National Item Identification Number
01-317-6426
013176426
8940-01-317-6426
8940013176426
National Stock Number
Item Name
DIETARY SUPPLEMENT,THERAPEUTIC
Federal Supply Class
8940
Description
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.
Commercial and Government Entity Code (Supplier Data)
29398
JOHNSON MEAD & COMPANY
DBA BRISTOL-MYERS SQUIBB US PHARM
2400 W LLOYD EXPRESSWAY
EVANSVILLE
IN
47721
812-429-5343
29398
JOHNSON MEAD & COMPANY
DBA BRISTOL-MYERS SQUIBB US PHARM
2400 W LLOYD EXPRESSWAY
EVANSVILLE
IN
47721
812-429-5343
29398
JOHNSON MEAD & COMPANY
DBA BRISTOL-MYERS SQUIBB US PHARM
2400 W LLOYD EXPRESSWAY
EVANSVILLE
IN
47721
812-429-5343
29398
JOHNSON MEAD & COMPANY
DBA BRISTOL-MYERS SQUIBB US PHARM
2400 W LLOYD EXPRESSWAY
EVANSVILLE
IN
47721
812-429-5343
Reference Numbers (Part Numbers)
NDC00087-0465-42
SUSTACAL
046502
465-02
Required Categories
SUPPLY PACKAGE TYPE
SPECIAL FEATURES
III PART NAME ASSIGNED BY CONTROLLING AGE
Required Description
PACKAGE
ORAL SUPPLEMENT
CALORIES: 1 PER ML
PROTEIN: 12-27%
FAT: 20-35%
CARB