSIA PHARMACEUTICALS INC F F
FLIS Identification
PMIC ADPE Code CRITL Code DEMIL Code DEMIL INTG NIIN Asgt ESD HMIC ENAC Schedule-B INC
A X A 1 11/02/1 Y 3004909170 3582
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
DA C2201X- A K U/I CONTAINS 100 MG
DN 9B----- N K U/I CONTAINS 100 MG
DS I K U/I CONTAINS 100 MG
DF ------- F K U/I CONTAINS 100 MG
VA V K U/I CONTAINS 100 MG
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 VI M U D
DN SMS L 1 VI M U 9B----- N
DA SMS L 1 VI M U C2201X- A
VA I 1 VI M U V
DF SMS L 1 VI 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