6505-01-269-6959 ( NDC52268-0100-01 , GOLYTELY )

NSN Information
NSN FSC NIIN Item Name INC
6505-01-269-6959 6505 012696959 POLYETHYLENE GLYCOL AND ELECTROL 3646
NSN Features
MRC Parameter Characteristics
PKTY UNIT PACKAGE TYPE PACKAGE
AGXW PHYSICAL FORM POWDER
CQCT PRIMARY CONTAINER TYPE BOTTLE
FEAT SPECIAL FEATURES TO BE RECONSTITUTED TO MAKE 4 LITERS OR 1 GALLON OF SOLUTION
AKJA ACTIVE MEDICAMENT MEDICINAL STRENGTH 6.740 GRAMS SODIUM BICARBONATE ACTIVE INGREDIENT AND 2.970 GRAMS POTASSIUM CHLORIDE ACTIVE INGREDIENT AND 22.740 GRAMS SODIUM SULFATE ACTIVE INGREDIENT AND 5.860 GRAMS SODIUM CHLORIDE ACTIVE INGREDIENT AND 236 GRAMS POLYETHYLENE GLYCOL 3350 ACTIVE INGREDIENT
CSCW TOTAL PRIMARY CONTAINER QUANTITY 6
CRLK PRIMARY CONTAINER CONTENT QUANTITY 274.310 GRAMS
Manufacturing Part Numbers (SKUs)
Part SKU Cage Status RNVC RNCC SADC DAC RNAAC
NDC52268-0100-01 67325 A 1 3 6 54
GOLYTELY 67325 A 1 5 6 54
Manufacturers
Part SKU Cage Manufacturer Type Status
NDC52268-0100-01 67325 BRAINTREE LABORATORIES INC. F A
GOLYTELY 67325 BRAINTREE LABORATORIES INC. F A
FLIS Identification
PMIC ADPE Code CRITL Code DEMIL Code DEMIL INTG NIIN Asgt ESD HMIC ENAC Schedule-B INC
U X A 1 12/20/1 P 3646
FLIS Management
MOE REC Rep Code Mgmt Ctl USC Phrase Code Phrase Statement
VA V K U/I CONTAINS 274 GM
Demilitarization Codes & Management
DML PMI HMIC ADP CC ESDC
A U P X
Miscellaneous Management
MOE (S_A) SOS AAC QUP UI SLC CIIC RC MCC SVC
VA I 0 BT M U V
Management Control Army
MATCAT 1 MATCAT 2 MATCAT 3 MATCAT 4 5 ARC
Freight
NMFC NMFC SUB UFC HMC LTL LCL WCC TCC SHC ADC ACC ASH NMF DESC