Category Item SKU Description HCPCS NDC-Format Code

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CategoryItem#SKU DescriptionHCPCSCodeNDC-FormatCode for SingleNDC-FormatNDC-FormatCode for Carton Code for CaseAdult Nutritional56500B415570074-0565-0270074-0565-01 (4bottles)Adult Nutritional56604Ensure Active Protein Drink (formerly Ensure Clear) Ready-toDrink Blueberry Pomegranate Retail / 10-fl-oz Bottle / Case of12Ensure Active Protein Drink (formerly Ensure Clear) Ready-toDrink Peach Retail / 10-fl-oz Bottle / Case of 12B415570074-0566-0670074-0566-05 (4bottles)Adult Nutritional56640Ensure Clear Ready-to-Drink Apple Institutional / 6.7-fl-oz (198 B4102mL) Brik Pak / Case of 3270074-0566-4170074-0566-40(32 tetras)Adult Nutritional56642Ensure Clear Ready-to-Drink Mixed Berry Institutional / 6.7-floz (198 mL) Brik Pak / Case of 32B410270074-0566-4370074-0566-42(32 tetras)Adult Nutritional50464Ensure Plus Ready-to-Drink Vanilla Institutional / 8-fl-oz (237mL) Can / Case of 24B415270074-0504-6570074-0504-64(24 Cans)Adult Nutritional50466Ensure Plus Ready-to-Drink Milk Chocolate Institutional / 8-floz (237-mL) Can / Case of 24B415270074-0504-6770074-0504-66(24 Cans)Adult Nutritional50646Ensure Plus Ready-to-Drink Strawberry Institutional / 8-fl-oz(237-mL) Can / Case of 24B415270074-0506-4770074-0506-46(24 Cans)Adult Nutritional51894Ensure Plus Ready-to-Drink Butter Pecan Institutional / 8-fl-oz B4152(237-mL) Can / Case of 2470074-0518-9570074-0518-94(24 Cans)Adult Nutritional53809Ensure Plus Ready-to-Drink Dark Chocolate Retail / 8-fl-ozBottle / Case of 2470074-0538-1170074-0538-09(24 bottles)Adult Nutritional57263Ensure Plus Ready-to-Drink Vanilla Retail / 8-fl-oz Bottle / Case B4152of 2470074-0407-07 (6 70074-0572-63bottles)(24 bottles)Adult Nutritional57266Ensure Plus Ready-to-Drink Milk Chocolate Retail / 8-fl-ozBottle / Case of 24B415270074-0407-02 (6 70074-0572-66bottles)(24 bottles)Adult Nutritional57269Ensure Plus Ready-to-Drink Strawberry Retail / 8-fl-oz Bottle / B4152Case of 2470074-0407-18 (6 70074-0572-69bottles)(24 bottles)Adult Nutritional57272Ensure Plus Ready-to-Drink Butter Pecan Retail / 8-fl-oz Bottle B4152/ Case of 2470074-0517-87 (6 70074-0572-72bottles)(24 bottles)Adult Nutritional58251Ensure Plus Ready-to-Drink Vanilla Institutional / 32-fl-oz (946- B4152mL) Bottle / Case of 670074-0582-52Adult Nutritional58299Ensure Plus Ready-to-Drink Milk Chocolate Institutional / 8-floz (237-mL) Bottle / Case of 24B415270074-0583-0070074-0582-99(24 bottles)Adult Nutritional58301Ensure Plus Ready-to-Drink Strawberry Institutional / 8-fl-oz(237-mL) Bottle / Case of 24B415270074-0583-0270074-0583-01(24 bottles)Adult Nutritional57755Ensure Plus Ready-to-Drink Vanilla Retail CLUB / 8-fl-oz (237mL) Bottle / Case of 24B4152Adult Nutritional58303Ensure Plus Ready-to-Drink Vanilla Institutional / 8-fl-oz (237mL) Bottle / Case of 24B415270074-0583-04Adult Nutritional53806Ensure Original Dark Chocolate Retail / 8-fl-oz Bottle / Case of B41502470074-0538-08Adult Nutritional57231Ensure Original Milk Chocolate Retail / 8-fl-oz Bottle / Case of24B415070074-0407-01 (6bottles)Adult Nutritional57234Ensure Original Strawberry Retail / 8-fl-oz Bottle / Case of 24B415070074-0407-05 (6bottles)Adult Nutritional57240Ensure Original Butter Pecan Retail / 8-fl-oz Bottle / Case of 24 B415070074-0517-85 (6bottles)Adult Nutritional57243Ensure Original Vanilla Retail / 8-fl-oz Bottle / Case of 2470074-0407-11 (6bottles)B4152B415070074-0577-55(24 bottles)70074-0583-03(24 bottles)

