6505-01-366-3202 ( NDC50242-0085-27 , NDC50242-0085-27 , ACTIVASE )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-366-3202 6505 013663202 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 58000000 INTERNATIONAL UNITS
CRLK PRIMARY CONTAINER CONTENT QUANTITY 58000000.000 INTERNATIONAL UNITS OF ACTIVE INGREDIENT
FEAT SPECIAL FEATURES 58 MILLION I.U. OF ALTEPLASE EQUIV. PER 100 MG; ALSO CONTAINS 3.5 GRAMS L-ARGININE,1 GRAM PHOSPHORIC ACID,AND LESS THAN 11 MG POLYSORBATE 80; RECOMBINANT; W/ONE 100 ML VIAL OF STERILE WATER FOR INJECTION,USP AND ONE TRANSFER DEVICE; FOR USE AS A THROMBOLYTIC AGENT
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
NDC50242-0085-27 4LQT5 A 2 5 4 ZZ
NDC50242-0085-27 1HZ12 A 2 3 4 KX
ACTIVASE 1HZ12 A 1 5 4 KX
Manufacturers
Part SKU Cage Manufacturer Type Status
NDC50242-0085-27 4LQT5 VETERANS HEALTH F A
NDC50242-0085-27 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 10/24/1 P 3004909120 4057
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
DA C2201X- A R REFER TO EDI ITEM
DF ------- F R REFER TO EDI ITEM
DS I R REFER TO EDI ITEM
DN 9B----- N
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
DF SMS H 1 EA M U ------- F
DS SMS H 1 EA M U D
DA SMS H 1 EA M U C2201X- A
DN SMS H 1 EA 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