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Manufacturer # 00043900128016 Country of Origin Unknown Administration Method Oral Application Oral Supplement Calories per Serving 250 Calories Calories per Serving Range 201 to 300 Calories Container Type Carton Container Type Range Cartons & Pouches Flavor Orange Flavor Flavor Range Citrus Flavor HCPCS B4103 (Disclaimer) Ingredients Water
Glucose Syrup
Trim to Fit Barrier Type Flextend Extended Wear with Tape Color Transparent Drain Type Drainable FSA Eligible - Buy UOM Yes FSA Eligible - Sell UOM Yes HCPCS A4388 (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 Type One-Piece System UNSPSC Code 42312104
(2) Diphen Packets
Maxi Lot_Tracking_Flag N On_Allocation N Stoma Opening Size 3/8 to 3 Inch Stoma Supplier_ID 488040 System Type One-Piece System UNSPSC Code 42312104
Low Profile Gastrostomy Tube Kit MIC-Key® 20 Fr. 3.0 cm Tube Silicone Sterile UOM:EA Manufacturer # 00043900128016 Country ofManufacturer # 0120 20 3. 0 Country of Origin Mexico Application Low Profile Gastrostomy Tube Kit Contents 1 MIC KEY Low Profile Gastrostomy Feeding Tube, Insertion Stylet, Water soluble Lubricant, Continuous Feed Extension Set, 12 Inch, Bolus Feed Extension Set, 12 Inch, 6 mL Luer Slip Syringe, 35 mL Enteral Feeding Syringe, Gauze Pad HCPCS B4088 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Lot_Tracking_Flag N
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