UNSPSC 51151523: Distigmine

This classification denotes a cholinesterase inhibitor with the molecular formula C22H32N4O4, a preparation that US FDA regulates as an active ingredient or moiety under Unique Ingredient Identifier T940307O7B, chemically known as 3,3-(1,6-hexanediylbis((methylimino)carbonyl)oxy)bis(1-methylpyridinium) dibromide but generally known as distigmine, which bears US NIH Compound Identifier 27522. European Medicines Agency schedules Distigmine in its eXtended EudraVigilance Medicinal Product Dictionary or XEVMPD under Index SUB01797MIG.

UNSPSC 51151523 Distigmine is a Commodity code that captures pharmaceutical products purchased by state and local health agencies, though the recent opportunities tagged under it span naloxone procurement and direct-to-manufacturer prescription programs rather than distigmine specifically. State and local governments buying under this code are primarily county health departments and state health and human services commissions seeking emergency medical supplies and prescription-fulfillment solutions. The Seminole County, Florida IFB for naloxone and drug deactivation systems exemplifies the emergency-response product category, while the Texas Health and Human Services Commission's RFI on direct-to-manufacturer prescriptions signals growing interest in alternative pharmacy supply-chain models that bypass traditional pharmacy benefit managers and wholesalers.

Recent activity centers on Florida and Texas. Seminole County posted IFB 60459723LAS on June 30, 2026, seeking 1,900 units of naloxone and 800 safe drug deactivation systems annually with quarterly deliveries to its Community Health Building in Sanford, with a response deadline of July 26, 2023, and a two-year initial term plus one-year renewal option. The Texas Health and Human Services Commission issued RFI HHS0017013 on April 3, 2026, to gather vendor capabilities for implementing direct pharmaceutical manufacturer relationships outside traditional PBM and GPO channels, seeking responses on contracting flexibility, negotiated net pricing models, and outcomes-based agreement capability. Neither opportunity specifies explicit set-aside or disadvantaged-enterprise designations, though the Seminole County procurement includes FEMA-compliance requirements and standard federal environmental regulations.