6505-01-374-5874 ( IMITREX , IMITREX INJECTION , NDC00173-0449-02 , NDC00173-0449-02 , NDC00173-0449-02 , NDC00173-0449-02 )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-374-5874 6505 013745874 SUMATRIPTAN SUCCINATE INJECTION 4986
NSN Features
MRC Parameter Characteristics
CXCY PART NAME ASSIGNED BY CONTROLLING AGENCY SUMATRIPTAN SUCCINATE INJECTION 6MG/0.5ML 2ML VIAL 5S
CRLK PRIMARY CONTAINER CONTENT QUANTITY 2.000 MILLILITERS
THPE THERAPEUTIC EQUIVALENT TO IMITREX BY GLAXO
AKJA ACTIVE MEDICAMENT MEDICINAL STRENGTH 6.000 MILLIGRAMS SUMATRIPTAN SUCCINATE PER 0.5 MILLILITERS
CSCW TOTAL PRIMARY CONTAINER QUANTITY 5
CQCT PRIMARY CONTAINER TYPE VIAL, SINGLE DOSE
Manufacturing Part Numbers (SKUs)
Part SKU Cage Status RNVC RNCC SADC DAC RNAAC
IMITREX 34006 A 1 5 4 KX
IMITREX INJECTION 34006 A 1 5 4 KX
NDC00173-0449-02 34006 A 2 3 4 KX
NDC00173-0449-02 1XUY5 A 1 3 4 ZZ
NDC00173-0449-02 4LQT5 A 1 3 4 ZZ
NDC00173-0449-02 0A423 A 2 5 4 ZZ
Manufacturers
Part SKU Cage Manufacturer Type Status
IMITREX 34006 GLAXO WELLCOME INC A A
IMITREX INJECTION 34006 GLAXO WELLCOME INC A A
NDC00173-0449-02 34006 GLAXO WELLCOME INC A A
NDC00173-0449-02 1XUY5 AMERISOURCEBERGEN DRUG CORPORATI F A
NDC00173-0449-02 4LQT5 VETERANS HEALTH F A
NDC00173-0449-02 0A423 CARDINAL HEALTH 100 INC F A
FLIS Identification
PMIC ADPE Code CRITL Code DEMIL Code DEMIL INTG NIIN Asgt ESD HMIC ENAC Schedule-B INC
A X A 1 04/26/1 P 3004909145 4986
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
DA C2201X- A R REFER TO EDI ITEM
DS I K U/I CONTAINS 5 EA
DF ------- F R REFER TO EDI ITEM
DS I R REFER TO EDI ITEM
DN 9B----- N K U/I CONTAINS 5 EA
DF ------- F K U/I CONTAINS 3 EA
DA C2201X- A K U/I CONTAINS 5 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
DN SMS L 1 PG M U 9B----- N
DA SMS L 1 PG M U C2201X- A
DS SMS L 1 PG M U D
DF SMS L 1 PG 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
058770 Z 33800 W 532 Z 9 A M Z DRUGS/MEDICINES/VITAMINS NOI