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| Manufacturer # | 10043900185504 |
| Brand | Fibersource® HN |
| Manufacturer | Nestle Healthcare Nutrition |
| Country of Origin | United States |
| Administration Method | Tube |
| Application | Tube Feeding Formula |
| Calories per Serving | 300 Calories |
| Calories per Serving Range | 201 to 300 Calories |
| Container Type | Carton |
| Container Type Range | Cartons & Pouches |
| Dietary Restrictions | Galactosemia |
| Flavor | Unflavored |
| Flavor Range | Unflavored |
| HCPCS | B4150 (Disclaimer) |
| Ingredients | WATER, GLUCOSE SYRUP, SOY PROTEIN ISOLATE, CANOLA OIL, AND LESS THAN 2% OF SODIUM CASEINATE (MILK), PEA FIBER, MEDIUM CHAIN TRIGLYCERIDES, CALCIUM CASEINATE, FRUCTOOLIGOSACCHARIDES, POTASSIUM CITRATE, INULIN (FROM CHICORY), MALTODEXTRIN, CALCIUM PHOSPHATE, MAGNESIUM PHOSPHATE, SALT, SOY LECITHIN, POTASSIUM CHLORIDE, SODIUM ASCORBATE, CHOLINE CHLORIDE, CALCIUM CITRATE, CARRAGEENAN, TAURINE, L-CARNITINE, MAGNESIUM OXIDE, DL-ALPHA TOCOPHERYL ACETATE, ZINC SULFATE, FERROUS SULFATE, NIACINAMIDE, CALCIUM PANTOTHENATE, MANGANESE SULFATE, PYRIDOXINE HYDROCHLORIDE, THIAMINE HYDROCHLORIDE, COPPER SULFATE, RIBOFLAVIN, BETA-CAROTENE, VITAMIN A PALMITATE, FOLIC ACID, CHROMIUM CHLORIDE, POTASSIUM IODIDE, SODIUM MOLYBDATE, SODIUM SELENITE, VITAMIN K1, BIOTIN, VITAMIN D3, VITAMIN B12 |
| Is_Active_Vendor | Y |
| Is_DSCSA | N |
| Is_Discontinued | N |
| Is_Medical_Device | N |
| Lot_Tracking_Flag | N |
| Nutrient Type | Fiber |
| On_Allocation | N |
| Preparation | Liquid |
| Serving Size | 250 mL Serving Size |
| Supplier_ID | 488193 |
| UNSPSC Code | 42231803 |
| User | Adult |
| User Group | Adult |
| Volume | 250 mL |
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