Tube Feeding Formula ProSource® TF Unflavored Liquid 45 mL Pouch UOM:CASE 1 Curved Tail Closure

1 Curved Tail Closure

25 W X 5 H Inch Gender Female HCPCS E0276 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Lot_Tracking_Flag N Material Plastic On_Allocation N Supplier_ID 488074 UNSPSC Code 42141602 Usage Single Patient Use User Adult Volume 80 oz

Wound Condition Type - Moderate To Heavy Drainage

(2) 4 X 4 Inch Gauze Pad

scaly or fissured skin

Tube Feeding Formula ProSource® TF Unflavored Liquid 45 mL Pouch UOM:CASE 1 Curved Tail ClosureProSource TF Liquid Protein is designed for tube feeding administration to meet the protein needs for critical illness, protein energy malnutrition and protein deficiency with good GI tolerance and greater patient application 11 grams of hydrolyzed protein per 45 mL Appropriate for these diets: Lactose free, gluten free, diabetic, low residue, fluid restricted No mixing required, water thin Isotonic does not promote diarrhea No sweeteners, flavors or