AMPICILLIN AND SULBACTAM FOR INJ

6505FSC

01NCB code

275-2568Item number

NIIN 01-275-2568

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Unit price: $46.15
Unit of issue: PG
Source of supply: SMS
DEMIL code: A

Identification

Item name code: 66642
PINC: 0066642
Criticality code: X
II: 0
DEMIL code: A
DEMIL integrity code: 1
NIIN assigned: 19-MAR-88
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	10.0000	$46.15	1	U	M	-------	$0.00	I
01-OCT-2025	DA	L	SMS	PG	EA	10.0000	$35.27	1	U	M	C2201X-	$0.00	A
01-OCT-2025	DF	L	SMS	PG	EA	10.0000	$35.27	1	U	M	-------	$0.00	F
01-OCT-2025	DN	L	SMS	PG	EA	10.0000	$35.27	1	U	M	9B----A	$0.00	N
01-OCT-1990	VA	G	G36	PG	EA	10.0000	$8.02	A	U	Q	-------	$0.00	V

Part numbers

Part number	CAGE	CAGE status	RNCC	RNVC	Document availability code	RNAAC	RNSC
10024319	1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP	A	5	2	4	ZZ	D
10125059	1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP	A	5	2	4	ZZ
NDC44567-0211-10	1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP	A	5	2	4	ZZ
10170543	1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP	A	5	2	4	ZZ
NDC00049-0014-83	1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP	A	5	2	4	ZZ
NDC25021-0143-30	1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP	A	5	2	4	ZZ
NDC67457-0349-10	1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP	A	5	2	4	ZZ
10083576	1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP	A	5	2	4	ZZ
NDC00641-6117-10	32655 HIKMA PHARMACEUTICALS USA INC.	A	3	2	4	ZZ
NDC67457-0349-10	3KJG9 MYLAN PHARMACEUTICALS INC	A	3	2	4	ZZ
NDC25021-0143-30	4RP13 SAGENT PHARMACEUTICALS, INC DBA SAGENT PHARMACEUTICALS, INC	A	3	2	4	ZZ
306920	57KZ6 FRESENIUS KABI, LLC	A	3	2	4	ZZ	K
NDC63323-0369-20	57KZ6 FRESENIUS KABI, LLC	A	3	2	4	ZZ	K
NDC44567-0211-10	6XJQ8 WG CRITICAL CARE, LLC	A	3	2	4	ZZ	K
F009992972	86491 PFIZER INC	A	3	2	4	ZZ
UNASYN 3G	86491 PFIZER INC	A	5	1	4	ZZ
NDC00049-0014-83	86491 PFIZER INC	A	3	2	4	ZZ
NDC00049-0014-83	07TA6 CARDINAL HEALTH 200, LLC	A	5	2	4	ZZ

Characteristics

PHYSICAL FORM	POWDER
ACTIVE MEDICAMENT MEDICINAL STRENGTH	GRAMS AMPICILLIN EQUIVALENT 2.000 AND GRAMS SULBACTAM ACTIVE INGREDIENT 1.000
PRIMARY CONTAINER TYPE	VIAL
PRIMARY CONTAINER CONTENT QUANTITY	GRAMS OF ACTIVE INGREDIENT 3.000
TOTAL PRIMARY CONTAINER QUANTITY	10
ADMINISTRATION	INTRAMUSCULAR AND INTRAVENOUS
PART NAME ASSIGNED BY CONTROLLING AGENCY	AMPICILLIN SODIUM AND SULBACTAM SODIUM STERILE 3GM VIAL 10S
SPECIAL FEATURES	VIAL SIZE: 20 ML. EACH 3 G VIAL CONTAINS: 3 GRAMS OF AMPICILLIN AND SULBACTAM FOR INJECTION (EQUIVALENT TO 2 GRAMS OF AMPICILLIN AS THE SODIUM SALT PLUS 1 GRAM OF SULBACTAM AS THE SODIUM SALT). PRIOR TO RECONSTITUTION, STORE DRY POWDER AT 20-25 DEG C (68-77 DEG F)(SEE USP CONTROLLED ROOM TEMPERATURE)
MEDICAL DESIGNATION AND GRADE	UNITED STATES PHARMACOPEIA

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
N9BL	DN	1	Z	01-DEC-06	GX	01	GH	5D	GX	GT	N9LM
V542	VA	0	0	01-APR-91	54	12			54

Management phrases

Major organizational entity	USC	Phrase code	Phrase	Technical document
DA	A	R	REFER TO EDI ITEM	EDI ITEM
DS	I	R	REFER TO EDI ITEM	EDI ITEM
DF	F	R	REFER TO EDI ITEM	EDI ITEM
DN	N	R	REFER TO EDI ITEM	EDI ITEM

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: 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
Unpackaged weight: 0.0000
Unpackaged width: 0.000
Unpackaged length: 0.000
Unpackaged height: 0.000
Intermediate container qty: ZZZ
Special requirement: see the specific drawing or instruction provided
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
Inter cont: ZZ
Special requirement – See specific instructions or drawings provided.
Lvl A: Z
Special requirement.
Lvl b: Z
Special 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: M
All packaging data is mandatory for compliance and no substitutions are permitted.

Packaging instructions

PICA SICA: P
SPI date: 00000

Full packaging code breakdown

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AMPICILLIN AND SULBACTAM FOR INJ

Identification

Management

Part numbers

Characteristics

MOE rules

Management phrases

Service data

Army

Navy

Freight

Packaging

Unit and preservation

Unit pack

Packaging instructions

Related items

Standardization

Cancelled and replaced NIINs

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