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| SLI Medical# | 693720 |
| Manufacturer # | 10043900351800 |
| Brand | Novasource® Renal |
| Manufacturer | Nestle Healthcare Nutrition |
| Country of Origin | Unknown |
| Administration Method | Tube |
| Application | 35180100 |
| Calories per Serving | Tube Feeding Formula |
| Calories per Serving Range | 2000 Calories |
| Container Type | Over 850 Calories |
| Container Type Range | Bag |
| Dietary Restrictions | Bulk Containers |
| Flavor | Unflavored |
| Flavor Range | Unflavored |
| HCPCS | B4154 |
| Health Condition | WATER |
| Ingredients | CORN SYRUP |
| Nutrient Type | CANOLA OIL |
| Preparation | SODIUM AND CALCIUM CASEINATE (FROM MILK) |
| Product Dating | ISOLATED SOY PROTEIN |
| Serving Size | SUGAR |
| UNSPSC Code | AND LESS THAN 1% OF SOY LECITHIN |
| User | POTASSIUM CITRATE |
| User Group | CALCIUM CARBONATE |
| Volume | CHOLINE CHLORIDE |
| MALTODEXTRIN | |
| NATURAL AND ARTIFICIAL FLAVOR | |
| SALT | |
| CELLULOSE GEL | |
| L-CARNITINE | |
| MAGNESIUM OXIDE | |
| ASCORBIC ACID | |
| POTASSIUM CHLORIDE | |
| TAURINE | |
| DL-ALPHA TOCOPHERYL ACETATE | |
| CELLULOSE GUM | |
| ZINC SULFATE | |
| FERROUS SULFATE | |
| NIACINAMIDE | |
| CALCIUM PANTOTHENATE | |
| COPPER GLUCONATE | |
| PYRIDOXINE HYDROCHLORIDE | |
| MANGANESE SULFATE | |
| VITAMIN A PALMITATE | |
| RIBOFLAVIN | |
| VITAMIN D3 | |
| THIAMINE HYDROCHLORIDE | |
| FOLIC ACID | |
| BETA-CAROTENE | |
| CHROMIUM CHLORIDE | |
| POTASSIUM IODIDE | |
| SODIUM SELENITE | |
| SODIUM MOLYBDATE | |
| BIOTIN | |
| VITAMIN K1 | |
| VITAMIN B12 | |
| Liquid | |
| SLI Medical Acceptable Dating: we will ship >= 90 days | |
| 33.8 oz. Serving | |
| 42231803 | |
| Adult | |
| Adult | |
| 33.8 oz. |
| Product Name | Tube Feeding Formula Novasource® Renal Unflavored Liquid 1000 mL Ready to Hang Prefilled Container |
|---|---|
| SKU | 100693720 |
| Price | $177.61 |
| Weight | 15.70 |
| Featured Product | No |
| Manufacturer Sku | #N/A |
| UOM | CS |
| Manufacturer | Nestlé |
| Short Description | NOVASOURCE RENAL, CLSD SYSTEM 1000ML (6/CS) |
