|
National Stock Number(NSN): 6505-01-096-4116 (6505010964116, 010964116)
| NIIN: |
01-096-4116 |
Item Name: |
LIDOCAINE HYDROCHLORIDE JELLY |
INC: |
28621
|
| FSC: |
6505
|
Assignment Date: |
Jun-18-1980 |
CRIT: |
X |
IIG: |
28621 |
| ISC: |
2 |
Date Standardized: |
Mar-14-2002 |
HMIC: |
Y |
DODIC: |
|
| NSC: |
0 |
Cancellation Date: |
|
PMIC: |
A |
FIIG: |
A45100 |
| ESD: |
|
Schedule B: |
3004.90.9245 |
DEMIL: |
A |
DEMIL INT: |
1 |
| TIIC: |
1 |
Originator: |
KX |
ADPEC: |
|
RPDMRC: |
|
| Part Number |
CAGE |
Company |
Status |
RN CC |
RN VC |
DAC |
RN AAC |
RN FC |
RN SC |
RN JC |
SADC |
HCC |
MSDS |
|
02-0173 |
89875
|
DEFENSE LOGISTICS AGENCY DIRECTORATE OF MEDICAL MATERIEL DEFENSE SUPPLY CENTER PHILADELPHIA |
C |
5 |
1 |
4 |
ZZ |
|
|
|
|
|
|
|
NDC76329-3015-05 |
3FFJ6
|
AMPHASTAR PHARMACEUTICALS, INC. |
C |
3 |
2 |
4 |
ZZ |
|
|
|
|
|
|
|
UR0-JET 20ML |
3FFJ6
|
AMPHASTAR PHARMACEUTICALS, INC. |
C |
5 |
1 |
4 |
ZZ |
|
|
|
|
|
|
|
3015 |
54536
|
INTERNATIONAL MEDICATION SYSTEMS, LTD. |
H |
3 |
2 |
6 |
54 |
4 |
D |
|
|
|
|
|
NDC00548-3015-00 |
00E55
|
CARDINAL HEALTH, INC. |
H |
3 |
1 |
4 |
ZZ |
|
|
|
|
|
|
|
NDC00548-3015-00 |
1XUY5
|
AMERISOURCEBERGEN DRUG CORP |
H |
3 |
1 |
4 |
ZZ |
|
|
|
|
|
|
|
NDC00548-3015-00 |
3FFJ6
|
AMPHASTAR PHARMACEUTICALS, INC. |
H |
3 |
2 |
4 |
ZZ |
|
|
|
|
|
|
|
NDC00548-3015-00 |
54536
|
INTERNATIONAL MEDICATION SYSTEMS, LTD. |
H |
3 |
2 |
6 |
54 |
1 |
D |
|
|
|
|
|
URO-JET |
54536
|
INTERNATIONAL MEDICATION SYSTEMS, LTD. |
H |
5 |
1 |
6 |
54 |
4 |
D |
|
|
|
|
| MOEC |
SOS |
A A C |
R C |
S L C |
CIIC |
U P Q |
U S C |
Unit Price |
UI |
UICF |
MCD |
Action Date |
C/H |
| DA |
SMS |
L |
|
P |
U |
1 |
A |
$388.24 |
PG |
|
C2201X- |
Oct-01-2025 |
C |
| DF |
SMS |
L |
|
P |
U |
1 |
F |
$388.24 |
PG |
|
------- |
Oct-01-2025 |
C |
| DN |
SMS |
L |
|
P |
U |
1 |
N |
$388.24 |
PG |
|
9B----A |
Oct-01-2025 |
H |
| DS |
SMS |
L |
|
P |
U |
1 |
D |
$467.11 |
PG |
|
------- |
Oct-01-2022 |
H |
| DS |
SMS |
L |
|
P |
U |
1 |
I |
$388.24 |
PG |
|
------- |
Oct-01-2025 |
C |
| VA |
JVS |
I |
|
P |
U |
0 |
V |
$0.00 |
BT |
|
------- |
May-01-1986 |
H |
| MOEC |
PC |
Phrase |
QPA |
UOM |
OOU |
JTC |
| DA |
K |
U/I CONTAINS 25 EA |
000 |
|
|
|
| DF |
K |
U/I CONTAINS 25 EA |
000 |
|
|
|
| DF |
R |
REFER TO 1M |
000 |
|
|
|
| DN |
K |
U/I CONTAINS 25 EA |
000 |
|
|
|
| DS |
K |
U/I CONTAINS 25EA |
000 |
|
|
|
| DS |
K |
U/I CONTAINS 25 EA |
000 |
|
|
|
| VA |
K |
U/I CONTAINS 20 ML |
000 |
|
|
|
Technical Characteristics Information
| MRC |
Requirement Statement |
Reply Statement |
| AJCN |
PROTECTIVE STORAGE FEATURE |
CONTROLLED ROOM TEMPERATURE |
