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| SLI Medical # | 1159491 |
| Manufacturer # | 4147000531 |
| Brand | Modulen™ |
| Manufacturer | Nestle Healthcare Nutrition |
| Country of Origin | Unknown |
| Administration Method | Oral |
| Application | Oral Supplement |
| Calories per Serving | 240 Calories |
| Calories per Serving Range | 201-300 Calories |
| Container Type | Can |
| Container Type Range | Canisters |
| Flavor | Neutral Flavor |
| Flavor Range | Unflavored |
| HCPCS | B4152 |
| Health Condition | Crohn's Disease |
| Ingredients | GLUCOSE SYRUP |
| Preparation | ACID CASEIN (MILK) |
| Product Dating | SUGAR |
| Serving Size | MILKFAT |
| UNSPSC Code | MEDIUM CHAIN TRIGLYCERIDES |
| User | CORN OIL |
| User Group | AND LESS THAN 2% OF CALCIUM CITRATE |
| Volume | SOY LECITHIN |
| SODIUM PHOSPHATE | |
| MAGNESIUM CHLORIDE | |
| CALCIUM PHOSPHATE | |
| POTASSIUM CHLORIDE | |
| CHOLINE BITARTRATE | |
| SODIUM CITRATE | |
| SODIUM ASCORBATE | |
| CITRIC ACID | |
| FERROUS SULFATE | |
| ZINC SULFATE | |
| DL-ALPHA TOCOPHERYL ACETATE | |
| NIACINAMIDE | |
| CALCIUM PANTOTHENATE | |
| COPPER SULFATE | |
| MANGANESE SULFATE | |
| PYRIDOXINE | |
| HYDROCHLORIDE | |
| RIBOFLAVIN | |
| THIAMINE MONONITRATE | |
| VITAMIN A ACETATE | |
| FOLIC ACID | |
| POTASSIUM IODIDE | |
| SODIUM SELENATE | |
| VITAMIN K1 | |
| CHROMIUM CHLORIDE | |
| SODIUM MOLYBDATE | |
| BIOTIN | |
| VITAMIN D3 | |
| VITAMIN B12 | |
| Powder | |
| SLI Medical Acceptable Dating: we will ship >= 90 days | |
| 250 mL Serving Size | |
| 42231803 | |
| Ages 5 Years and Up | |
| Pediatric to Adult | |
| 14.1 oz. |
| Product Name | Oral Supplement Modulen™ Neutral Flavor Powder 14.1 oz. Can |
|---|---|
| SKU | 2001159491 |
| Price | $49.30 |
| Weight | 5.00 |
| Featured Product | No |
| Manufacturer Sku | 4147000531 |
| UOM | EA |
| Manufacturer | Modulen™ |
| Short Description | MODULEN, NEUTRAL 400G (12/CS) |
