Catalog item
Request a quoteLIDOCAINE HYDROCHLORIDE JELLY
6505FSC
01NCB code
096-4116Item number
NIIN 01-096-4116
- Unit price
- $507.75
- Unit of issue
- PG
- Source of supply
- SMS
- DEMIL code
- A
Identification
- Item name code
- 28621
- PINC
- 0028621
- Criticality code
- X
- II
- 0
- DEMIL code
- A
- DEMIL integrity code
- 1
- NIIN assigned
- 18-JUN-80
- Precious metals indicator
- A
- Hazardous material indicator
- Y
- Schedule B export code
- 3004909245
- FedMall
- Y
Management
| Effective date | Major organizational entity | Acquisition advice code | Source of supply | Unit of issue | Unit of measure | Unit of measure quantity | Unit price | Quantity per unit pack | Controlled inventory item code | Shelf-life code | Management control | Net price | USC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 01-OCT-2026 | DS | L | SMS | PG | EA | 25.0000 | $507.75 | 1 | U | P | ------- | $0.00 | I |
| 01-OCT-2025 | DA | L | SMS | PG | EA | 25.0000 | $388.24 | 1 | U | P | C2201X- | $0.00 | A |
| 01-OCT-2025 | DF | L | SMS | PG | EA | 25.0000 | $388.24 | 1 | U | P | ------- | $0.00 | F |
Part numbers
Characteristics
| PROTECTIVE STORAGE FEATURE | CONTROLLED ROOM TEMPERATURE |
|---|---|
| AMERICAN HOSPITAL FORMULARY SERVICE CLASSIFICATION NUMBER | 720000 |
| ACTIVE MEDICAMENT MEDICINAL STRENGTH | PERCENT LIDOCAINE HYDROCHLORIDE ACTIVE INGREDIENT 2.0 |
| PRIMARY CONTAINER TYPE | VIAL |
| PRIMARY CONTAINER CONTENT QUANTITY | MILLILITERS 20.000 |
| TOTAL PRIMARY CONTAINER QUANTITY | 25 |
| ADMINISTRATION | TOPICAL |
| PART NAME ASSIGNED BY CONTROLLING AGENCY | LIDOCAINE HYDROCHLORIDE JELLY USP 20ML 25S |
| SPECIAL FEATURES | STERILE, WATER-SOLUBLE, TOPICAL ANESTHETIC; EACH ML CONTAINS 20 MG OF LIDOCAINE HCL AND SODIUM CARBOXYMETHYLCELLULOSE AS A VISCOSITY INCREASING AGENT;SUPPLIED IN BOX OF 25 PACKAGES CONTAINING ONE SINGLE USE VIAL AND A URO-JET VIAL INJECTOR; STORE AT CONTROLLED ROOM TEMP 15 TO 30 DEG C. PRESERVATIVE FREE. |
| MEDICAL DESIGNATION AND GRADE | UNITED STATES PHARMACOPEIA |
| SUPPLEMENTARY FEATURES | FOR PREVENTION AND CONTROL OF PAIN IN PROCEDURES INVOLVING THE MALE AND FEMALE URETHRA FOR TOPICAL TX OF PAINFUL URETHRITIS AND AS AN ANESTHETIC LUBRICANT FOR ENDOTRACHEAL INTUBATION, ORAL AND NASAL |
MOE rules
| MOE rule | MOE CD | AMC | AMSC | Date assigned | PICA | PICA LOA | SICA | SICA LOA | Auth collab | Fmr MOE rl |
|---|---|---|---|---|---|---|---|---|---|---|
| A911 | DA | 3 | Z | 01-DEC-06 | GX | 01 | AS | 5D | GX AM | A111 |
| FSGM | DF | 3 | Z | 01-DEC-06 | GX | 01 | TT | 5D | GX TT | FSKX |
Management phrases
- Major organizational entity
- DF
- USC
- F
- Phrase code
- R
- Phrase
- REFER TO 1M
- Quantity per assembly
- 0
- Technical document
- 1M
Service data
Army
- Matcat 1
- C
- Matcat 2
- 2
- Matcat 3
- 2
- Matcat 4 5
- 01
- ARC
- X
Freight
- ACTY CD
- 54
- NMFC
- 058770
- NMFC sub
- Z
- Uniform freight class
- 33400
- Less than truckload
- W
- Water commodity code
- 532
- Type of cargo code
- Z
- Special handling code
- 9
- Air dimension code
- A
- Air commodity code
- MZ
- NMF description
- DRUGS/MEDICINES/VITAMINS NOI
Packaging
Unit and preservation
- PICA SICA
- P
- PKG cat
- ZZZZ
- Unpackaged weight
- 0.0000
- Unpackaged width
- 0.000
- Unpackaged length
- 0.000
- Unpackaged height
- 0.000
- TOS
- 3
- Intermediate container qty
- ZZZSpecial requirement: see the specific drawing or instruction provided
- Method of preservation
- ZZSpecial requirements apply that are not represented by the code symbols; details are provided with the acquisition...
- Clng drying
- ZSpecial requirements - See specific instructions or drawings provided.
- Pres mat
- ZZSpecial requirement – See specific instructions or drawings provided
- Wrap mat
- ZZSpecial requirements – see specific instructions or drawings provided
- Cush dun
- ZZSpecial requirements.
- THK
- ZSpecial requirements – See specific instructions or drawings provided
- Unit cont
- ZZSpecial requirement – See specific instructions or drawings provided.
- PKG data source
- P
Unit pack
- PICA SICA
- P
- SPC MKG
- ZZSpecial requirements
- Inter cont
- ZZSpecial requirement – See specific instructions or drawings provided.
- Lvl A
- ZSpecial requirement.
- Lvl b
- ZSpecial requirement.
- Unit pack weight
- 0.0000
- UP SZ MAXB
- 0.00000
- UP SZ MAXL
- 0.00000
- UP SZ MAXH
- 0.00000
- Unit pack cube
- 0.0000
- OPI
- MAll packaging data is mandatory for compliance and no substitutions are permitted.
- Supplemental instructions
- APPLICABLE TO ALL MEDICAL
Packaging instructions
- PICA SICA
- P
- PKG design ACTY
- 89875
- SPI no
- MPPWN00001
- SPI date
- 88090
Related items
Standardization
- Item standardization code
- 2
- Orig stdzn dec
- KX
- Dt stdzn dec
- 14-MAR-2002
- NIIN status code
- 0
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