Oral Supplement Glucerna® 1.2 Cal Vanilla Flavor Liquid 8 oz. Reclosable Carton Ostomy Irrigation Kits Manufacturer # MC-301 Country of

Manufacturer # MC-301 Country of Origin United States Application Enteral Feeding Tube Declogger For Use With For Gastrostomy / Jejunostomy Tube Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Lot_Tracking_Flag N On_Allocation N Specifications Yellow

(1) 3 Inch Gauze Roll

Manufacturer # 16-LFOL3018C Country of Origin Unknown Application Foley Catheter Color Code Red French Size 18 Fr

1 - Specimen Container

Oral Supplement Glucerna® 1.2 Cal Vanilla Flavor Liquid 8 oz. Reclosable Carton Ostomy Irrigation Kits Manufacturer # MC-301 Country ofManufacturer # 64918 Country of Origin United States Administration Method Oral Tube Application Oral Supplement Calories per Serving 285 Calories Calories per Serving Range 201 to 300 Calories Container Type Reclosable Carton Container Type Range Cartons & Pouches Dietary Restrictions Galactosemia Flavor Vanilla Flavor Flavor Range Dessert Flavor HCPCS B4154 (Disclaimer) Health Condition Kidney Health Ingredients Water, Sodium Caseinate, High Oleic