MULTIVITAMIN AND IRON ORAL SOLUT

6505FSC

01NCB code

159-3638Item number

NIIN 01-159-3638

Identification

Effective date	Major organizational entity	Acquisition advice code	Source of supply	Unit of issue	Unit of measure	Unit of measure quantity	Unit price	Quantity per unit pack	Controlled inventory item code	Shelf-life code	Management control	Net price	USC
01-OCT-2026	DS	L	SMS	BT	ML	50.0000	$34.90	1	U	M	-------	$0.00	I
01-OCT-2025	DA	L	SMS	BT	ML	50.0000	$25.82	1	U	M	C2201X-	$0.00	A
01-OCT-2025	DF	L	SMS	BT	ML	50.0000	$25.82	1	U	M	-------	$0.00	F

Part number	CAGE	CAGE status	RNCC	RNVC	Document availability code	RNAAC	RNSC
NDC00087-0405-01	1XUY5 AMERISOURCEBERGEN DRUG CORP DBA AMERISOURCEBERGEN DRUG CORP	A	5	2	4	ZZ
NDC00087-0405-01	29398 MEAD JOHNSON & COMPANY, LLC	A	3	2	4	ZZ	K
6505NCM239106	64616 DEFENSE MEDICAL STANDARDIZATION BOARD	A	5	1	4	ZZ
1653323	89875 DEFENSE LOGISTICS AGENCY DIRECTORATE OF MEDICAL MATERIEL DEFENSE SUPPLY CENTER PHILADELPHIA	A	5	1	4	ZZ

PRIMARY CONTAINER TYPE	BOTTLE
PRIMARY CONTAINER CONTENT QUANTITY	MILLILITERS 50.0
ADMINISTRATION	ORAL
PART NAME ASSIGNED BY CONTROLLING AGENCY	MULTIVITAMIN AND IRON ORAL SOLUTION 1.66OZ (50ML) BOTTLE WITH CALIBRATED DISPENSING DROPPER
SPECIAL FEATURES	POLY-VI-SOL W/IRON ORAL LIQUID MULTIVITAMIN 1.66OZ (50ML) BOTTLE WITH CALIBRATED DISPENSING DROPPER. DROPS ARE A LIQUID MULTIVITAMIN SUPPLEMENT FOR INFANTS AND CHILDREN, ESPECIALLY FOR BABIES AROUND 4-6 MONTHS OF AGE WHO ARET RANSITIONING TO SOLID FOODS. ENFAMIL POLY-VI-SOL MAY BE DISPENSED DIRECTLY INTO THE MOUTH OR MIXED WITH PUMPED BREAST MILK, FORMULA, JUICE OR FOOD TO ENCOURAGE CONSUMPTION. PER 1 ML DOSE, POLY VI SOL MULTIVITAMIN WITH IRON CONTAINS: 11 MG IRON (FROM FERROUS SULFATE); 250 MG VITAMIN A (FROM VITAMIN A PALMITATE); 50 MG VITAMIN C; 400 IU VITAMIN D (FROM CHOLECALCIFEROL); 5 MG VITAMIN E (FROM VITAMIN E SUCCINATE); 0.3 MG THIAMIN (FROM THIAMIN HYDROCHLORIDE); 0.4 MG RIBOFLAVIN (FROM RIBOFLAVIN-5-PHOSPHATE SODIUM); 4 MG NIACIN (FROM NIACINAMIDE); AND 0.3 MG OF VITAMIN B-6 (FROM PYRIDOXINE HYDROCHLORIDE).

MOE rule	MOE CD	AMC	AMSC	Date assigned	PICA	PICA LOA	SICA	SICA LOA	Auth collab
A911	DA	1	Z	01-AUG-23	GX	01	AS	5D	GX AM
FSGM	DF	1	Z	01-AUG-23	GX	01	TT	5D	GX TT

PICA SICA: P
PKG cat: 60AZ
Unpackaged weight: 0.0000
Unpackaged width: 0.000
Unpackaged length: 0.000
Unpackaged height: 0.000
TOS: 3
Intermediate container qty: ZZZ
Special requirement: see the specific drawing or instruction provided
Method of preservation: ZZ
Special requirements apply that are not represented by the code symbols; details are provided with the acquisition...
Clng drying: Z
Special requirements - See specific instructions or drawings provided.
Pres mat: ZZ
Special requirement – See specific instructions or drawings provided
Wrap mat: ZZ
Special requirements – see specific instructions or drawings provided
Cush dun: ZZ
Special requirements.
THK: Z
Special requirements – See specific instructions or drawings provided
Unit cont: ZZ
Special requirement – See specific instructions or drawings provided.
PKG data source: P

PICA SICA: P
SPC MKG: ZZ
Special requirements
Inter cont: ZZ
Special requirement – See specific instructions or drawings provided.
Lvl A: Z
Special requirement.
Lvl b: Z
Special requirement.
Unit pack weight: 0.0000
UP SZ MAXB: 0.00000
UP SZ MAXL: 0.00000
UP SZ MAXH: 0.00000
Unit pack cube: 0.0000
OPI: M
All packaging data is mandatory for compliance and no substitutions are permitted.
Supplemental instructions: APPLICABLE TO ALL MEDICAL

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