Quote for 04-504 Goldline Laboratories Inc Part with NSN 6505-01-201-3400

Part Number:  04-504
Alternate P/N:  04504
Manufacturer:  goldline laboratories inc
NIIN:  12013400
Item Name :  dextromethorphan hy
CAGE Code:  63488
INC Code:  35744
Country:  USA
NCB Code:  01
Last Updated:  01-14-2026

Are you looking quote for part 04-504? The Goldline Laboratories Inc-manufactured component (CAGE Code: 63488) is documented under NSN 6505-01-201-3400 as Dextromethorphan Hy. For the fastest quote, please complete our RFQ form with details about 04-504. We guarantee a response within 15 minutes.

ASAP Components provides the verified 04-504, classified under INC 35744, FSG , FSC , NIIN 01-201-3400, and NCB 01. Submit your requirements today to receive immediate pricing and availability information.

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NSN Information for Part Number 04-504 with NSN 6505-01-201-3400, 6505012013400

NSNFSCNIINCLSHazmatDEMILCancelled NSN
6505-01-201-3400

Item PartTypeName:

DEXTROMETHORPHAN HYDROBROMIDE,GU

6505012013400QP
CIICHCCESDPMICCriticalityENAC
U U
Part NumberISCRNVCRNCCHCCMSDSSADC
04-504523

Characteristics Data of NSN 6505-01-201-3400, 6505012013400

MRCCriteriaCharacteristic
AKJAACTIVE MEDICAMENT MEDICINAL STRENGTH2.000 MILLIGRAMS DEXTROMETHORPHAN HYDROBROMIDE ACTIVE INGREDIENT AND 20.000 MILLIGRAMS GUAIFENESIN ACTIVE INGREDIENT AND 1.000 MILLIGRAMS PHENYLEPHRINE HYDROCHLORIDE ACTIVE INGREDIENT
ALJHFLAVORORANGE
CQCTPRIMARY CONTAINER TYPEBOTTLE
CRLKPRIMARY CONTAINER CONTENT QUANTITY4.000 OUNCES
CSGSADMINISTRATIONORAL
FEATSPECIAL FEATURESYELLOW; SUGARLESS; NO ALCOHOL

Schedule B & Trade

End Use : 40100 Pharmaceutical preparations
Schedule B : 3004909176 (NAICS 325412) Cough and cold preparations put up in measured doses or in forms for retail sale, nesoi
SITC : 54293 Medicaments, n.E.S., in dosage form or retail packings

Identification

CRITL The item does not have a nuclear hardened feature or any other critical feature such as tolerance, fit restriction or application.
HMIC P - Indicates there is no information in the hmirs. The nsn is in a fsc in table ii of federal standard 313 and a msds may be required by the user. The requirement for a msds is dependent on a hazard determination of the supplier or the intended end use of item.
PMIC U - Precious metal content is unknown

NSN Management Codes

AAC I
Classification Control U
MGMT_CTL -------
Quantity per pack No qup
Repariability
Shelf Life 36 mo.
SOS
Unit of Measure Bt

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