Catalog item
Request a quoteLEVONORGESTREL AND ETHINYL ESTRA
6505FSC
01NCB code
224-0176Item number
NIIN 01-224-0176
- Unit price
- $125.64
- 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
- DEMIL integrity code
- 1
- NIIN assigned
- 11-JAN-86
- Precious metals indicator
- A
- Hazardous material indicator
- P
- Schedule B export code
- 3006600000
- 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 | Recoverability code | Management control | Net price | USC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 01-OCT-2026 | DS | L | SMS | PG | EA | 168.0000 | $125.64 | 1 | U | M | N | ------- | $0.00 | I |
| 01-OCT-2025 | DA | L | SMS | PG | EA | 168.0000 | $56.67 | 1 | U | M | C2201X- | $0.00 | A | |
| 01-OCT-2025 | DF | L | SMS | PG | EA | 168.0000 | $56.67 | 1 | U | M | ------- | $0.00 | F | |
| 01-OCT-2025 | DM | L | SMS | PG | EA | 168.0000 | $56.67 | 1 | U | M | Z | 1554--- | $0.00 | M |
| 01-OCT-2025 | DN | L | SMS | PG | EA | 168.0000 | $56.67 | 1 | U | M | 9B----A | $0.00 | N |
Part numbers
| Part number | CAGE | CAGE status | RNCC | RNVC | Document availability code | RNAAC | RNSC |
|---|---|---|---|---|---|---|---|
| ENPRESSE 6 X 28 | 3V8D7 TEVA PHARMACEUTICALS USA, INC. | A | 5 | 1 | 4 | ZZ | |
| NDC00555-9047-58 | 3V8D7 TEVA PHARMACEUTICALS USA, INC. | A | 3 | 2 | 4 | ZZ | |
| NDC51862-0510-06 | 4HH72 MAYNE PHARMA COMMERCIAL LLC | A | 5 | 9 | 4 | ZZ | B |
| NDC52544-0291-28 | 6LMB8 ACTAVIS PHARMA, INC. | H | 5 | 9 | 4 | ZZ | B |
| TRIVORA 6 X 28 | 6LMB8 ACTAVIS PHARMA, INC. | H | 5 | 9 | 4 | ZZ | B |
| MYZLIRA 6 X 28 | 0ET99 GENERICS BIDCO I, LLC DBA PAR PHARMACEUTICAL | A | 5 | 1 | 4 | ZZ |
Characteristics
| ACTIVE MEDICAMENT MEDICINAL STRENGTH | 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 TYPE | DISPENSER, PLASTIC COMPACT |
| PRIMARY CONTAINER CONTENT QUANTITY | TABLETS 28.000 |
| TOTAL PRIMARY CONTAINER QUANTITY | 6 |
| PART NAME ASSIGNED BY CONTROLLING AGENCY | LEVONORGESTREL AND ETHINYL ESTRADIOL TABLETS (TRIVORA) 168S |
| SPECIAL FEATURES | 28 TABLETS PER EACH CYCLE COMPACT CONTAINING IN SEQUENCE: 6 TABLETS LEVONORGESTREL 0.050 MG AND ETHINYL ESTRADIOL 0.030 MG FOLLOWED BY 5 TABLETS LEVONORGESTREL 0.075 MG AND ETHINYL ESTRADIOL 0.040 MG FOLLOWED BY 10 TABLETS LEVONORGESTREL 0.125 MG AND ETHINYL ESTRADIOL 0.030 MG FOLLOWED BY 7 TABLETS OF INERT INGREDIENTS. STORE AT 20 - 25 C (68 - 77 F). (SEE USP CONTROLLED ROOM TEMPERATURE). |
| MEDICAL DESIGNATION AND GRADE | UNITED STATES PHARMACOPEIA |
| SUPPLEMENTARY FEATURES | CONTAINS 6 CYCLES OF 28 TABLETS; MEDSEP ITEM FOR DOD,BERLEX LABS |
MOE rules
| MOE rule | MOE CD | AMC | AMSC | Date assigned | PICA | PICA LOA | SICA | SICA LOA | Auth collab | Supp collab | Fmr MOE rl |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A911 | DA | 1 | Z | 01-DEC-06 | GX | 01 | AS | 5D | GX AM | A111 | |
| FSGM | DF | 1 | Z | 01-DEC-06 | GX | 01 | TT | 5D | GX TT | FSKX | |
| MC55 | DM | 1 | Z | 01-JAN-12 | GX | 01 | PA | 5D | GX PA | ||
| N9BL | DN | 1 | Z | 01-MAR-08 | GX | 01 | GH | 5D | GX | GT |
Service data
Army
- Matcat 1
- C
- Matcat 2
- 2
- Matcat 3
- 2
- Matcat 4 5
- 01
- ARC
- X
Navy
- COG
- 9B
- SMCC
- A
Marine Corps
- SAC
- 1
- CEC
- 5
- MEC
- 54
Freight
- ACTY CD
- KX
- 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
- 5
- Orig stdzn dec
- 97
- Dt stdzn dec
- 11-JAN-1986
- NIIN status code
- 0
Cancelled and replaced NIINs
- FSC
- 6505
- Cancelled NIIN
- 6505-01-355-4645
- NIIN status code
- 5
- Effective date
- 02-JUL-2026
- DEMIL code
- A
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