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National Stock Number(NSN): 6505-01-355-4645 (6505013554645, 013554645)
| NIIN: |
01-355-4645 |
Item Name: |
LEVONORGESTREL AND ETHINYL ESTRADIOL TABLETS |
INC: |
36939
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| FSC: |
6505
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Assignment Date: |
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CRIT: |
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IIG: |
36939 |
| ISC: |
2 |
Date Standardized: |
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HMIC: |
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DODIC: |
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| NSC: |
5 |
Cancellation Date: |
Sep-01-1992 |
PMIC: |
A |
FIIG: |
A510N0 |
| ESD: |
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Schedule B: |
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DEMIL: |
A |
DEMIL INT: |
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| TIIC: |
1 |
Originator: |
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ADPEC: |
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RPDMRC: |
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| NIIN: |
01-224-0176 |
Item Name: |
LEVONORGESTREL AND ETHINYL ESTRADIOL TABLETS |
| FSC: |
6505 |
Replacement Date: |
Sep-01-1992 |
|
INC: |
36939 |
| Part Number |
CAGE |
Company |
Status |
RN CC |
RN VC |
DAC |
RN AAC |
RN FC |
RN SC |
RN JC |
SADC |
HCC |
MSDS |
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91-0807 |
64616
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DEFENSE MEDICAL STANDARDIZATION BOARD |
H |
5 |
1 |
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NDC50419-0431-06 |
59463
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BAYER HEALTHCARE PHARMACEUTICALS INC |
H |
3 |
1 |
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TRI-LEVLEN |
59463
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BAYER HEALTHCARE PHARMACEUTICALS INC |
H |
5 |
1 |
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| 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 |
|
M |
|
1 |
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$37.91 |
PG |
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C2201X- |
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H |
| DN |
JDC |
Y |
|
M |
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1 |
|
$37.91 |
PG |
|
9L----- |
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H |
| DS |
JDC |
Y |
|
M |
|
1 |
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$37.91 |
PG |
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------- |
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H |
| MOEC |
PC |
Phrase |
QPA |
UOM |
OOU |
JTC |
| DA |
K |
6EA |
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| DA |
Z |
6505-01-224-0 |
|
|
176 |
|
| DN |
Z |
6505-01-224-0 |
|
|
176 |
|
| DS |
Z |
6505-01-224-0 |
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|
176 |
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Technical Characteristics Information
| MRC |
Requirement Statement |
Reply Statement |
| AKJA |
ACTIVE MEDICAMENT MEDICINAL STRENGTH |
0.030 MILLIGRAMS ETHINYL ESTRADIOL ACTIVE INGREDIENT AND 0.040 MILLIGRAMS ETHINYL ESTRADIOL ACTIVE INGREDIENT AND 0.050 MILLIGRAMS LEVONORGESTREL ACTIVE INGREDIENT AND 0.075 MILLIGRAMS LEVONORGESTREL ACTIVE INGREDIENT AND 0.125 MILLIGRAMS LEVONORGESTREL ACTIVE INGREDIENT |
| CQCT |
PRIMARY CONTAINER TYPE |
DISPENSER,PLASTIC COMPACT |
| CRLK |
PRIMARY CONTAINER CONTENT QUANTITY |
28.000 TABLETS |
| CSCW |
TOTAL PRIMARY CONTAINER QUANTITY |
6 |
| FEAT |
SPECIAL FEATURES |
28 TABLETS PER EACH CYCLE COMPACT CONTAINING IN SEQUENCE:6 TABLETS LEVONORGESTREL 0.050 MG AND ETHINYL ESTRADIOL 0.030 MG FOLLOWED BY 5 TABLETS LEVONORGESTREL 0.075 MG AND ETHINYL ESTRADIOL 0.040 MG FOLLOWED BY 10 TABLETS LEVONORGESTREL 0.125 MG AND ETHINYL ESTRADIOL 0.030 MG FOLLOWED BY 7 TABLETS OF INERT INGREDIENTS |
| PKTY |
UNIT PACKAGE TYPE |
PACKAGE |
| SUPP |
SUPPLEMENTARY FEATURES |
CONTAINS 6 CYCLES OF 28 TABLETS |
| MOE Rule |
Former MOER |
Effective |
AMC |
AMSC |
IMC |
IMCA |
Collaborators |
Receivers |
| A111 |
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|
3 |
Z |
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| FSKX |
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3 |
Z |
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| N9LM |
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3 |
Z |
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