Description
- Nutrition support of infants and toddlers who require extra calories, minerals, and vitamins and/or protein restriction
- Lactose-free, gluten-free, halal
- Use under medical supervision
Product Specs
| Item Number | 1155117 |
|---|---|
| Catalog Number | 67030 |
| 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 | Other Enteral Tube Feeding Formulae |
| Administration Method | Oral |
| Application | Pediatric Oral Supplement |
| Brand | Pro-Phree |
| Buy American Act (BAA) Compliant | No |
| Calories per Serving | 510 Calories |
| Calories per Serving Range | 501 to 800 Calories |
| Container Type | Can |
| Container Type Range | Cans |
| Country of Origin | Unknown |
| Flavor | Unflavored |
| Flavor Range | Unflavored |
| HCPCS | B4155 |
| Ingredients | Corn Syrup Solids, High Oleic Safflower Oil, Coconut Oil, Soy Oil, Modified Corn Starch. Less than 2% of: Calcium Phosphate, Potassium Phosphate, Sodium Citrate, Potassium Citrate, Magnesium Chloride, M. Alpina Oil, C. Cohnii Oil, Calcium Carbonate, Citric Acid, Ascorbic Acid, Inositol, Choline Chloride, Taurine, Ferrous Sulfate, Ascorbyl Palmitate, L-Carnitine, Zinc Sulfate, dl-Alpha-Tocopheryl Acetate, Mixed Tocopherols, Calcium Pantothenate, Niacinamide, Manganese Sulfate, Thiamine Hydrochloride, Copper Sulfate, Vitamin A Palmitate, Riboflavin, Pyridoxine Hydrochloride, Potassium Iodide, Folic Acid, Phylloquinone, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Biotin, Vitamin D3, Vitamin B12, and Salt |
| Manufacturer | Abbott Nutrition |
| Manufacturer # | 67030 |
| McKesson # | 1155117 |
| Nutrient Type | Protein-Free / Iron / Vitamins / Minerals |
| Preparation | Powder |
| Trade Agreement Act (TAA) Compliant | No |
| UNSPSC Code | 42231802 |
| User | Infant / Toddler |
| User Group | Infant to Pediatric |
| Volume | 14.1 oz. |