14537-834 NDC - ADDITIVE FORMULA 3 (DEXTROSE MONOHYDRATE, TRISODIUM CITRATE DIHYDRATE, SODIUM CHLORIDE, SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE, CITRIC ACID MONOHYDRATE, AND ADENINE)

Drug Information

Product NDC: 14537-834

Proprietary Name: Additive Formula 3

Non Proprietary Name: Dextrose Monohydrate, TRISODIUM CITRATE DIHYDRATE, Sodium Chloride, SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE, Citric Acid Monohydrate, and Adenine

Active Ingredient(s):
  • .03 g/100mL ADENINE;
  • .042 g/100mL CITRIC ACID MONOHYDRATE;
  • 1.1 g/100mL DEXTROSE MONOHYDRATE;
  • .41 g/100mL SODIUM CHLORIDE;
  • .28 g/100mL SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE;
  • .59 g/100mL TRISODIUM CITRATE DIHYDRATE


Administration Route(s): INTRAVENOUS

Dosage Form(s): SOLUTION

Pharmacy Class(es):
  • Acidifying Activity [MoA];
  • Acidifying Activity [MoA];
  • Anti-coagulant [EPC];
  • Anti-coagulant [EPC];
  • Calcium Chelating Activity [MoA];
  • Calcium Chelating Activity [MoA];
  • Calculi Dissolution Agent [EPC];
  • Calculi Dissolution Agent [EPC];
  • Decreased Coagulation Factor Activity [PE];
  • Decreased Coagulation Factor Activity [PE]

Labeler Information

Labeler Name: Terumo BCT, Ltd
Product Type: HUMAN PRESCRIPTION DRUG
FDA Application Number: BN001214
Marketing Category: NDA
Start Marketing Date:5/29/2002

Package Information

No. Package Code Package Description Billing Unit
114537-834-0324 BAG in 1 CASE (14537-834-03) / 350 mL in 1 BAG (14537-834-00)

NDC Record

Field Name Field Value Definition
PRODUCT NDC14537-834The labeler code and product code segments of the National Drug Code number, separated by a hyphen. Asterisks are no longer used or included within the product code segment to indicate certain configurations of the NDC.
PRODUCT TYPE NAMEHUMAN PRESCRIPTION DRUGIndicates the type of product, such as Human Prescription Drug or Human Over the Counter Drug. This data element matches the “Document Type” field of the Structured Product Listing.
PROPRIETARY NAMEAdditive Formula 3The proprietary name also known as the trade name is the name of the product chosen by the medication labeler for marketing purposes.
NON PROPRIETARY NAMEDextrose Monohydrate, TRISODIUM CITRATE DIHYDRATE, Sodium Chloride, SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE, Citric Acid Monohydrate, and AdenineThe non-proprietary name is sometimes called the generic name. The generic name usually includes the active ingredient(s) of the product.
DOSAGE FORM NAMESOLUTIONThe translation of the dosage form Code submitted by the firm.
ROUTE NAMEINTRAVENOUSThe translation of the route code submitted by the firm, indicating route of administration.
START MARKETING DATE5/29/2002This is the date that the labeler indicates was the start of its marketing of the drug product.
MARKETING CATEGORY NAMENDAProduct types are broken down into several potential Marketing Categories, such as NDA/ANDA/BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.
APPLICATION NUMBERBN001214This corresponds to the NDA, ANDA, or BLA number reported by the labeler for products which have the corresponding Marketing Category designated. If the designated Marketing Category is OTC Monograph Final or OTC Monograph Not Final, then the Application number will be the CFR citation corresponding to the appropriate Monograph (e.g. “part 341”). For unapproved drugs, this field will be null.
LABELER NAMETerumo BCT, LtdName of Company corresponding to the labeler code segment of the Product NDC.
SUBSTANCE NAMEADENINE; CITRIC ACID MONOHYDRATE; DEXTROSE MONOHYDRATE; SODIUM CHLORIDE; SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE; TRISODIUM CITRATE DIHYDRATEAn active ingredient is the substance responsible for the medicinal effects of a product specified by the substance's molecular structure or if the molecular structure is not known, defined by an unambiguous definition that identifies the substance. Each active ingredient name is the preferred term of the UNII code submitted.
ACTIVE NUMERATOR STRENGTH.03; .042; 1.1; .41; .28; .59 
ACTIVE INGRED UNITg/100mL; g/100mL; g/100mL; g/100mL; g/100mL; g/100mL 
PHARM CLASSESAcidifying Activity [MoA], Acidifying Activity [MoA], Anti-coagulant [EPC], Anti-coagulant [EPC], Calcium Chelating Activity [MoA], Calcium Chelating Activity [MoA], Calculi Dissolution Agent [EPC], Calculi Dissolution Agent [EPC], Decreased Coagulation Factor Activity [PE], Decreased Coagulation Factor Activity [PE] 

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This page was last updated on: 2/1/2023