6505-01-287-9652

ACETAMINOPHEN AND CODEINE PHOSPHATE ELIXIR,USP

6505-01-287-9652 (6505012879652, 012879652)
Part Numbers (4 listings): 8017-04 | NDC00054-8017-04 | ACETAMINOPHENW/CODEINE | NDC00121-0504-15 |
Summary

FSG 65 / FSC 6505

DEMIL: A

DEMIL INT: 1

HMIC: P

Date Created: 29 Oct 1988

Unit Weight: None

Unit Size: None

Unit Pack Cube: None

MSDS: None

Hazmat: None

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MASTER CROSS REFERENCE LIST (MCRL) | NSN 6505-01-287-9652 Submit RFQ
Manufacturer Part NumberRNCCRNVCManufacturer NameCAGE
8017-043 - Design Control Reference1 - Incomplete Part NumberBOEHRINGER INGELHEIM ROXANE, INC.  34471      
NDC00054-8017-043 - Design Control Reference2 - Production ItemBOEHRINGER INGELHEIM ROXANE, INC.  34471      
ACETAMINOPHEN W/CODEINE5 - Replaced / Discontinued1 - Incomplete Part NumberBOEHRINGER INGELHEIM ROXANE, INC.  34471      
NDC00121-0504-155 - Replaced / Discontinued2 - Production ItemPHARMACEUTICAL ASSOCIATES INC  61181      
Code Definitions

3 - Design Control Reference

Reference Number Category Code (DRN_2910)


Design Control Reference. The primary number used to identify an item of production or a range of items of production, by the manufacturer (individual, company, firm, corporation, or Government activity) which controls the design, characteristics, and production of the item by means of its engineering drawings, specifications and inspection requirements.

5 - Replaced / Discontinued

Reference Number Category Code (DRN_2910)


Secondary Reference. Any additional number, other than a primary number (codes 1,2,3,4) informative reference (code 6) or vendor item drawing reference (code 7) assigned to an item of production or supply by a commercial or Government organization, which represents the same item of production or supply to which the National Stock Number (NSN) was assigned. The reference number may have had an RNCC of 1, 2, 3, 4 or 7 but has since been replaced in the item-of-supply concept of the NSN by another primary number.

1 - Incomplete Part Number

Reference Number Variation Code (DRN_4780)


A design control or other reference number that does NOT identify an item of production without the use of additional information, or a specific part, type, or similar reference number does NOT identify or item of supply without the use of additional information.

2 - Production Item

Reference Number Variation Code (DRN_4780)


A design control or other reference number that is an item-identifying number for an item of production, or a source control reference or a specification or standard part, type, or similar reference number that is an item-identifying number for an item of supply.


FLIS - SEG A - IDENTIFICATION | NSN 6505-01-287-9652 Submit RFQ
FSGFSCNIINFIIGINCCRITICALITYTYPE OF ITEMMRCDEMILHMICEDCPMICADPECDATE CREATED
656505012879652A4510042794X1APA29 Oct 1988
Code Definitions

65

Federal Supply Group (FSG_3994/FSC_WI_FSG_3996)


Medical, Dental, and Veterinary Equipment and Supplies

6505

Federal Supply Class (FSC_3994/FSC_WI_FSC_3996)


Drugs and Biologicals

012879652

National Item Identification Number (NCB_CD_4130/I_I_NBR_4131)


NSN 6505-01-287-9652

A45100

Federal Item Identification Guide (FIIG_4065)

42794

Item Naming Code (INC_4080)

29 Oct 1988

NIIN Assignment Date (DT_NIIN_ASGMT_2180)

X

Item Criticality (CRITL_CD_FIIG_3843)


The item does not have a nuclear hardened feature or any other critical feature such as tolerance, fit restriction or application.

1

Type of Item Identification (TYP_II_4820)


Full Descriptive Item Identification

A

Demilitarization Code (DEMIL_CD_0167)


Non-MLI/ Non-SLI — Demilitarization not required.

P

Hazardous Material Indicator Code (HMIC_0865)


Indicates there is no information in the HMIRS; however, the NSN is in a FSC in Table II of Federal Standard 313 and a MSDS may be required by the user. The requirement for a MSDS is dependent on a hazard determination of the supplier or the intended end use of the product.

A

Precious Metals Indicator Code (PMIC_0802)


Item does not contain Precious Metal.


Similar & Related NSN Parts

FLIS - SEG B - MOE RULE DATA | NSN 6505-01-287-9652 Submit RFQ
MOE RuleFormer MOEAMCAMSCNIMSCIMCIMC ActivityAACDSORCollaboratorsReceiversEffective Date
A911A1113Z1 Dec 2006
FSGMFSKX3Z1 Dec 2006
N9BL3Z1 Dec 2006
Code Definitions

3

Acquisition Method Code (AMC_2871)


Acquire directly from the actual manufacturer, whether or not the prime contractor is the actual manufacturer.

Z

Acquisition Method Suffix Code (AMSC_2876)


This part is a commercial/non-developmental/off-the-shelf-item. Valid AMCs: 1, 2, 3, 4 and 5.