| AJUC |
AMERICAN HOSPITAL FORMULARY SERVICE CLASSIFICATION NUMBER |
720000 |
| AKJA |
ACTIVE MEDICAMENT MEDICINAL STRENGTH |
2.0 PERCENT LIDOCAINE HYDROCHLORIDE ACTIVE INGREDIENT |
| CQCT |
PRIMARY CONTAINER TYPE |
VIAL |
| CRLK |
PRIMARY CONTAINER CONTENT QUANTITY |
20.000 MILLILITERS |
| CSCW |
TOTAL PRIMARY CONTAINER QUANTITY |
25 |
| CSGS |
ADMINISTRATION |
TOPICAL |
| CXCY |
PART NAME ASSIGNED BY CONTROLLING AGENCY |
LIDOCAINE HYDROCHLORIDE JELLY USP 20ML 25S |
| FEAT |
SPECIAL FEATURES |
STERILE, WATER-SOLUBLE, TOPICAL ANESTHETIC; EACH ML CONTAINS 20 MG OF LIDOCAINE HCL AND SODIUM CARBOXYMETHYLCELLULOSE AS A VISCOSITY INCREASING AGENT;SUPPLIED IN BOX OF 25 IN UNIT USE PACKAGES CONTAINING ONE SINGLE USE VIAL AND A URO-JET VIAL INJECTOR; STORE AT CONTROLLED ROOM TEMP 15 TO 30 DEG C. |
| MDES |
MEDICAL DESIGNATION AND GRADE |
UNITED STATES PHARMACOPEIA |
| SUPP |
SUPPLEMENTARY FEATURES |
FOR PREVENTION AND CONTROL OF PAIN IN PROCEDURES INVOLVING THE MALE AND FEMALE URETHRA FOR TOPICAL TX OF PAINFUL URETHRITIS AND AS AN ANESTHETIC LUBRICANT FOR ENDOTRACHEAL INTUBATION, ORAL AND NASAL |
| MOE Rule |
Former MOER |
Effective |
AMC |
AMSC |
IMC |
IMCA |
Collaborators |
Receivers |
| A911 |
A111 |
Dec-01-2006 |
3 |
Z |
|
|
AM|GX |
AM|BN|GX |
| FSGM |
FSKX |
Dec-01-2006 |
3 |
Z |
|
|
GX|TT |
GX|SS|TT |
| Description: |
DRUGS/MEDICINES/VITAMINS NOI |
Originating Activity: |
54 |
| Hazardous Material: |
|
National Motor Freight Classification Number: |
058770 |
| Less Than One Truckload: |
W |
NMFC Sub-Item: |
Z |
| Uniform Freight Classification Number: |
33400 |
Rail Variance Code: |
|
| Less Than One Carload: |
|
Water Commodity Code: |
532 |
| Type of Cargo Code: |
Z |
Special Handling Code: |
9 |
| Air Commodity Special Handling Code: |
MZ |
Air Dimension Code: |
A |
| Source: |
P |
Primary Inventory Control Activity (PICA) |
Status: |
C |
| Pri/Sec ICC: |
P |
Container NSN: |
|
Category Code: |
ZZZZ |
| Lvl A Pkg Req: |
Z |
Unit Pack Size: |
|
Pres Material: |
ZZ |
| Lvl B Pkg Req: |
Z |
Unit Pack Weight: |
0.0 |
Pres Method: |
ZZ |
| Lvl C Pkg Req: |
|
Unit Pack Cube: |
0.000 |
Wrapping Mat: |
ZZ |
| Opt Proc Ind: |
M |
Unpkg Item Dims: |
|
Spec Marking: |
ZZ |
| Supp Inst: |
APPLICABLE TO ALL MEDICAL |
| Container FSC: |
|
SPI Number: |
MPPWN00001 |
SPI Revision: |
|
| Unpkg Weight: |
|
SPI Date: |
Mar-30-1988 |
Pkg Design Activity: |
89875
|
| Inter Container Qty: |
ZZZ |
Inter Container Code: |
ZZ |
Clean/Dry Procedure: |
Z |
| Unit Container: |
ZZ |
Item Type Storage: |
3 |
Unit Container Level: |
|
| |
|
Cush/Dun Material: |
ZZ |
Cush/Dun Thickness: |
Z |
|