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| SLI Medical# | 746870 |
| Manufacturer # | 07131000 |
| Brand | Vivonex® Pediatric |
| Manufacturer | Nestle Healthcare Nutrition |
| Country of Origin | Unknown |
| Administration Method | Oral / Tube |
| Application | Pediatric Oral Supplement |
| Calories per Serving | 200 Calories |
| Calories per Serving Range | 101 to 200 Calories |
| Container Type | Individual Packet |
| Container Type Range | Individual Packages |
| Flavor | Unflavored |
| Flavor Range | Unflavored |
| HCPCS | B4161 |
| Health Condition | Impaired GI Function |
| Ingredients | Maltodextrin |
| Nutrient Type | Modified Corn Starch |
| Preparation | Medium Chain Triglycerides |
| Product Dating | Soybean Oil |
| UNSPSC Code | Calcium Glycerophosphate |
| User | and Less than 2% of Magnesium Gluconate |
| User Group | L-Glutamine |
| Volume | L-Lysine Acetate |
| L-Leucine | |
| L-Arginine Acetate | |
| Potassium Chloride | |
| L-Valine | |
| Citric Acid | |
| L-Isoleucine | |
| L-Aspartic Acid | |
| L-Alanine | |
| L-Phenylalanine | |
| L-Serine | |
| Sodium Citrate | |
| L-Proline | |
| L-Threonine | |
| L-Tyrosine | |
| Glutamic Acid | |
| Potassium Citrate | |
| L-Glycine | |
| L-Histidine Hydrochloride | |
| L-Methionine | |
| Choline Bitartrate | |
| L-Cystine L-Tryptophan | |
| Sodium Phosphate | |
| Ascorbic Acid | |
| Inositol | |
| Potassium Sorbate BHA | |
| and BHT | |
| and D-Alpha-Tocopherol (to Preserve Freshness) | |
| Taurine | |
| L-Carnitine | |
| Ferrous Sulfate | |
| DL-Alpha Tocopheryl Acetate | |
| Zinc Sulfate | |
| Niacinamide | |
| Calcium Pantothenate | |
| Copper Gluconate | |
| Manganese Sulfate | |
| Pyridoxine Hydrochloride | |
| Riboflavin | |
| Thiamine Hydrochloride | |
| Vitamin A Palmitate | |
| Beta-Carotene | |
| Folic Acid | |
| Potassium Iodide | |
| Sodium Molybdate | |
| Biotin | |
| Chromium Chloride | |
| Sodium Selenite | |
| Vitamin K1 | |
| Vitamin D3 | |
| Vitamin B12 | |
| Free Amino Acids | |
| Powder | |
| SLI Medical Acceptable Dating: we will ship >= 90 days | |
| 42231804 | |
| Ages 1 to 13 Years | |
| Pediatric | |
| 1.7 oz. |
| Product Name | Pediatric Oral Supplement Vivonex® Pediatric Unflavored 1.7 oz. Individual Packet Powder Free Amino Acids Impaired GI Function |
|---|---|
| SKU | 100746870 |
| Price | $58.38 |
| Weight | 1.00 |
| Featured Product | No |
| Manufacturer Sku | 7131000 |
| UOM | BX |
| Manufacturer | Nestle Healthcare Nutrition |
| Short Description | VIVONEX, PED 1.7OZ (6/BX 6BX/CS) EC |
