Tube Feeding Formula Osmolite® 1.5 Cal Unflavored Liquid 8 oz. Reclosable Carton Nutritionals Manufacturer # H120-05 Country of

Manufacturer # H120-05 Country of Origin United States Application Pontoon Bedpan Color Gold Gender Unisex HCPCS E0297 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Lot_Tracking_Flag N Material Plastic On_Allocation N Supplier_ID 4751689 UNSPSC Code 42141602 Usage Single Patient Use Volume 2 Quart / 1893 mL

Sodium Phosphate

(1) NPA 20 Med Pack with (1) NPA 20

(1) Digital Stay Alive Guide Dimensions 4 X 6 X 8-1/2 Inch FSA Eligible - Buy UOM Yes FSA Eligible - Primary UOM Yes FSA Eligible - Sell UOM Yes Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Lot_Tracking_Flag N Mounting Type Portable On_Allocation N Supplier_ID 80210186 UNSPSC Code 42192420

Manufacturer # 25-2748 Country of Origin China Application Laceration Tray Contents 1 1- Tray

Tube Feeding Formula Osmolite® 1.5 Cal Unflavored Liquid 8 oz. Reclosable Carton Nutritionals Manufacturer # H120-05 Country ofManufacturer # 64837 Country of Origin United States Administration Method Tube Application Tube Feeding Formula Calories per Serving 355 Calories Calories per Serving Range 301 to 400 Calories Container Type Reclosable Carton Container Type Range Cartons & Pouches Dietary Restrictions Galactosemia Flavor Unflavored Flavor Range Unflavored HCPCS B4152 (Disclaimer) Ingredients Water, Corn Maltodextrin, Sodium Caseinate, High Oleic Safflower Oil, Canola