|
National Stock Number(NSN): 8940-01-360-5551 (8940013605551, 013605551)
| NIIN: |
01-360-5551 |
Item Name: |
DIETARY SUPPLEMENT,THERAPEUTIC |
INC: |
35310
|
| FSC: |
8940
|
Assignment Date: |
Jun-26-1992 |
CRIT: |
X |
IIG: |
35310 |
| ISC: |
5 |
Date Standardized: |
Jun-26-1992 |
HMIC: |
N |
DODIC: |
|
| NSC: |
4 |
Cancellation Date: |
Sep-01-2007 |
PMIC: |
A |
FIIG: |
T113-Q |
| ESD: |
|
Schedule B: |
|
DEMIL: |
A |
DEMIL INT: |
|
| TIIC: |
4 |
Originator: |
97 |
ADPEC: |
|
RPDMRC: |
9 |
| Part Number |
CAGE |
Company |
Status |
RN CC |
RN VC |
DAC |
RN AAC |
RN FC |
RN SC |
RN JC |
SADC |
HCC |
MSDS |
|
056301 |
97374
|
BRISTOL-MYERS SQUIBB CO MEAD JOHNSON NUTRITIONALS MEAD JOHNSON AND CO |
H |
3 |
2 |
4 |
54 |
|
|
|
|
|
|
|
CRITICARE HN |
97374
|
BRISTOL-MYERS SQUIBB CO MEAD JOHNSON NUTRITIONALS MEAD JOHNSON AND CO |
H |
5 |
1 |
4 |
54 |
|
|
|
|
|
|
| MOEC |
SOS |
A A C |
R C |
S L C |
CIIC |
U P Q |
U S C |
Unit Price |
UI |
UICF |
MCD |
Action Date |
C/H |
| DA |
SMS |
Y |
|
H |
U |
1 |
A |
$74.47 |
PG |
|
C2201X- |
Mar-01-2007 |
H |
| DS |
SMS |
Y |
|
H |
U |
1 |
D |
$74.47 |
PG |
|
------- |
Mar-01-2007 |
H |
| VA |
G36 |
Y |
|
H |
U |
0 |
V |
$0.00 |
PG |
|
------- |
Oct-01-1994 |
H |
| MOEC |
PC |
Phrase |
QPA |
UOM |
OOU |
JTC |
| DA |
K |
U/I CONTAINS 24EA |
000 |
|
|
|
| DA |
R |
REFER TO NON-STD-NON-DMSB |
000 |
|
|
|
| DA |
R |
REFER TO NOT DMSB STZD |
000 |
|
|
|
| DS |
K |
U/I CONTAINS 24EA |
000 |
|
|
|
| DS |
R |
REFER TO NON-STD-NON-DMSB |
000 |
|
|
|
| VA |
K |
U/I CONTAINS 24EA |
000 |
|
|
|
Technical Characteristics Information
| MRC |
Requirement Statement |
Reply Statement |
| AGUD |
SUPPLY PACKAGE TYPE |
PACKAGE |
| CXCY |
PART NAME ASSIGNED BY CONTROLLING AGENCY |
DIETARY SUPPLEMENT THERAPEUTIC UNFLAVORED LIQUID RTU 8OZ/BT 24S |
| FEAT |
SPECIAL FEATURES |
UNFLAVORED,LIQUID,READY-TO-USE; 8 OZ. BOTTLES; PRIMARILY FOR TUBE FEEDING; CALORIES: 1 PER ML.; PROTEIN: 12-17% (PROVIDED AS SMALL PEPTIDES WITH OR WITHOUT FREE AMINO ACIDS; FAT: 3-12% (IF GREATER THAN 5% OF TOTAL CALORIES,A MINIMUM OF 40% SHOULD BE MCT); CARBOHYDRATE: 70-83%; LACTOSE FREE; LOW RESIDUE; CALORIE:NITROGEN RATIO 150-180:1; OSMOLALITY NOT TO EXCEED 700 MOSM/KG. WATER; VITAMINS AND MINERALS: 100% OF U.S. RDS'S IN 2000 ML. OR LESS; 24S (8 BOTTLES PER PAK; 3 PAKS PER PACKAGE) |
| MOE Rule |
Former MOER |
Effective |
AMC |
AMSC |
IMC |
IMCA |
Collaborators |
Receivers |
| A913 |
A115 |
Dec-01-2006 |
3 |
H |
|
|
GX |
AM|BN|GX |
| FSGM |
FSYC |
Dec-01-2006 |
3 |
H |
|
|
GX|TT |
GX|SS|TT |
| N9BQ |
N9LQ |
Dec-01-2006 |
3 |
H |
|
|
GX |
GH|GX |
| V542 |
|
Jun-26-1992 |
0 |
0 |
|
|
54 |
54 |
|