CategoryItem#SKU DescriptionHCPCSCodeNDC-FormatCode for SingleNDC-FormatNDC-FormatCode for Carton Code for CaseAdult Nutritional53432Ensure Vanilla Retail CLUB / 8-fl-oz Bottle / Case of 16B415070074-0534-32(16 bottles)Adult Nutritional53623Ensure Milk Chocolate CLUB / 8-fl-oz Bottle / Case of 16B415070074-0536-23(16 bottles)Adult Nutritional56564Ensure Complete Vanilla Institutional/ 8 fl-oz Bottle/ Case of24B415270074-0565-6570074-0565-64(24 Bottles)Adult Nutritional56562Ensure Complete Chocolate Institutional/ 8 fl-oz Bottle/ Caseof 24B415270074-0565-6370074-0565-62(24 Bottles)Adult Nutritional62010Ensure Complete Strawberry Institutional/ 8 fl-oz Bottle/ Case B4152of 2470074-0620-1170074-0620-10(24 Bottles)Adult Nutritional62761Ensure Complete Vanilla Retail/ 8 fl-oz Bottle/ Case of 24B415270074-0627-6370074-0627-62 (4 70074-0627-61bottles)(24 Bottles)Adult Nutritional62758Ensure Complete Chocolate Retail/ 8 fl-oz Bottle/ Case of 24B415270074-0627-6070074-0627-59 (4 70074-0627-58(24 Bottles)bottles)Adult Nutritional56488Ensure Complete Homemade Vanilla Retail / 8-fl-oz Bottle/Case of 16B415270074-0564-89 (4bottles)Adult Nutritional63054Ensure Complete Homemade Strawberry Retail / 8-fl-ozBottle/ Case of 16B415270074-0630-55 (4 70074-0630-54bottles)(16 bottles)Adult Nutritional56491Ensure Complete Creamy Milk Chocolate Retail / 8-fl-oz Bottle B4152/ Case of 1670074-0564-92 (4bottles)Adult Nutritional56494Ensure Complete Strawberries & Cream Retail / 8-fl-oz Bottle / B4152Case of 1670074-0564-95 (4bottles)Adult Nutritional56562Ensure Complete Creamy Milk Chocolate Institutional / 8-fl-oz(237-mL) Bottle / Case of 24B415270074-0565-63Adult Nutritional56564Ensure Complete Homemade Vanilla Institutional/ 8-fl-oz (237- B4152mL) Bottle / Case of 2470074-0565-65Adult Nutritional62010Ensure Complete Strawberries & Cream Institutional / 8-fl-oz(237-mL) Bottle / Case of 24B415270074-0620-11Adult Nutritional52098Ensure High Protein Milk Chocolate Institutional / 8-fl-oz (237- B4150mL) Can / Case of 2470074-0520-99Adult Nutritional52100Ensure High Protein Vanilla Institutional / 8-fl-oz (237-mL) Can B4150/ Case of 2470074-0521-01Adult Nutritional50459Ensure Active High Protein Homemade Vanilla Retail / 14-fl-oz B4150(414-mL) Bottle / Case of 1270074-0504-5770074-0504-58 (4bottles)Adult Nutritional50515Ensure Active High Protein Creamy Milk Chocolate Retail / 14-fl- B4150oz (414-mL) Bottle / Case of 1270074-0504-6970074-0505-14 (4bottles)Adult Nutritional63073Ensure High Protein Powder Milk Chocolate Retail / 1.7 lb (771- Noneg) Can / Case of 470074-0630-74Adult Nutritional63083Ensure High Protein Powder Vanilla Retail / 1.7 lb (771-g) Can None/ Case of 470074-0630-84Adult Nutritional50460Ensure Original Institutional / 8-fl-oz (237-mL) Can / Case of24B415070074-0504-61Adult Nutritional50462Ensure Original Milk Chocolate Institutional / 8-fl-oz (237-mL)Can / Case of 24B415070074-0504-63Adult Nutritional50648Ensure Original Strawberry Institutional / 8-fl-oz (237-mL) Can B4150/ Case of 2470074-0506-49Adult Nutritional51892Ensure Original Butter Pecan Institutional / 8-fl-oz (237-mL)Can / Case of 24B415070074-0518-93Adult Nutritional56458Ensure Original Creamy Milk Chocolate Retail / 8-fl-oz Bottle /Case of 16B415070074-0564-59 (4bottles)Adult Nutritional56461Ensure Original Strawberries & Cream Retail / 8-fl-oz Bottle /Case of 16B415070074-0564-62 (4bottles)