FLIS - SEG C - REFERENCE NUMBER | NSN 6505-01-287-9652 Submit RFQ
RNFCRNCCRNVCDACRNAACRNSCRNJCSADCMSDSHCCReference NumberCAGE
314KX8017-04  34471  
324KXNDC00054-8017-04  34471  
514KXACETAMINOPHEN W/CODEINE  34471  
524ZZNDC00121-0504-15  61181  
Code Definitions

3

Reference Number Category Code (RNCC_2910)


Design Control Reference. The primary number used to identify an item of production or a range of items of production, by the manufacturer (individual, company, firm, corporation, or Government activity) which controls the design, characteristics, and production of the item by means of its engineering drawings, specifications and inspection requirements.

1

Reference Number Variation Code (RNVC_4780)


A design control or other reference number that does NOT identify an item of production without the use of additional information, or a specific part, type, or similar reference number does NOT identify or item of supply without the use of additional information.

4

Document Availability Code (DAC_2640)


The reference number is represented by technical documentation other than a drawing and the documentation was available to the RNAAC, who may or may not be the submitting activity, at the time of submission of the reference number; however, the RNAAC cannot furnish the technical documentation.

KX

Reference Number Action Activity Code (RNAAC_2900)


Defense Supply Center Philadelphia, Philiadelphia, PA 19101

2

Reference Number Variation Code (RNVC_4780)


A design control or other reference number that is an item-identifying number for an item of production, or a source control reference or a specification or standard part, type, or similar reference number that is an item-identifying number for an item of supply.

5

Reference Number Category Code (RNCC_2910)


Secondary Reference. Any additional number, other than a primary number (codes 1,2,3,4) informative reference (code 6) or vendor item drawing reference (code 7) assigned to an item of production or supply by a commercial or Government organization, which represents the same item of production or supply to which the National Stock Number (NSN) was assigned. The reference number may have had an RNCC of 1, 2, 3, 4 or 7 but has since been replaced in the item-of-supply concept of the NSN by another primary number.

ZZ

Reference Number Action Activity Code (RNAAC_2900)


USA


FLIS - SEG E - ITEM STANDARDIZATION DATA | NSN 6505-01-287-9652 Submit RFQ
ISCOriginatorNIIN StatusReplaced / Replacement ISCReplaced / Replacement OriginatorReplacement NIIN StatusReplacement DateReplaced / Replacement NSNDecision Date
2KX027 Oct 1990
Code Definitions

2

Item Standardization Code (ISC_2650)


An item authorized for procurement which has been included in an item reduction study and which initially does not replace an item not authorized for procurement. In addition, in generic relationships, a code 2 item is related to a code 1 item.

KX

Originator of Standardization Decision (ORG_STDZN_DEC_9325)


Defense Supply Center Philadelphia, Philiadelphia, PA 19101

0

NIIN Status Code (NIIN_STAT_CD_2670)


Item is active. File data coded KFD is forwarded. if this KFD data represents your item of supply, submit, if applicable, an LAD, LAU, or LCU transaction. Otherwise, use the National Stock Number (NSN) in your supply system.

27 Oct 1990

Standardization Decision Date (DT_STDZN_DEC_2300)


FLIS - SEG G - FREIGHT DATA | NSN 6505-01-287-9652 Submit RFQ
IntegrityOriginatingHMCLCLWCCTCCSHCADCACCASHLTLNMFCNMFC Sub ItemUFCFreight DescriptionRail Variance
KX532Z6AMYW058770Z33400DRUGS-MEDICINES-VITAMINS-NOI
Code Definitions

KX

Originating Activity Code (ORIG_ACTY_CD_4210)


Defense Supply Center Philadelphia, Philiadelphia, PA 19101

532

Water Commodity Code (WRT_CMDTY_CD_9275)


Drugs And Medicines Excluding Penicillin, Sulfa, Serums, Vaccines, and Vitamins (not requiring temperature control)

Z

Type Cargo Code (TYPE_CGO_CD_9260)


No special type of cargo code applicable

6

Special Handling Code (SP_HDLG_CD_9240)


Protected (Controlled)

A

Air Dimension Code (AIR_DIM_CD_9220)


Shipment is not a consolidation and does not exceed 72 inches in any dimension.

M

Air Commodity Code (AIR_CMTY_HDLG_9215)


Medical supplies, equipment, samples records, etc.

Y

Air Special Handling Code (AIR_CMTY_HDLG_9215)


Protected cargo, other than above, including sensitive cargo requiring hand-to-hand receipt and/or security precautions.

W

Less Than Truckload (CLAS_RTNG_CD_2770)


Variable Rating

058770

National Motor Freight Classification Number (NMFC Item Number) (NMFC_2850)

Z

NMFC Sub Item Number (SUB_ITM_NBR_0861)

33400

Uniform Freight Classification (UFC_CD_MODF_3040)

DRUGS-MEDICINES-VITAMINS-NOI

Freight Description (FRT_DESC_4020)

Rail Variance

Rail Variance (RAIL_VARI_CD_4760)


No Variation. NMFC and UFCC Match.


