6505-01-317-8521 ( NDC00091-4401-23 , NDC00091-4401-23 , GOLYTELY , NDC52268-0100-01 , NDC00021-4401-23 , COLYTE )
NSN Information
| NSN | FSC | NIIN | Item Name | INC |
|---|---|---|---|---|
| 6505-01-317-8521 | 6505 | 013178521 | PEG 3350 AND ELECTROLYTES FOR OR | 4952 |
NSN Features
| MRC | Parameter | Characteristics |
|---|---|---|
| CXCY | PART NAME ASSIGNED BY CONTROLLING AGENCY | POLYETHYLENE GLYCOL AND ELECTROLYTES FOR ORAL SOLUTION |
| SUPP | SUPPLEMENTARY FEATURES | UNFLAVORED |
| AGXW | PHYSICAL FORM | POWDER |
| CQCT | PRIMARY CONTAINER TYPE | BOTTLE |
| FEAT | SPECIAL FEATURES | EACH BT CONTAINS EITHER: 240 GRAMS POLYETHYLENE GLYCOL 3350,2.98 GRAMS POTASSIUM CHLORIDE,6.72 GRAMS SODIUM BICARBONATE,5.84 GRAMS SODIUM CHLORIDE,22.72 GRAMS SODIUM SULFATE; OR 236 GRAMS POLYETHYLENE GLYCOL 3350,2.97 GRAMS POTASSIUM CHLORIDE,6.74 GRAMS SODIUM BICARBONATE,5.86 GRAMS SODIUM CHLORIDE,22.74 GRAMS SODIUM SULFATE; BOTTLE TO ACCOMMODATE 4 LITERS OF WATER W/ADDITIONAL SPACE FOR MIXING |
| CRLK | PRIMARY CONTAINER CONTENT QUANTITY | ANY ACCEPTABLE |
Manufacturing Part Numbers (SKUs)
| Part SKU | Cage | Status | RNVC | RNCC | SADC | DAC | RNAAC |
|---|---|---|---|---|---|---|---|
| NDC00091-4401-23 | 0A423 | A | 2 | 5 | 4 | ZZ | |
| NDC00091-4401-23 | 17635 | A | 2 | 3 | 4 | ZZ | |
| GOLYTELY | 67325 | A | 9 | 5 | 4 | KX | |
| NDC52268-0100-01 | 67325 | A | 1 | 3 | 4 | KX | |
| NDC00021-4401-23 | 17635 | A | 9 | 5 | 4 | KX | |
| COLYTE | 17635 | A | 1 | 5 | 4 | KX |
Manufacturers
| Part SKU | Cage | Manufacturer | Type | Status |
|---|---|---|---|---|
| NDC00091-4401-23 | 0A423 | CARDINAL HEALTH 100 INC | F | A |
| NDC00091-4401-23 | 17635 | SCHWARZ PHARMA INC. | A | A |
| GOLYTELY | 67325 | BRAINTREE LABORATORIES INC. | F | A |
| NDC52268-0100-01 | 67325 | BRAINTREE LABORATORIES INC. | F | A |
| NDC00021-4401-23 | 17635 | SCHWARZ PHARMA INC. | A | A |
| COLYTE | 17635 | SCHWARZ PHARMA INC. | A | A |
FLIS Identification
| PMIC | ADPE Code | CRITL Code | DEMIL Code | DEMIL INTG | NIIN Asgt | ESD | HMIC | ENAC | Schedule-B | INC |
|---|---|---|---|---|---|---|---|---|---|---|
| A | X | A | 04/06/1 | Y | 3004909160 | 4952 |
FLIS Management
| MOE | REC Rep Code | Mgmt Ctl | USC | Phrase Code | Phrase Statement |
|---|---|---|---|---|---|
| DA | C2201X- | A | |||
| DN | 9B----- | N | |||
| DF | ------- | F | |||
| DS | N | I | |||
| DM | Z | 1354--- | M |
Demilitarization Codes & Management
| DML | PMI | HMIC | ADP | CC | ESDC |
|---|---|---|---|---|---|
| A | A | Y | X |
Miscellaneous Management
| MOE (S_A) | SOS | AAC | QUP | UI | SLC | CIIC | RC | MCC | SVC |
|---|---|---|---|---|---|---|---|---|---|
| DN | SMS | L | 1 | KT | M | U | 9B----- | N | |
| DF | SMS | L | 1 | KT | M | U | ------- | F | |
| DM | SMS | L | 1 | KT | M | U | Z | 1354--- | M |
| DA | SMS | L | 1 | KT | M | U | C2201X- | A | |
| DS | SMS | L | 1 | KT | M | U | D |
Management Control Army
| MATCAT 1 | MATCAT 2 | MATCAT 3 | MATCAT 4 5 | ARC |
|---|---|---|---|---|
| C | 2 | 2 | 01 | X |
Freight
| NMFC | NMFC SUB | UFC | HMC | LTL | LCL | WCC | TCC | SHC | ADC | ACC | ASH | NMF DESC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 058770 | Z | 33400 | W | 532 | Z | 9 | A | M | Z | DRUGS/MEDICINES/VITAMINS NOI |