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National Stock Number(NSN): 6505-01-356-3874 (6505013563874, 013563874)
| NIIN: |
01-356-3874 |
Item Name: |
IODINATED GLYCEROL AND CODEINE PHOSPHATE ORAL SOLUTION |
INC: |
39253
|
| FSC: |
6505
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Assignment Date: |
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CRIT: |
|
IIG: |
39253 |
| ISC: |
5 |
Date Standardized: |
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HMIC: |
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DODIC: |
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| NSC: |
4 |
Cancellation Date: |
Jan-01-1994 |
PMIC: |
A |
FIIG: |
A45100 |
| ESD: |
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Schedule B: |
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DEMIL: |
E |
DEMIL INT: |
|
| TIIC: |
1 |
Originator: |
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ADPEC: |
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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 |
|
A92B177 |
66732
|
DEPARTMENT OF THE ARMY U S ARMY MEDICAL MATERIAL AGENCY MCMR-MMO-SA |
H |
5 |
1 |
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IOPHEN-C |
57979
|
NATIONAL PHARMACEUTICAL MFG CO A DIV OF BARRE-NATIONAL INC SUB OF REVCO D S INC |
H |
5 |
1 |
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NDC00472-1421-04 |
57979
|
NATIONAL PHARMACEUTICAL MFG CO A DIV OF BARRE-NATIONAL INC SUB OF REVCO D S INC |
H |
3 |
2 |
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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 |
L |
|
M |
|
1 |
|
$3.10 |
BT |
|
C2201X- |
|
H |
| DN |
JDC |
L |
|
M |
|
1 |
|
$1.90 |
BT |
|
9L----- |
|
H |
| DS |
JDC |
L |
|
M |
|
1 |
|
$1.90 |
BT |
|
------- |
|
H |
| MOEC |
PC |
Phrase |
QPA |
UOM |
OOU |
JTC |
| DA |
K |
118 ML |
|
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|
| DA |
R |
NOT DMSB STZD |
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|
|
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| DN |
K |
118 ML |
|
|
|
|
| DN |
R |
NON STD NON DMSB REV |
|
|
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| DS |
K |
118 ML |
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| DS |
R |
NON STD NON DMSB REV |
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Technical Characteristics Information
| MRC |
Requirement Statement |
Reply Statement |
| AKJA |
ACTIVE MEDICAMENT MEDICINAL STRENGTH |
30.000 MILLIGRAMS IODINATED GLYCEROL PER 5 MILLILITERS AND 10.000 MILLIGRAMS CODEINE PHOSPHATE PER 5 MILLILITERS |
| CQCT |
PRIMARY CONTAINER TYPE |
BOTTLE |
| CRLK |
PRIMARY CONTAINER CONTENT QUANTITY |
118.000 MILLILITERS OR 4.000 FLUID OUNCES |
| MOE Rule |
Former MOER |
Effective |
AMC |
AMSC |
IMC |
IMCA |
Collaborators |
Receivers |
| A111 |
|
|
3 |
Z |
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| FSKX |
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|
3 |
Z |
|
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| N9LM |
|
|
3 |
Z |
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