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| NIIN: | 01-211-9767 | Item Name: | INC: | 33357 |
| FSC: | 6505 | Assignment Date: | Jul-04-1985 | CRIT: | N | IIG: | 33357 |
| ISC: | 5 | Date Standardized: | Jul-04-1985 | HMIC: | P | DODIC: |
| NSC: | 4 | Cancellation Date: | Mar-11-1996 | PMIC: | U | FIIG: | A45000 |
| 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 |
| NDC00054-8023-24 | 34471 | BOEHRINGER INGELHEIM ROXANE, INC. | H | 3 | 2 | 6 | 54 |
| 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 |
| VA | JVS | I | M | Q | 0 | V | $0.00 | PG | ------- | Jul-01-1985 | H |
| MOEC | PC | Phrase | QPA | UOM | OOU | JTC |
| VA | K | U/I CONTAINS 100TT | 000 |
| MRC | Requirement Statement | Reply Statement |
| AJCN | PROTECTIVE STORAGE FEATURE | SECURITY STORAGE |
| AKJA | ACTIVE MEDICAMENT MEDICINAL STRENGTH | 60.000 MILLIGRAMS CODEINE PHOSPHATE ACTIVE INGREDIENT AND 300.000 MILLIGRAMS ACETAMINOPHEN ACTIVE INGREDIENT |
| CBBL | FEATURES PROVIDED | INDIVIDUALLY SEALED |
| CQCT | PRIMARY CONTAINER TYPE | STRIP |
| CRLK | PRIMARY CONTAINER CONTENT QUANTITY | 25.000 TABLETS |
| CRYC | CONTROLLED SUBSTANCE CLASSIFICATION | SCHEDULE III |
| CSCW | TOTAL PRIMARY CONTAINER QUANTITY | 4 |
| PKTY | UNIT PACKAGE TYPE | PACKAGE |
| SUPP | SUPPLEMENTARY FEATURES | 100 TABLETS REVERSE NUMBERED |
| MOE Rule | Former MOER | Effective | AMC | AMSC | IMC | IMCA | Collaborators | Receivers |
| V542 | Apr-01-1991 | 0 | 0 | 54 | 54 |
(978) 774-7999 x600