CategoryItem#SKU DescriptionAdult Nutritional56467Ensure Original Homemade Vanilla Retail / 8-fl-oz Bottle / Case B4150of 16Adult Nutritional58293Ensure Original Milk Chocolate Institutional / 8-fl-oz (237-mL)Bottle / Case of 24B415070074-0582-94Adult Nutritional58295Ensure Original Strawberry Institutional / 8-fl-oz (237-mL)Bottle / Case of 24B415070074-0582-96Adult Nutritional58297Ensure Original Vanilla Institutional / 8-fl-oz (237-mL) Bottle /Case of 24B415070074-0582-98Adult Nutritional56476Ensure Active Muscle Health Vanilla Retail / 8-fl-oz Bottle /Case of 16B415070074-0564-77 (4bottles)Adult Nutritional56479Ensure Active Muscle Health Milk Chocolate Retail / 8-fl-ozBottle / Case of 16B415070074-0564-80 (4bottles)Adult Nutritional56482Ensure Active Muscle Health Strawberry Retail / 8-fl-oz Bottle / B4150Case of 1670074-0564-83 (4bottles)Adult Nutritional56558Ensure Muscle Health Vanilla Institutional / 8-fl-oz (237-mL)Bottle / Case of 24B415070074-0565-5970074-0565-58(24 bottles)Adult Nutritional56560Ensure Muscle Health Milk Chocolate Institutional / 8-fl-oz (237- B4150mL) Bottle / Case of 2470074-0565-6170074-0565-60(24 bottles)Adult Nutritional62012Ensure Muscle Health Strawberry Institutional / 8-fl-oz (237mL) Bottle / Case of 24B415070074-0620-1370074-0620-12(24 bottles)Adult Nutritional00750Ensure Powder Homemade Vanilla / 14-oz (397-g) Can / Case B4150of 670074-0607-50Adult Nutritional54844Ensure Pudding Homemade Vanilla / 4-oz (113-g) Plastic Cups None/ Case of 4870074-0548-45 (4cups)Adult Nutritional54846Ensure Pudding Creamy Milk Chocolate / 4-oz (113-g) PlasticCups / Case of 48None70074-0548-47 (4cups)Adult Nutritional54848Ensure Pudding Butterscotch Delight / 4-oz (113-g) PlasticCups / Case of 48None70074-0548-49 (4cups)Adult Nutritional50240Glucerna 1.0 Cal Vanilla Institutional / 8-fl-oz (237-mL) Can /Case of 24B415470074-0502-41Adult Nutritional62671Glucerna 1.0 Cal Ready-To-Hang Institutional / 1 Liter (1000mL) Bottle / Case of 8B415470074-0626-72Adult Nutritional51206Glucerna 1.0 Cal Ready-To-Hang Institutional / 1 Liter (1000mL) Bottle / Case of 8B415470074-0512-07Adult Nutritional62673Glucerna 1.0 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154mL) Bottle / Case of 670074-0626-74Adult Nutritional52602Glucerna 1.0 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154mL) Bottle / Case of 670074-0526-03Adult Nutritional62675Glucerna 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154mL) Bottle / Case of 670074-0626-76Adult Nutritional50902Glucerna 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154mL) Bottle / Case of 670074-0509-03Adult Nutritional50904Glucerna 1.2 Cal Vanilla Institutional / 8-fl-oz (237-mL) Can /Case of 24B415470074-0509-05Adult Nutritional62677Glucerna 1.2 Cal