Tube Feeding Formula Peptamen® Unflavored Liquid 250 mL Carton UOM:CS HCPCS A4340 (Disclaimer) Is_Active_Vendor Y

HCPCS A4340 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Length 16 Inch Lot_Tracking_Flag N Material Silicone On_Allocation N Securing Method 5 cc Balloon Sterility Sterile Style 2-Way Supplier_ID 488035 Tip Type Coude Tip UNSPSC Code 42142702 Latex Free Indicator Not Made with Natural Rubber Latex

Manufacturer # 18183 Brand New Image™ Manufacturer Hollister Country of Origin Unknown Application Colostomy Pouch Color Beige Drain Type Drainable FSA Eligible - Buy UOM Yes FSA Eligible - Sell UOM Yes HCPCS A4425 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Length 12 Inch Length Lot_Tracking_Flag N On_Allocation N Sterility NonSterile Supplier_ID 487722 System Match Red Code System Type Two-Piece System UNSPSC Code 42312104

Riboflavin

Ideal for all types of ostomy

0 provides approximately 1 cup equivalent of fruits and vegetables per 1000 mL

Tube Feeding Formula Peptamen® Unflavored Liquid 250 mL Carton UOM:CS HCPCS A4340 (Disclaimer) Is_Active_Vendor YManufacturer # 00798716162692 Country of Origin United States Administration Method Tube Application Tube Feeding Formula Calories per Serving 250 Calories Calories per Serving Range 201 to 300 Calories Container Type Carton Container Type Range Cartons & Pouches Dietary Restrictions Galactosemia Cow's Milk Allergy Flavor Unflavored Flavor Range Unflavored HCPCS B4153 (Disclaimer) Ingredients Water, Maltodextrin, Enzymatically Hydrolyzed Whey Protein