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[null,"Standard Pharmaceutical Product and Medical Device Information (Rx Product Only)- UPDATE FORM"]
[null,"Company Name:  ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Has FDA granted an exemption for the product since it was launched if covered under the DSCSA?  \t\t\t\t\t","No"]
[null,"GLN:",null,null,null,null,null,null,null,null,null,null,null,null,null,"If an exemption has been granted, specify the effective date of it:   "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"If FDA indicates a waiver/exception/exemption expires or is being terminated on a particular date, be it the result of a biennial review or limited duration request, indicate the date the expiration or termination is effective:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Specify a phone number and/or e-mail address to direct trading partner questions to regarding the section 582 requirements pertaining to this exemption per final guidance from FDA on WEEs."]
[null,"Is this an updated GLN?",null,null,null,null,null,null,null,null,null,null,null,null,null,"Indicate any brief notes/comments/status update regarding the DSCSA exemption FDA has granted for the product if appropriate:"]
[null,"Proprietary Name (If Applicable) and Established Name:  "]
[null,null,"Selling Unit NDC:",null,null,null,"Unit of Use NDC:",null,null,null,null,null,null,null,"UPC:"]
[null,"GTIN AND HIBCC PRODUCT INFORMATION"]
[]
[null,null,"Saleable Unit of Measure",null,null,"Quantity",null,null,"HIBCC",null,null,null,"GTIN-14",null,null,"Is this a new GTIN?",null,"Unit of Use GTIN-14",null,null,"Is this a new GTIN?"]
[null,null,null,"Item/Each(lowest selling unit)"]
[null,null,null,"Bundle/Inner Pack"]
[null,null,null,"Case"]
[null,null,null,"Pallet"]
[]
[]
[]
[]
[]
[]
[null,"ITEM AND PACKING INFORMATION"]
[]
[]
[null,null,null,null,"Weight Lbs.","Dimensions (US msmts.)",null,null,"Volume (Cube) ","# Pieces:"]
[null,null,null,null,null,"Depth","Width","Height"]
[null,null,"Item/Each:",null,null,null,null,null,{"$f":"F27*G27*H27","v":0}]
[]
[null,null,"Box/Carton/Bundle/ Inner Pack:",null,null,null,null,null,{"$f":"F29*G29*H29","v":0}]
[]
[null,null,"Case:",null,null,null,null,null,{"$f":"F31*G31*H31","v":0}]
[]
[null,null,"Pallet:",null,null,null,null,null,{"$f":"F33*G33*H33","v":0}]