Additive Solution Formula 3

How Supplied: 250 mL CP2D Anticoagulant Solution is supplied in flexible PVC containers with a sterile, non-pyrogenic fluid path. 250 mL and 300 mL AS-3 Nutrient Solution is supplied in flexible PVC containers with a sterile, non-pyrogenic fluid path.

Principal Display

LEUKOTRAP - AS-3
as-3 solution

Product Information
Product Type	HUMAN PRESCRIPTION DRUG	Item Code (Source)	NDC:53157-460
Route of Administration	INTRAVENOUS

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
DEXTROSE, UNSPECIFIED FORM (UNII: IY9XDZ35W2) (ANHYDROUS DEXTROSE - UNII:5SL0G7R0OK)	DEXTROSE, UNSPECIFIED FORM	1 g in 100 mL
ADENINE (UNII: JAC85A2161) (ADENINE - UNII:JAC85A2161)	ADENINE	0.03 g in 100 mL

Ingredient Name	Strength
Inactive Ingredients
SODIUM CITRATE (UNII: 1Q73Q2JULR)
WATER (UNII: 059QF0KO0R)
SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE (UNII: 593YOG76RN)
SODIUM CHLORIDE (UNII: 451W47IQ8X)
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:53157-460-02	250 mL in 1 BAG; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
NDA	BN820915	10/09/2019	10/31/2024

Labeler - Haemonetics Manufacturing (078598396)

Registrant - Haemonetics Corporation (057827420)

Name	Address	ID/FEI	Business Operations
Establishment
Haemonetics Manufacturing Inc		078598396	manufacture(53157-460)

Revised: 1/2025

Document Id: 2ce162ff-438a-0394-e063-6294a90ae345

Set id: e15674bf-142b-653c-e053-2995a90a726a

Version: 2

Effective Time: 20250129

Haemonetics Manufacturing