Product Details | PERPHENAZINE AND AMITRIPTYLINE HYDROCHLORIDE TABLE

6505-01-012-7558 00001016505000000

Part Alternates: NDC06094668, NDC06-0946-68, TRIAVIL425, TRIAVIL-4-25, 6505-01-012-7558, 01-012-7558, 6505010127558, 010127558

Medical, Dental, and Veterinary Equipment and Supplies | Drugs and Biologicals

Supply Group (FSG) NSN Assign. NIIN
65 18 NOV 1975 01-012-7558

Cross Reference | NSN 6505-01-012-7558

Part Number Cage Code Manufacturer
NDC06-0946-68 06990 MERCK SHARP & DOHME CORP. DIV US HUMAN HEALTH
TRIAVIL-4-25 06990 MERCK SHARP & DOHME CORP. DIV US HUMAN HEALTH

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Technical Data | NSN 6505-01-012-7558

Characteristic Specifications
ACTIVE MEDICAMENT MEDICINAL STRENGTH 25.000 MILLIGRAMS AMITRIPTYLINE HYDROCHLORIDE ACTIVE INGREDIENT AND 4.000 MILLIGRAMS PERPHENAZINE ACTIVE INGREDIENT
ADMINISTRATION ORAL
PRIMARY CONTAINER TYPE BOTTLE
PRIMARY CONTAINER CONTENT QUANTITY 100.000 TABLETS
TOTAL PRIMARY CONTAINER QUANTITY 1
INTERMEDIATE PACKAGE QUANTITY 12
EXTERIOR CONTAINER QUANTITY 144
UNIT OF ISSUE WEIGHT 0.21 POUNDS
UNIT OF ISSUE CUBE 0.008 CUBIC FEET

Restrictions/Controls & Freight Information | NSN 6505-01-012-7558

Category Code Description
Shelf-Life Code:Q36 months
Hazardous Material Indicator CodePThere is no information in the HMIS; however, the NSN is in an FSC in Table II of Federal Standard 313 and an MSDS may be required by the user. The requirement for an MSDS is dependent on a hazard determination of the supplier or the intended end use of the product
Demilitarization Code:ANon-Munitions List Item/ Non-Strategic List Item - Demilitarization not required.
Controlled Inventory Item Code:UUNCLASSIFIED
Precious Metals Indicator Code:AItem does not contain precious metal
Criticality Code:X The item does not have a nuclear hardened feature or any other critical feature such as tolerance, fit restriction or application.
Category Code Description
NMF Description 058770 DRUGS/MEDICINES/VITAMINS NOI
Less than car load rating
Less than truck load rating W Rating Variable
Water commodity Code 532 unknown
Originating Activity Code KX Defense Supply Center Philadelphia
Philiadelphia, PA 19101
Air Dimension Code A Shipment is not a consolidation and does not exceed 72 inches in any dimension.
Air Commodity M Medical supplies, equipment, samples records, etc.
Air Special Handling Z No special handling required.
Special Handling Code 9 unknonwn
HAZMAT
Type of Cargo Z No special type of cargo code applicable

Management | NSN 6505-01-012-7558

Category Code Description
Cognizance Codes9LNavy-owned stocks of defense medical material
Naval Inventory Control Point, Mechanicsburg
Source of SupplyS9MDefense Supply Center Philadelphia
Director of Medical Materiel
Philadelphia, PA 19145
AgencyDNDepartment of the Navy
Service OrganizationNU.S. Navy
Acquisition Advice CodesYTERMINAL ITEM #(NON-STOCKED ITEMS) Future procurement is not authorized. No wholesale stock is available for issue. 1. Requisitions will not be processed to the wholesale manager. 2. Internal Service/agency requisitioning may be continued in accordance with the Service/agency requisitioning policies.
Controlled Item CodeUUNCLASSIFIED
Shelf Life CodeQ36 months
Purchasing QTY
UOM
1
BT : Bottle