As 3 Listing

As 3 Listing
SPL v2
SPL
SPL Set ID 3dfa3397-fc13-4659-e063-6394a90a5abc
Route
INTRAVENOUS
Published
Effective Date 2025-09-15
Document Type 34391-3 HUMAN PRESCRIPTION DRUG LABEL

Drug Facts

Composition & Product

Active Ingredients
Adenine (0.03 g) Anhydrous Dextrose (1 g)
Inactive Ingredients
Sodium Citrate, Unspecified Form Sodium Chloride Citric Acid Monohydrate Sodium Phosphate, Monobasic, Monohydrate

Identifiers & Packaging

Marketing Status
NDA Active Since 2025-09-15

Description

Intended for use only with automated red cell washing devices and automated red cell apheresis devices.

Storage and Handling

Store at room temperature (25 °C/77 °F). Avoid excessive heat. Protect from freezing


Medication Information

Storage and Handling

Store at room temperature (25 °C/77 °F). Avoid excessive heat.

Protect from freezing

Description

ADDITIVE SOLUTION FORMULA 3 (AS-3), 300 mL

Each 100 mL contains:

Citric Acid (Monohydrate), USP 0.042 g

Monobasic Sodium Phosphate (Monohydrate), USP 0.276 g

Sodium Chloride, USP 0.410 g

Adenine, USP 0.030 g

Dextrose (Anhydrous), USP 1.000 g

Sodium Citrate (Dihydrate), USP 0.588 g

containing 15 mEq of Sodium.

.











Section 60560-0

I

Intended for use only with automated red cell apheresis devices.

Section 69718-5

ADDITIVE SOLUTION FORMULA 3 (AS-3), 300 ml

Package Label

Manufacturer: GVS TM Inc.

1630 W Industrial Park St

Covina, CA 91722, USA

ADDITIVE SOLUTION FORMULA 3 (AS-3), 300 mL

Intended for use only with automated red cell washing devices

and automated red cell apheresis devices. See appropriate

Operator’s Manual for additional information and complete usage

instructions.

Each 100 mL contains:

Citric Acid (Monohydrate), USP 0.042 g

Monobasic Sodium Phosphate (Monohydrate), USP 0.276 g

Sodium Chloride, USP 0.410 g

Adenine, USP 0.030 g

Dextrose (Anhydrous), USP 1.000 g

Sodium Citrate (Dihydrate), USP 0.588 g

containing 15 mEq of Sodium.

CAUTION: Refer to package insert. Not for direct intravenous

infusion. The pouch is a moisture barrier. Do not use unless

solution is clear and no leaks detected. Single use container.

Discard unused portion. Sterile, nonpyrogenic fluid path.

Sterilized by steam. Rx Only.

Store at room temperature (25 °C/77 °F). Avoid excessive heat.

Protect from freezing.

REF symbol: 0462A-00

LOT symbol

expiry date symbol

template revision number: 126618-00 REV.0

Statement of Idenity

ADDITIVE SOLUTION FORMULA 3 (AS-3), 250 mL

Warnings and Precoutions

Not for direct intravenous infusion

Do not use unless solution is clear and no leaks detected



Single use container. Discard unused portion

Intended for use only with automated red cell washing and apheresis devices

See Operator’s Manual for additional information and complete usage instructions

Store at room temperature. Avoid excessive heat. Protect from freezing

Description of the Product

ADDITIVE SOLUTION FORMULA 3 (AS-3), 250 mL

Each 100 mL contains:

Citric Acid (Monohydrate), USP 0.042 g

Monobasic Sodium Phosphate (Monohydrate), USP 0.042 g

Sodium Chloride, USP 0.410 g

Adenine, USP 0.030 g

Dextrose (Anhydrous), USP 1.000 g

Sodium Citrate (Dihydrate), USP 0.588 g

containing 15 mEq of Sodium.

Intended Use of the Device

Intended for use only with automated red cell washing devices

and automated red cell apheresis devices.

