Catalog item

LEVONORGESTREL AND ETHINYL ESTRA

6505FSC
01NCB code
217-8844Item number
NIIN 01-217-8844
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Unit price
$4.79
Unit of issue
PG
Source of supply
SMS
DEMIL code
A

Identification

Item name code
36939
PINC
0036939
Criticality code
X
II
0
DEMIL code
A
NIIN assigned
05-OCT-85
Precious metals indicator
A
Hazardous material indicator
P
Schedule B export code
3006600000

Management

Effective dateMajor organizational entityAcquisition advice codeSource of supplyUnit of issueUnit of measureUnit of measure quantityUnit priceQuantity per unit packControlled inventory item codeShelf-life codeManagement controlNet priceUSC
01-OCT-2026DAYSMSPGEA84.0000$4.791UMC2201X-$0.00A
01-OCT-2026DFYSMSPGEA84.0000$4.791UM-------$0.00F
01-OCT-2026DNYSMSPGEA84.0000$4.791UM9B----A$0.00N
01-OCT-2026DSYSMSPGEA84.0000$4.791UM-------$0.00I

Part numbers

Part numberCAGECAGE statusRNCCRNVCDocument availability codeRNAACRNSC
NDC50419-0431-2859463
BAYER HEALTHCARE PHARMACEUTICALS INC DBA BAYER HEALTHCARE PHARMACEUTICALS INC
A594ZZB
TRI-LEVLEN 2859463
BAYER HEALTHCARE PHARMACEUTICALS INC DBA BAYER HEALTHCARE PHARMACEUTICALS INC
A514KX
TRIPHASIL-2804543
AMERICAN HOME PRODUCTS CORP WYETH-AYERST LABORATORIES DIV
H594KXB
NDC00008-2536-0104543
AMERICAN HOME PRODUCTS CORP WYETH-AYERST LABORATORIES DIV
H594KXB
NDC00008-2536-0107TA6
CARDINAL HEALTH 200, LLC
A324ZZ

Characteristics

ACTIVE MEDICAMENT MEDICINAL STRENGTHMILLIGRAMS ETHINYL ESTRADIOL ACTIVE INGREDIENT 0.030 AND MILLIGRAMS ETHINYL ESTRADIOL ACTIVE INGREDIENT 0.040 AND MILLIGRAMS LEVONORGESTREL ACTIVE INGREDIENT 0.050 AND MILLIGRAMS LEVONORGESTREL ACTIVE INGREDIENT 0.075 AND MILLIGRAMS LEVONORGESTREL ACTIVE INGREDIENT 0.125
PRIMARY CONTAINER TYPECARD
PRIMARY CONTAINER CONTENT QUANTITYTABLETS 28.000
TOTAL PRIMARY CONTAINER QUANTITY3
PART NAME ASSIGNED BY CONTROLLING AGENCYLEVONORGESTREL AND ETHINYL ESTRADIOL TABLETS 84S
SPECIAL FEATURES3 CYCLES; 28 TABLETS PER CYCLE; D-DAY ITEM FOR DOD
MEDICAL DESIGNATION AND GRADEUNITED STATES PHARMACOPEIA
SUPPLEMENTARY FEATURESSHALL BE PACKAGED EITHER IN A THREE-CYCLE PLASTIC COMPACT WITH 28 TABLETS FOR EACH CYCLE,OR ONE-CYCLE PLASTIC COMPACT WITH THREE 28-TABLET BLISTER TYPE PACKAGES,OR 3 ONE-CYCLE COMPACTS WITH THREE 28-TABLET BLISTER TYPE PACKAGES; 84 TABLETS PER PACKAGE; EACH CARD CONSISTS OF 6 TABLETS CONTAINING 0.050 MG LEVONORGESTREL AND 0.030 MG ETHINYL ESTRADIOL,FOLLOWED BY 5 TABLETS CONTAINING 0.075 MG LEVONORGESTREL AND 0.040 MG ETHINYL ESTRADIOL,FOLLOWED BY 10 TABLETS CONTAINING 0.125 MG LEVONORGESTREL AND 0.030 MG ETHINYL ESTRADIOL,FOLLOWED BY 7 TABLETS CONTAINING INERT INGREDIENTS

MOE rules

MOE ruleMOE CDAMCAMSCDate assignedPICAPICA LOASICASICA LOAAuth collabSupp collabFmr MOE rl
A911DA3Z01-DEC-06GX01AS5DGX AMA111
FSGMDF3Z01-DEC-06GX01TT5DGX TTFSKX
N9BLDN3Z01-DEC-06GX01GH5DGXGT HDN9LM

Management phrases

Major organizational entity
DN
USC
N
Phrase code
R
Phrase
REFER TO NOT YET AVAILABLE
Quantity per assembly
0
Technical document
NOT YET AVAILABLE

Service data

Army

Matcat 1
C
Matcat 2
2
Matcat 3
2
Matcat 4 5
01
ARC
X

Navy

COG
9B
SMCC
A

Freight

ACTY CD
KX
NMFC
058770
NMFC sub
Z
Uniform freight class
33400
Less than truckload
W
Water commodity code
534
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
Method of preservation
ZZ
Special requirements apply that are not represented by the code symbols; details are provided with the acquisition...
Clng drying
Z
Special requirements - See specific instructions or drawings provided.
Pres mat
ZZ
Special requirement – See specific instructions or drawings provided
Wrap mat
ZZ
Special requirements – see specific instructions or drawings provided
Cush dun
ZZ
Special requirements.
THK
Z
Special requirements – See specific instructions or drawings provided
Unit cont
ZZ
Special requirement – See specific instructions or drawings provided.
PKG data source
P

Unit pack

PICA SICA
P
SPC MKG
ZZ
Special requirements
Lvl A
Z
Special requirement.
Unit pack weight
0.1000
UP SZ MAXB
0.00000
UP SZ MAXL
0.00000
UP SZ MAXH
0.00000
Unit pack cube
0.0080
OPI
M
All packaging data is mandatory for compliance and no substitutions are permitted.

Packaging instructions

PICA SICA
P
PKG design ACTY
89875
SPI no
MPPWN00001
SPI date
88090

Full packaging code breakdown

Related items

Standardization

Item standardization code
2
Orig stdzn dec
KX
Dt stdzn dec
08-FEB-1987
NIIN status code
0

Cancelled and replaced NIINs

FSC
6505
Cancelled NIIN
6505-01-222-9959
NIIN status code
5
Effective date
02-JUL-2026
DEMIL code
A

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