6505-01-371-5862 ( 1400-10 , NDC00258-3581-10 , THEO-DUR SA , 17243 , NDC00182-1400-10 )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-371-5862 6505 013715862 THEOPHYLLINE EXTENDED-RELEASE TA 4261
NSN Features
MRC Parameter Characteristics
AKJF LONG ACTION METHOD EXTENDED RELEASE
AKJA ACTIVE MEDICAMENT MEDICINAL STRENGTH 300.000 MILLIGRAMS THEOPHYLLINE ACTIVE INGREDIENT
CQCT PRIMARY CONTAINER TYPE BOTTLE
CRLK PRIMARY CONTAINER CONTENT QUANTITY 1000.000 TABLETS
Manufacturing Part Numbers (SKUs)
Part SKU Cage Status RNVC RNCC SADC DAC RNAAC
1400-10 2U436 A 1 5 6 54
NDC00258-3581-10 65050 A 2 3 4 54
THEO-DUR SA 2U436 A 1 5 4 54
17243 2U436 A 1 3 4 54
NDC00182-1400-10 2U436 A 1 3 4 54
Manufacturers
Part SKU Cage Manufacturer Type Status
1400-10 2U436 GOLDLINE LABORATORIES A A
NDC00258-3581-10 65050 FOREST PHARMACEUTICALS INC A A
THEO-DUR SA 2U436 GOLDLINE LABORATORIES A A
17243 2U436 GOLDLINE LABORATORIES A A
NDC00182-1400-10 2U436 GOLDLINE LABORATORIES 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 02/19/1 P 3004909176 4261
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
VA V K U/I CONTAINS 1000 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
VA I 1 BT M U V
Management Control Army
MATCAT 1 MATCAT 2 MATCAT 3 MATCAT 4 5 ARC
Freight
NMFC NMFC SUB UFC HMC LTL LCL WCC TCC SHC ADC ACC ASH NMF DESC