Catalog item
Request a quoteRIZATRIPTAN BENZOATE TABLET
6505FSC
01NCB code
722-2116Item number
NIIN 01-722-2116
- Unit price
- $396.59
- Unit of issue
- PG
- Source of supply
- SMS
- DEMIL code
- A
Identification
- Item name code
- 77777
- PINC
- 1962332
- Criticality code
- X
- II
- 0
- DEMIL code
- A
- DEMIL integrity code
- 1
- NIIN assigned
- 18-JUL-24
- Precious metals indicator
- A
- ADP equipment code
- 0
- Hazardous material indicator
- P
- 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 | 18.0000 | $396.59 | 1 | U | Q | ------- | $0.00 | I |
| 01-OCT-2025 | DA | L | SMS | PG | EA | 18.0000 | $42.82 | 1 | U | Q | C2201X- | $0.00 | A |
| 01-JAN-2026 | DF | L | SMS | PG | EA | 18.0000 | $33.40 | 1 | U | Q | ------- | $0.00 | F |
| 01-JAN-2026 | DN | L | SMS | PG | EA | 18.0000 | $33.40 | 1 | U | Q | 9B----- | $0.00 | N |
Part numbers
| Part number | CAGE | CAGE status | RNCC | RNVC | Document availability code | RNAAC | RNSC |
|---|---|---|---|---|---|---|---|
| NDC33342-0094-41 | 1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP | A | 5 | 2 | 4 | ZZ | |
| 10190704 | 1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP | A | 5 | 2 | 4 | ZZ | |
| 6505NCM249722 | 64616 DEFENSE MEDICAL STANDARDIZATION BOARD | A | 5 | 1 | 4 | ZZ | |
| RIZATRIPTAN | 760M6 MACLEODS PHARMA USA, INC. | A | 5 | 1 | 4 | ZZ | |
| NDC33342-0094-41 | 760M6 MACLEODS PHARMA USA, INC. | A | 3 | 2 | 4 | ZZ | K |
| 1672379 | 89875 DEFENSE LOGISTICS AGENCY DIRECTORATE OF MEDICAL MATERIEL DEFENSE SUPPLY CENTER PHILADELPHIA | A | 5 | 1 | 4 | ZZ |
Characteristics
| PART NAME ASSIGNED BY CONTROLLING AGENCY | RIZATRIPTAN 10 MG DISINTEGRATING TABLET UNIT DOSE 18S |
|---|---|
| SPECIAL FEATURES | RIZATRIPTAN 10 MG DISINTEGRATING TABLET UNIT DOSE. RIZATRIPTAN BENZOATE TABLETS ARE INDICATED FOR THE ACUTE TREATMENT OF MIGRAINE WITH OR WITHOUT AURA IN ADULTS AND IN PEDIATRIC PATIENTS 6 TO 17 YEARS OLD. |
MOE rules
| MOE rule | MOE CD | AMC | AMSC | Date assigned | PICA | PICA LOA | SICA | SICA LOA | Auth collab |
|---|---|---|---|---|---|---|---|---|---|
| A911 | DA | 3 | Z | 01-JUL-24 | GX | 01 | AS | 5D | GX AM |
| FSGM | DF | 3 | Z | 01-JUL-24 | GX | 01 | TT | 5D | GX TT |
| N9BL | DN | 3 | Z | 01-JUL-24 | GX | 01 | GH | 5D | GX |
Service data
Army
- Matcat 1
- C
- Matcat 2
- 2
- Matcat 3
- 2
- Matcat 4 5
- 01
- ARC
- X
Navy
- COG
- 9B
Freight
- ACTY CD
- GX
Packaging
Unit and preservation
- PICA SICA
- P
- 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
- SPI date
- 21061
Related items
Standardization
- Item standardization code
- 5
- Orig stdzn dec
- 97
- Dt stdzn dec
- 18-JUL-2024
- NIIN status code
- 0
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