Docstoc

Supplement Facts Template

Document Sample
Supplement Facts Template Powered By Docstoc
					                            Joint Standardized Ingredient Information Protocol (SIIP) Working Group


                                      COMPANY
                              LOGO/LETTERHEAD/OFFICIAL
                                     STATIONERY
                            PRODUCT INFORMATION DATASHEET
                                 Non-Botanical Dietary Ingredients
 I. PRODUCT INFORMATION
 PRODUCT NAME AND CODE:
 COMMON OR USUAL NAME OF PRODUCT:
 GENERAL PRODUCT INFORMATION:
 SCOPE OF DOCUMENT:

 II. MANUFACTURING INFORMATION
 NAME AND ADDRESS OF MANUFACTURING
 SITE:
 MODE OF MANUFACTURING:

 MANUFACTURING PROCESS:
 GMP COMPLIANCE:
 STERILIZATION OR FUMIGATION METHOD(S):
 KNOWN OR POTENTIAL IMPURITIES:



 III. PHYSICAL AND CHEMICAL INFORMATION
 INGREDIENT(S)
 COMMON OR USUAL NAME:         SYNONYM:                   ORIGIN:                 CAS NUMBER:         PERCENT:




 CURRENT PRODUCT SPECIFICATION SHEET ATTACHED:
 BIOASSAY METHOD:
 CONTROL OF IMPURITIES AND LOT-TO-LOT VARIATION
 OTHER:

 IV. LABELING INFORMATION
 REQUIRED FINISHED PRODUCT LABEL STATEMENTS:
 RECOMMENDED RESTRICTIONS OF USE:
 INFORMATION RELATED TO NUTRITIONAL FACTS/
 SUPPLEMENT FACTS STATEMENTS:
 OTHER:




Dietary Ingredient Data Sheet – Non-botanical Product Information example form                        V1.0 8-23-06
                            Joint Standardized Ingredient Information Protocol (SIIP) Working Group


                                                                                                             Page 2

 V. REGULATORY INFORMATION
 PATENT COVERAGE:
 COMPENDIAL GRADE:
 REGULATORY STATUS AND
 SUPPORTING DOCUMENTS:
 PRODUCT MASTER FILE(S):
 BSE/TSE INFORMATION:
 VEGAN OR VEGETARIAN
 STATUS:
 ALLERGENS/
 HYPERSENSITIVITES:
 KOSHER/HALAL/ORGANIC
 STATUS:
 GMO STATUS:
 TARIFF CODE FOR
 IMPORTATION/EXPORTATION:

 VI. MISCELLANEOUS PRODUCT INFORMATION
 BATCH/LOT NUMBERING
 SYSTEM:
 BATCH DEFINITION:
 EXPIRATION DATING:
 RECOMMENDED STORAGE
 CONDITIONS:

 PACKAGE SIZE(S):
 RECYCLED PACKAGING
 MATERIALS:
 SUGGESTED PRODUCT
 CLAIMS, SUPPORTING
 DOCUMENTATION INCLUDED:
 MSDS ATTACHED:
 OTHER PRODUCT SAFETY
 INFORMATION:

 VII: REVISIONS
 REVISION DATE:                                                REVISION LEVEL:

 VIII. CONTACT INFORMATION
 COMPANY NAME:
 CONTACT NAME:                                                 TITLE:




Dietary Ingredient Data Sheet – Non-botanical Product Information example form                        V1.0 8-23-06

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:22
posted:8/18/2011
language:English
pages:2
Description: Supplement Facts Template document sample