| Item Name | Dextromethorphan Hy |
| INC Code | 35744 |
| Federal Supply Group (FSG) | Medical Dental and Veterinary Equipment and Supplies |
| Federal Supply Class (FSC) | 6505 Drugs and Biologicals |
| National Item Identification Number (NIIN) | 01-201-3400 (012013400) |
| NCB Code | USA (01) |
| Manufacturer | Goldline Laboratories Inc |
| Associated Parts Numbers of NSN 6505-01-201-3400 | ||||||
|---|---|---|---|---|---|---|
| Part Number | Manufacturer | Item Name | Cage Code | Type | Status | RFQ |
| 04-504 | goldline laboratories inc | dextromethorphan hy | 63488 | A | A | RFQ |
| NDC00182-1126-37 | goldline laboratories inc | dextromethorphan hy | 63488 | A | A | RFQ |
| MRC | Criteria | Characteristic |
|---|---|---|
| AKJA | ACTIVE MEDICAMENT MEDICINAL STRENGTH | 2.000 MILLIGRAMS DEXTROMETHORPHAN HYDROBROMIDE ACTIVE INGREDIENT AND 20.000 MILLIGRAMS GUAIFENESIN ACTIVE INGREDIENT AND 1.000 MILLIGRAMS PHENYLEPHRINE HYDROCHLORIDE ACTIVE INGREDIENT |
| ALJH | FLAVOR | ORANGE |
| CQCT | PRIMARY CONTAINER TYPE | BOTTLE |
| CRLK | PRIMARY CONTAINER CONTENT QUANTITY | 4.000 OUNCES |
| CSGS | ADMINISTRATION | ORAL |
| FEAT | SPECIAL FEATURES | YELLOW; SUGARLESS; NO ALCOHOL |
| Relevant Components for NSN - 6505-01-201-3400, 6505012013400 | ||||
| 6505-01-284-4453 (6505012844453) | 6505-00-268-9280 (6505002689280) | 6505-01-491-7131 (6505014917131) | 6505-00-116-1635 (6505001161635) | |
| 6505-01-504-5186 (6505015045186) | 6505-01-178-7905 (6505011787905) | 6505-01-271-9080 (6505012719080) | 6505-01-612-9939 (6505016129939) | |
| 6505-01-158-6361 (6505011586361) | 6505-00-814-5412 (6505008145412) | 6505-01-153-3439 (6505011533439) | 6505-01-051-7824 (6505010517824) | |
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FAA AC 0056B Accredited |
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AS 6081:2012 Certification |
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ESD S20.20-2014 Certification |
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