Warnings and Precoutions Section

See appropriate Operator’s Manual for additional information and complete usage instructions.

Not for direct intravenous infusion

Do not use unless solution is clear and no leaks detected

Single use container. Discard unused portion

Intended for use only with automated red cell washing and apheresis devices

Store at room temperature. Avoid excessive heat. Protect from freezing


Structured Label Content

Description (34089-3)

ADDITIVE SOLUTION FORMULA 3 (AS-3), 300 mL

Each 100 mL contains:

Citric Acid (Monohydrate), USP 0.042 g

Monobasic Sodium Phosphate (Monohydrate), USP 0.276 g

Sodium Chloride, USP 0.410 g

Adenine, USP 0.030 g

Dextrose (Anhydrous), USP 1.000 g

Sodium Citrate (Dihydrate), USP 0.588 g

containing 15 mEq of Sodium.

.











Section 60560-0 (60560-0)

I

Intended for use only with automated red cell apheresis devices.

Section 69718-5 (69718-5)

ADDITIVE SOLUTION FORMULA 3 (AS-3), 300 ml

Package Label (Package label)

Manufacturer: GVS TM Inc.

1630 W Industrial Park St

Covina, CA 91722, USA

ADDITIVE SOLUTION FORMULA 3 (AS-3), 300 mL

Intended for use only with automated red cell washing devices

and automated red cell apheresis devices. See appropriate

Operator’s Manual for additional information and complete usage

instructions.

Each 100 mL contains:

Citric Acid (Monohydrate), USP 0.042 g

Monobasic Sodium Phosphate (Monohydrate), USP 0.276 g

Sodium Chloride, USP 0.410 g

Adenine, USP 0.030 g

Dextrose (Anhydrous), USP 1.000 g

Sodium Citrate (Dihydrate), USP 0.588 g

containing 15 mEq of Sodium.

CAUTION: Refer to package insert. Not for direct intravenous

infusion. The pouch is a moisture barrier. Do not use unless

solution is clear and no leaks detected. Single use container.

Discard unused portion. Sterile, nonpyrogenic fluid path.

Sterilized by steam. Rx Only.

Store at room temperature (25 °C/77 °F). Avoid excessive heat.

Protect from freezing.

REF symbol: 0462A-00

LOT symbol

expiry date symbol

template revision number: 126618-00 REV.0

Statement of Idenity (Statement of idenity)

ADDITIVE SOLUTION FORMULA 3 (AS-3), 250 mL

Storage and Handling (Storage and handling)

Store at room temperature (25 °C/77 °F). Avoid excessive heat.

Protect from freezing

Warnings and Precoutions (Warnings and precoutions)

Not for direct intravenous infusion

Do not use unless solution is clear and no leaks detected



Single use container. Discard unused portion

Intended for use only with automated red cell washing and apheresis devices

See Operator’s Manual for additional information and complete usage instructions

Store at room temperature. Avoid excessive heat. Protect from freezing

Description of the Product (Description of the product)

ADDITIVE SOLUTION FORMULA 3 (AS-3), 250 mL

Each 100 mL contains:

Citric Acid (Monohydrate), USP 0.042 g

Monobasic Sodium Phosphate (Monohydrate), USP 0.042 g

Sodium Chloride, USP 0.410 g

Adenine, USP 0.030 g

Dextrose (Anhydrous), USP 1.000 g

Sodium Citrate (Dihydrate), USP 0.588 g

containing 15 mEq of Sodium.

Intended Use of the Device (Intended use of the device)

Intended for use only with automated red cell washing devices

and automated red cell apheresis devices.

Warnings and Precoutions Section (Warnings and precoutions section)

See appropriate Operator’s Manual for additional information and complete usage instructions.

Not for direct intravenous infusion

Do not use unless solution is clear and no leaks detected

Single use container. Discard unused portion

Intended for use only with automated red cell washing and apheresis devices

Store at room temperature. Avoid excessive heat. Protect from freezing


Advanced Ingredient Data


Raw Label Data

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