FLIS - SEG H - MANAGEMENT DATA | NSN 6505-01-287-9652 Submit RFQ
Unit PriceMOESOSAACCIICQUPReparabilityUISLC
DASMSYQ1PGK
DFSMSYQ1PGK
DNSMSYQ1PGK
DSSMSYQ1PGK
Code Definitions

SMS

Source of Supply (SOS_CD_3690) or Source of Supply Modifier (SOSM_CD_2948)


Defense Logistics Agency, Enterprise Business Systems

Y

Acquisition Advice Code (AAC_2507)


TERMINAL ITEM (NON-STOCKED ITEMS) Future procurement is not authorized. No wholesale stock is available for issue. 1. Requisitions will not be processed to the wholesale manager. 2. Internal Service/agency requisitioning may be continued in accordance with the Service/agency requisitioning policies.

Q

Controlled Item Inventory Code (CIIC_2863)


A drug or other controlled substance designated as a Schedule III, IV, or V item, in accordance with the Controlled Substance Act of 1970. Other sensitive items requiring limited access storage.

1

Quantity Unit Pack (QUP_6106)


1

PG

Unit of Issue (UI_3050)


Package - A form of protective wrapping for two or more of the same item of supply. To be used only when a unit of measure or container type term is not applicable. Includes “envelope”. *Requires a quantitative expression

K

Shelf Life Code (SLC_2943)


TYPE I (18 Months (1.50-Years) ) - An individual item of supply which is determined through an evaluation of technical test data and/or actual experience to be an item with a definite non-extendible period of shelf-life.

DA

Service / Agency Code (MOE_CD_2833)


Department of the Army

DF

Service / Agency Code (MOE_CD_2833)


Department of the Air Force

DN

Service / Agency Code (MOE_CD_2833)


Department of the Navy

DS

Service / Agency Code (MOE_CD_2833)


Defense Logistics Agency


FLIS - SEG W - PACKAGING DATA | NSN 6505-01-287-9652 Submit RFQ
SourcePICA / SICAPackaging CategoryStoragePreservationClean/DryINT QtyUnit WeightUnit SizeUnit Pack CubeItem WeightItem Dims
PPZZZ
Preservation MaterialWrapping MaterialCushioning / DunnageCushioning ThicknessUnit ContainerIntermediate ContainerUnit Container LevelSpecial MarkingLevel A PackingLevel B PackingMinimal PackingOptional Procedure
ZZZZZZZZZZZZM
Code Definitions

P

Packaging Data Source Code (PK_DTA_SRC_CD_5148)


Primary Inventory Control Activity (PICA)

P

Primary / Secondary Inventory Control Code (PICA_SICA_IND_5099)


Primary Inventory Control Activity (PICA)

ZZ

Method of Preservation Code (MTHD_PRSRV_CD_5160)


See J.4.1.b

Z

Cleaning and Drying Procedure Code (CLNG_DRY_PRC_5161)


Special Requirements - See specific instructions or drawings provided.

Unit Pack Weight (UP_WT_5153)

Unit Pack Cube (UP_CU_5155)

ZZ

Preservation Material Code (PRSRV_MAT_CD_5162)


Special requirement – See specific instructions or drawings provided

ZZ

Wrapping Material Code (WRAP_MAT_CD_5163)


Special requirements – see specific instructions or drawings provided

ZZ

Cushioning and Dunnage Material Code (CUSH_DUN_MAT_5164)


Special requirements. See specific instructions or drawings provided.

Z

Thickness of Cushioning or Dunnage Code (THK_CUSH_DUN_5165)


Special requirements-See specific instructions or drawings provided

ZZ

Unit Container Code (UNIT_CTNR_CD_5166)


Special requirement – See specific instructions or drawings provided.

ZZ

Special Marking Code (SP_MKG_CD_5169)


Special requirements

Z

Packing Requirement Code - For Level A (Maximum) Packing (LVL_A_PKG_CD_5170)


Special requirement. See specific instructions or drawings provided.

M

Optional Procedure Indicator Code (OPTNL_PRO_IND_5173)


All packaging data is mandatory for compliance and no substitutions are permitted. Fast packs should be included in this category.


FLIS - SEG M/V - CHARACTERISTICS DATA | NSN 6505-01-287-9652 Submit RFQ
MRCDecoded RequirementClear Text Reply
AKJAActive Medicament Medicinal Strength360.000 MILLIGRAMS ACETAMINOPHEN PER 15 MILLILITERS AND 36.000 MILLIGRAMS CODEINE PHOSPHATE PER 15 MILLILITERS
CRLKPrimary Container Content Quantity15.000 MILLILITERS
CQCTPrimary Container TypeCUP, UNIT DOSE
AJCNProtective Storage FeatureREQUIRES REFRIGERATION STORAGE BETWEEN 2 TO 8 DEG CELSIUS
CXCYPart Name Assigned By Controlling AgencyACETAMINOPHEN AND CODEINE PHOSPHATE ELIXIR CHERRY 15ML CUP 100S
CSCWTotal Primary Container Quantity100

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