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| NIIN: | 01-208-7344 | Item Name: | INC: | 42774 |
| FSC: | 6505 | Assignment Date: | May-18-1985 | CRIT: | N | IIG: | 42774 |
| ISC: | 5 | Date Standardized: | May-18-1985 | HMIC: | P | DODIC: |
| NSC: | 4 | Cancellation Date: | Jun-01-1996 | PMIC: | A | FIIG: | A510U0 |
| ESD: | Schedule B: | DEMIL: | E | DEMIL INT: |
| TIIC: | 1 | Originator: | 97 | ADPEC: | RPDMRC: |
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| Part Number | CAGE | Company | Status | RN CC | RN VC | DAC | RN AAC | RN FC | RN SC | RN JC | SADC | HCC | MSDS |
| ELIXOPHYLLIN SR | 59463 | BAYER HEALTHCARE PHARMACEUTICALS INC | H | 5 | 1 | ||||||||
| ELIXOPHYLLIN SR | 65050 | FOREST PHARMACEUTICALS INC SUB OF FOREST LABORATORIES INC | H | 5 | 1 | 4 | KX | ||||||
| NDC00456-0647-01 | 65050 | FOREST PHARMACEUTICALS INC SUB OF FOREST LABORATORIES INC | H | 3 | 2 | 4 | KX | ||||||
| NDC50419-0123-10 | 59463 | BAYER HEALTHCARE PHARMACEUTICALS INC | H | 3 | 2 |
| 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 | S9M | Y | Z | M | U | 1 | A | $5.19 | BT | C2201X- | Jun-01-1994 | H | |
| DF | S9M | Y | M | U | 1 | F | $5.19 | BT | ------- | Jun-01-1995 | H | ||
| DM | S9M | Y | Z | M | U | 1 | M | $5.19 | BT | 13M2--1 | Jun-01-1994 | H | |
| DN | S9M | Y | M | U | 1 | N | $5.19 | BT | 9L----- | Jun-01-1994 | H | ||
| DS | S9M | Y | M | U | 1 | D | $5.19 | BT | ------- | Jun-01-1994 | H |
| MRC | Requirement Statement | Reply Statement |
| AKJA | ACTIVE MEDICAMENT MEDICINAL STRENGTH | 250.000 MILLIGRAMS THEOPHYLLINE ACTIVE INGREDIENT |
| AKJC | CAPSULE TYPE | ANY ACCEPTABLE |
| CQCT | PRIMARY CONTAINER TYPE | BOTTLE |
| CQLS | CAPSULE CONTENT FORM | ANY ACCEPTABLE |
| CYLZ | CAPSULE PRIMARY CONTAINER CONTENT QUANTITY | 100.000 |
| EXME | EXTERIOR CONTAINER CUBIC MEASURE | 0.6432 CUBIC FEET |
| EXQT | EXTERIOR CONTAINER QUANTITY | 48 |
| FEAT | SPECIAL FEATURES | ANHYDROUS |
| SUCB | UNIT OF ISSUE CUBE | 0.0134 CUBIC FEET |
| SUWT | UNIT OF ISSUE WEIGHT | 0.2292 POUNDS |
| THPE | THERAPEUTIC EQUIVALENT | FOREST LABORATORIES,INC. |
| MOE Rule | Former MOER | Effective | AMC | AMSC | IMC | IMCA | Collaborators | Receivers |
| A111 | Mar-19-1994 | 3 | H | |||||
| FSKX | Mar-19-1994 | 3 | H | |||||
| MC15 | Mar-19-1994 | 3 | H | |||||
| N9LM | Mar-19-1994 | 3 | H |
(978) 774-7999 x600
