Description
- This elemental formula contains 100% free amino acids and only 2% fat content for those with severely impaired gastrointestinal function
- Only 2% of kcal from fat to help support gastric emptying and reduce pancreatic stimulation
- Requires minimal digestive functionality for assimilation while providing the benefits associated with continued use of the GI tract
- Can be used for tube feeding or oral supplementation
- Suitable for the following diets: Lactose-free, gluten-free, kosher
- This product is intended for use under medical supervision
- Product appropriate for use in individuals greater than 3 years old
- This product is intended for use under medical supervision
Product Specs
| Item Number | 320422 |
|---|---|
| Catalog Number | 10043900458059 |
| UOM | CS |
| Level 1 Family Description | Nutrition and Feeding Supplies |
| Level 2 Category Description | Food Supplements |
| Level 3 Group Description | Enteral Tube Feeding |
| Level 4 Sub-Category Description | Elemental and Semi-Elemental |
| Administration Method | Oral / Tube |
| Alternate Manufacturer Number | 04580500 |
| Application | Oral Supplement |
| Brand | Tolerex |
| Buy American Act (BAA) Compliant | No |
| Calories per Serving | 300 Calories |
| Calories per Serving Range | 201 to 300 Calories |
| Container Type | Individual Packet |
| Container Type Range | Individual Package |
| Country of Origin | United States |
| Flavor | Unflavored |
| Flavor Range | Unflavored |
| HCPCS | B4153 |
| Ingredients | Maltodextrin (from Corn), and Less than 2% of Magnesium Gluconate, L-Glutamine, Calcium Glycerophosphate, Modified Cornstarch, L-Arginine Acetate, L-Aspartic Acid, Safflower Oil, Glycine, L-Lysine Acetate, L-Leucine, L-Proline, Potassium Chloride, L-Phenylalanine, L-Valine, Potassium Sorbate (to Preserve Freshness), L-Alanine, L-Methionine, L-Isoleucine, L-Threonine, Potassium Citrate, Sodium Phosphate, L-Serine, L-Histidine Hydrochloride, Sodium Citrate, L-Tryptophan, L-Tyrosine, Ascorbic Acid (Vitamin C), Choline Bitartrate, DL-Alpha-Tocopheryl Acetate (Vitamin E), Polysorbate 80, Ferrous Sulfate (Iron), Zinc Sulfate, Vitamin A Palmitate, Niacinamide, Copper Gluconate, Calcium Pantothenate (Pantothenic Acid), Vitamin D3 (Cholecalciferol), Ascorbyl Palmitate, and BHA, and BHT, and Tocopherols (to Preserve Freshness), Manganese Sulfate, Pyridoxine Hydrochloride (Vitamin B6), Thiamine Hydrochloride, Riboflavin, Chromium Chloride, Folic Acid, Biotin, Sodium Selenite (Selenium), Potassium Iodide (Iodine), Vitamin K1 (Phytonadione), Sodium Molybdate (Molybdenum), Vitamin B12 (Cyanocobalamin) |
| Manufacturer | Nestle Healthcare Nutrition |
| Manufacturer # | 10043900458059 |
| McKesson # | 320422 |
| Nutrient Type | Amino Acid |
| Preparation | Powder |
| Trade Agreement Act (TAA) Compliant | Yes |
| UNSPSC Code | 42231803 |
| User | Ages 3 Years and Up |
| User Group | Pediatric to Adult |
| Volume | 2.82 oz. |