NSN 8940-01-317-9838
Part Details | THERAPEUTIC DIETARY SUPPLEMENT
8940-01-317-9838 A specially formulated preparation (liguid, powder, or pudding) generally containing protein, carbohydrate, and fat; may also include vitamins and/or minerals. These preparations are consumed or administered internally under direct or indirect medical supervision in the dietary management of individuals with specific diseases, disorders, or medical conditions in which the existence of associated nutritional requirements is established by medical evaluation. Excludes items that are solely vitamins and/or combinations of vitamins and minerals. Excludes BABY FORMULA PREPARATION and FORMULA, INFANT FEEDING.
Alternate Parts: TOLEREX, NDC00149045801, NDC00149-0458-01, 8940-01-317-9838, 01-317-9838, 8940013179838, 013179838
| Supply Group (FSG) | NSN Assigned | NIIN | Item Name Code (INC) |
|---|---|---|---|
| 89 | APR 11, 1990 | 01-317-9838 | 35310 ( DIETARY SUPPLEMENT, THERAPEUTIC ) |
REFERENCE DRAWINGS & PICTURES
Cross Reference | NSN 8940-01-317-9838
| Part Number | Cage Code | Manufacturer |
|---|---|---|
| TOLEREX | 04547 | PROCTER & GAMBLE PHARMACEUTICALSINC. |
| NDC00149-0458-01 | 04547 | PROCTER & GAMBLE PHARMACEUTICALSINC. |
Technical Data | NSN 8940-01-317-9838
| Characteristic | Specifications |
|---|---|
| SUPPLY PACKAGE TYPE | PACKAGE |
| SPECIAL FEATURES | TUBE-FEEDING; CALORIES: 1 PER ML; PROTEIN: 1-15% (PROVIDED AS FREE AMINO ACIDS); FAT: 1-3% (ADEQUATE FAT TO PREVENT ESSENTIAL FATTY ACID DEFICIENCY); CARBOHYDRATE: 85-91%; LACTOSE FREE; LOW RESIDUE; CALORIE/NITROGEN RATIO 300-310:1; OSMOLALITY NOT TO EXCEED 600 MOSM/KG WATER; VITAMINS AND MINERALS: 100% OF U.S. RDA'S IN 1800 ML OR LESS; 80 GRAMS OF POWDER IN PACKETS; WHEN RECONSTITUTED WITH WATER,THE CONTENTS OF EACH PACKET SHALL PROVIDE 8 TO 10 OUNCES OF LIQUID DIET |
| PART NAME ASSIGNED BY CONTROLLING AGENCY | DIETARY SUPPLEMENT THERAPEUTIC 80 GM OF POWDER IN PACKETS 6S |