6505-01-574-7118 ( NDC39822-0710-01 , ANTIZOL JAZZ , 6505NCM093518 , 12265 )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-574-7118 6505 015747118 ANTIDOTE,ETHYLENE GLYCOL OR METH 7777
NSN Features
MRC Parameter Characteristics
FEAT SPECIAL FEATURES 1 GRAM FOMEPIZOLE PER ML; 1.5 ML VIAL; USED AS AN ANTIDOTE FOR ETHLENE GLYCOL (SUCH AS ANTIFREEZE) OR METHANOL POISONING, OR INGESTION; SUPPLIED AS A STERILE,PRESERVATIVE-FREE SOLUTION FOR INTRAVENOUS USE; STORE AT CONTROLLED ROOM TEMP.; MUST BE DILUTED PRIOR TO USE; PRESERVATIVE-FREE; LATEX FREE; HAZARDOUS
CXCY PART NAME ASSIGNED BY CONTROLLING AGENCY FOMEPIZOLE ANTIZOL JAZZ 1GM 1.5ML VI
AJCN PROTECTIVE STORAGE FEATURE CONTROLLED ROOM TEMPERATURE
Manufacturing Part Numbers (SKUs)
Part SKU Cage Status RNVC RNCC SADC DAC RNAAC
NDC39822-0710-01 59751 A 2 3 4 ZZ
ANTIZOL JAZZ 59751 A 1 5 4 ZZ
6505NCM093518 64616 A 1 5 4 ZZ
12265 89875 A 1 5 4 ZZ
Manufacturers
Part SKU Cage Manufacturer Type Status
NDC39822-0710-01 59751 X-GEN PHARMACEUTICALS A A
ANTIZOL JAZZ 59751 X-GEN PHARMACEUTICALS A A
6505NCM093518 64616 DEFENSE MEDICAL STANDARDIZATION A A
12265 89875 DEFENSE LOGISTICS AGENCY 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 06/08/2 P 7777
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
DF ------- F K U/I CONTAINS 1 ML
DN 9B----- N K U/I CONTAINS 1 ML
DM Z 1-54--- M K U/I CONTAINS 1 ML
DA C2201X- A K U/I CONTAINS 1 ML
DS N I K U/I CONTAINS 1 ML
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
DA SMS L 1 VI M U C2201X- A
DM SMS L 1 VI M U Z 1-54--- M
DF SMS L 1 VI M U ------- F
DN SMS L 1 VI M U 9B----- N
DS SMS L 1 VI M U D
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