|
National Stock Number(NSN): 6505-01-655-4271 (6505016554271, 016554271)
| NIIN: |
01-655-4271 |
Item Name: |
DIATRIZOATE MEGLUMINE AND DIATRIZOATE SODIUM INJECTION |
INC: |
32823
|
| FSC: |
6505
|
Assignment Date: |
May-26-2016 |
CRIT: |
X |
IIG: |
32823 |
| ISC: |
5 |
Date Standardized: |
May-26-2016 |
HMIC: |
P |
DODIC: |
|
| NSC: |
6 |
Cancellation Date: |
May-26-2016 |
PMIC: |
A |
FIIG: |
A45100 |
| ESD: |
|
Schedule B: |
3006.30.0000 |
DEMIL: |
A |
DEMIL INT: |
1 |
| TIIC: |
1 |
Originator: |
97 |
ADPEC: |
0 |
RPDMRC: |
|
| Part Number |
CAGE |
Company |
Status |
RN CC |
RN VC |
DAC |
RN AAC |
RN FC |
RN SC |
RN JC |
SADC |
HCC |
MSDS |
|
131709 |
3FM41
|
GUERBET LLC |
C |
3 |
2 |
4 |
ZZ |
|
K |
|
|
|
|
|
1412202 |
89875
|
DEFENSE LOGISTICS AGENCY DIRECTORATE OF MEDICAL MATERIEL DEFENSE SUPPLY CENTER PHILADELPHIA |
C |
5 |
1 |
4 |
ZZ |
|
|
|
|
|
|
|
6505NCM162888 |
64616
|
DEFENSE MEDICAL STANDARDIZATION BOARD |
C |
5 |
1 |
4 |
ZZ |
|
|
|
|
|
|
|
MD-76R 200 ML BOTTLE |
3FM41
|
GUERBET LLC |
C |
5 |
1 |
4 |
ZZ |
|
K |
|
|
|
|
|
NDC00019-1317-09 |
3FM41
|
GUERBET LLC |
C |
3 |
2 |
4 |
ZZ |
|
K |
|
|
|
|
| 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 |
Y |
|
Q |
U |
1 |
A |
$144.03 |
BX |
|
C2201X- |
Jan-01-2019 |
H |
| DF |
|
Y |
|
|
|
|
F |
$0.00 |
BX |
|
------- |
Feb-01-2019 |
H |
| DM |
SMS |
Y |
Z |
Q |
U |
1 |
M |
$155.98 |
BX |
|
1-54--- |
Dec-01-2020 |
H |
| DN |
SMS |
Y |
|
Q |
U |
1 |
N |
$186.39 |
BX |
|
9B----- |
Oct-01-2022 |
H |
| DS |
SMS |
Y |
N |
Q |
U |
1 |
D |
$186.39 |
BX |
|
------- |
Oct-01-2022 |
H |
| DS |
SMS |
Y |
N |
Q |
U |
1 |
I |
$199.72 |
BX |
|
------- |
Oct-01-2024 |
H |
| MOEC |
PC |
Phrase |
QPA |
UOM |
OOU |
JTC |
| DA |
K |
U/I CONTAINS 12EA |
000 |
|
|
|
| DA |
V |
DISCONTINUED W/O REPLACEMENT |
000 |
|
|
|
| DF |
K |
U/I CONTAINS 12EA |
000 |
|
|
|
| DF |
V |
DISCONTINUED W/O REPLACEMENT |
000 |
|
|
|
| DM |
K |
U/I CONTAINS 12EA |
000 |
|
|
|
| DM |
V |
DISCONTINUED W/O REPLACEMENT |
000 |
|
|
|
| DN |
K |
U/I CONTAINS 12 EA |
000 |
|
|
|
| DN |
V |
DISCONTINUED WITHOUT REPLACEMENT |
000 |
|
|
|
| DS |
K |
U/I CONTAINS 12EA |
000 |
|
|
|
| DS |
V |
DISCONTINUED W/O REPLACEMENT |
000 |
|
|
|
| DS |
K |
U/I CONTAINS 12 EA |
000 |
|
|
|
| DS |
V |
DISCONTINUED WITHOUT REPLACEMENT |
000 |
|
|
|
Technical Characteristics Information
| MRC |
Requirement Statement |
Reply Statement |
| AJCN |
PROTECTIVE STORAGE FEATURE |
CONTROLLED ROOM TEMPERATURE |
| AKJA |
ACTIVE MEDICAMENT MEDICINAL STRENGTH |
660.0 MILLIGRAMS DIATRIZOATE MEGLUMINE ACTIVE INGREDIENT AND 100.00 MILLIGRAMS DIATRIZOATE SODIUM ACTIVE INGREDIENT AND 0.125 MILLIGRAMS SODIUM PHOSPHATE, MONOBASIC ACTIVE INGREDIENT AND 0.11 MILLIGRAMS CALCIUM DISODIUM EDETATE ACTIVE INGREDIENT AND 3.65 MILLIGRAMS SODIUM PER MILLILITER AND 370.0 MILLIGRAMS IODINE ACTIVE INGREDIENT |
| AKJQ |
PHARMACEUTICAL VEHICLE TYPE |
AQUEOUS |
| CBBL |
FEATURES PROVIDED |
STERILE |
| CQCT |
PRIMARY CONTAINER TYPE |
VIAL |
| CRLK |
PRIMARY CONTAINER CONTENT QUANTITY |
200.0 MILLILITERS |
| CSCW |
TOTAL PRIMARY CONTAINER QUANTITY |
12 |
| CSGS |
ADMINISTRATION |
INTRAVENOUS |
| FEAT |
SPECIAL FEATURES |
MD-76R, DIATRIZOATE MEGLUMINE AND DIATRIZOATE SODIUM INJECTION, USP; 200ML VIAL; 12 PER CASE; EACH MILLILITER OF THE CONTRAST AGENT CONTAINS 660 MG OF DIATRIZOATE MEGLUMINE AND 100 MG OF DIATRIZOATE SODIUM, 0.125 MG MONOBASIC SODIUM PHOSPHATE AND 0.11 MG EDETATE CALCIUM DISODIUM; THE SOLUTION CONTAINS APPROXIMATELY 3.65 MG (0.16 MEQ) SODIUM IN EACH MILLILITER AND 37% (370 MG/ML) ORGANICALLY BOUND IODINE; STORE AT CONTROLLED ROOM TEMPERATURE 20-25 C (68--77 F); STORE AWAY FROM HEAT AND LIGHT |
| MDES |
MEDICAL DESIGNATION AND GRADE |
UNITED STATES PHARMACOPEIA |
| MOE Rule |
Former MOER |
Effective |
AMC |
AMSC |
IMC |
IMCA |
Collaborators |
Receivers |
| V54Y |
|
Nov-01-2016 |
0 |
0 |
|
|
GX|54 |
GX|54 |
Replacement & Obsolete Information
| Obsolete NIIN Information |
| Description: |
DRUGS/MEDICINES/VITAMINS NOI |
Originating Activity: |
GX |
| 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: |
|
| 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 |
| Container FSC: |
|
SPI Number: |
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SPI Revision: |
|
| Unpkg Weight: |
|
SPI Date: |
|
Pkg Design Activity: |
|
| Inter Container Qty: |
ZZZ |
Inter Container Code: |
ZZ |
Clean/Dry Procedure: |
Z |
| Unit Container: |
ZZ |
Item Type Storage: |
|
Unit Container Level: |
|
| |
|
Cush/Dun Material: |
ZZ |
Cush/Dun Thickness: |
Z |
|