Institutional / 1 Liter (1000-mL) Bottle / Case B4154of 870074-0626-78Adult Nutritional50906Glucerna 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000mL) Bottle / Case of 8B415470074-0509-07Adult Nutritional53534Glucerna 1.5 Cal Vanilla Institutional / 8-fl-oz (237-mL) Can /Case of 24B415470074-0535-35Adult Nutritional62679Glucerna 1.5 Cal Ready-to-Hang Institutional / 1 Liter (1000mL) Bottle / Case of 8B415470074-0626-80HCPCSCodeNDC-FormatCode for SingleNDC-FormatNDC-FormatCode for Carton Code for Case70074-0564-68 (4bottles)70074-0626-71 (8bottles)70074-0626-73 (6bottles)70074-0626-75 (6bottles)70074-0626-77 (8bottles)70074-0626-79 (8bottles)

CategoryItem#SKU DescriptionHCPCSCodeNDC-FormatCode for SingleNDC-FormatNDC-FormatCode for Carton Code for CaseAdult Nutritional53536Glucerna 1.5 Cal Ready-to-Hang Institutional / 1 Liter (1000mL) Bottle / Case of 8B415470074-0535-37Adult Nutritional62059Glucerna Hunger Smart Shake Vanilla Retail / 11.5-fl-oz (340mL) Bottle / Case of 12B415470074-0620-6070074-0620-61 (4bottles)Adult Nutritional62062Glucerna Hunger Smart Shake Chocolate Retail / 11.5-fl-oz(340-mL) Bottle / Case of 12B415470074-0620-6370074-0620-64 (4bottles)Adult Nutritional62074Glucerna Nutrition Bars Crispy Delight / Chocolate Chip / 1.41- Noneoz (40-g) Bar / Case of 2470074-0620-7570074-0620-76 (4 70074062074(24 bars)bars)Adult Nutritional62077Glucerna Nutrition Bars Crispy Delight / Peanut Chocolate Chip None/ 1.41-oz (40-g) Bar / Case of 2470074-0620-7870074-0620-79 (4 70074062077bars)(24 bars)Adult Nutritional53742Glucerna Mini-Snack Bar Cinnamon Bun / 0.70-oz (20-g) Bar / NoneCase of 4870074-0537-43 (8bars)Adult Nutritional59704Glucerna Mini-Snack Bar Oatmeal Raisin / 0.70-oz (20-g) Bar / NoneCase of 4870074-0597-05 (8bars)Adult Nutritional59708Glucerna Mini-Snack Bar Chocolate Peanut / 0.70-oz (20-g) Bar None/ Case of 4870074-0597-09 (8bars)Adult Nutritional54326Glucerna Shake Classic Butter Pecan Institutional / 8-fl-oz (237- B4154mL) Can / Case of 2470074-0543-2770074-0543-26(24 cans)Adult Nutritional54328Glucerna Shake Homemade Vanilla Institutional / 8-fl-oz (237- B4154mL) Can / Case of 2470074-0543-2970074-0543-28(24 cans)Adult Nutritional54544Glucerna Shake Rich Chocolate Institutional / 8-fl-oz (237-mL) B4154Can / Case of 2470074-0545-4570074-0545-44(24 cans)Adult Nutritional56052Glucerna Shake Creamy Strawberry Institutional / 8-fl-oz (237- B4154mL) Can / Case of 2470074-0560-5370074-0560-52(24 cans)Adult Nutritional57801Glucerna Shake Homemade Vanilla Retail/ 8-fl-oz Bottle / Case B4154of 2470074-0578-0370074-0578-02 (6bottles)Adult Nutritional57804Glucerna Shake Rich Chocolate Retail / 8-fl-oz Bottle / Case of B41542470074-0578-0670074-0578-05 (6bottles)Adult Nutritional57807Glucerna Shake Creamy Strawberry Retail / 8-fl-oz Bottle /Case of 24B415470074-0578-0970074-0578-08 (6bottles)Adult Nutritional57810Glucerna Shake Classic Butter Pecan Retail / 8-fl-oz Bottle /Case of 24B415470074-0578-12Adult Nutritional53736Glucerna Snack Bar Blueberry / 1.41-oz (40-g) Bar / Case of 24 NoneAdult Nutritional56957Glucerna Snack Bar Chocolate Caramel / 1.41-oz (40-g) Bar /Case of 24None70074-0569-58 (4bars)Adult Nutritional56681Glucerna Snack Bar Double Chocolate Crisp / 1.41-oz (40-g)Bar / Case of 24None70074-0566-82 (4bars)Adult Nutritional57609Glucerna Snack Bar Caramel Nut / 1.41-oz (40-g) Bar / Case of None2470074-0576-10 (4bars)Adult Nutritional59856Glucerna Snack Shake Homemade Vanilla Retail / 8-fl-oz Can / NoneCase of 1670074-0598-5870074-0598-57 (4cans)Adult Nutritional59859Glucerna Snack Shake Creamy Chocolate Delight Retail / 8-floz Can / Case of 16None70074-0598-6170074-0598-60(4 cans)Adult Nutritional62999Glucerna Advance/ Chocolate/ 237 mL bottle / Case of 16B415470074-0630-00(4 bottles)70074-0629-99(16 bottles)Adult Nutritional63001Glucerna Advance/ Vanilla/ 237 mL bottle / Case of 16B415470074-0630-02(4 bottles)70074-0630-17(16 bottles)Adult Nutritional63024Glucerna Nutrition Bars Mini Snacks Oatmeal Raisin / 20g /case 36 (carton of 6)None70074-0630-2570074-0630-26(6 bars)70074-0630-24(36 bars)Adult Nutritional63027Glucerna Nutrition Bars Mini Snacks Chocolate Caramel/ 20g /case 36 (carton of 6)None70074-0630-2870074-0630-29(6 bars)70074-0630-27(36 bars)70074-0537-36(24 bars)

CategoryItem#SKU DescriptionHCPCSCodeNDC-FormatCode for SingleNDC-FormatNDC-FormatCode for Carton Code for CaseAdult Nutritional63030Glucerna Nutrition Bars Mini Snacks Chocolate Peanut / 20g /case 36 (carton of 6)None70074-0630-3170074-0630-32(6 bars)Adult Nutritional58253Hi-Cal Ready-To-Hang Vanilla Institutional / 1 Liter (1000-mL) B4152Bottle / Case of 870074-0582-54Adult Nutritional00143Jevity 1 Cal Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can B4150/ Case of 2470074-0401-43Adult Nutritional62685Jevity 1 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL)Bottle / Case of 8B415070074-0626-86Adult Nutritional00682Jevity 1 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL)Bottle / Case of 8B415070074-0806-82Adult Nutritional62687Jevity 1 Cal Ready-To-Hang Institutional / 1.5 Liter (1500-mL) B4150Bottle / Case of 670074-0626-88Adult Nutritional52604Jevity 1 Cal Ready-To-Hang Institutional / 1.5 Liter (1500-mL) B4150Bottle / Case of 670074-0526-05Adult Nutritional62667Jevity 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500mL) Bottle / Case of 6B415070074-0626-68Adult Nutritional53114Jevity 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500mL) Bottle / Case of 6B415070074-0531-15Adult Nutritional53118Jevity 1.2 Cal Institutional / 8-fl-oz (237-mL) Can / Case of 24B415070074-0531-19Adult Nutritional62683Jevity 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) B4150Bottle / Case of 870074-0626-84Adult Nutritional53124Jevity 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) B4150Bottle / Case of 870074-0531-25Adult Nutritional62681Jevity 1.5 Cal Ready-To- Hang Institutional / 1 Liter (1000-mL) B4152Bottle / Case of 870074-0626-82Adult Nutritional57329Jevity 1.5 Cal Ready-To- Hang Institutional / 1 Liter (1000-mL) B4152Bottle / Case of 870074-0573-30Adult Nutritional62689Jevity 1.5 Cal Ready-To-Hang Institutional / 1.5 Liter (1500mL) Bottle / Case of 6B415270074-0626-90Adult Nutritional57331Jevity 1.5 Cal Ready-To-Hang Institutional / 1.5 Liter (1500mL) Bottle / Case of 6B415270074-0573-32Adult Nutritional57333Jevity 1.5 Cal Institutional / 8-fl-oz (237-mL) Can / Case of 24B415270074-0573-34Adult Nutritional56094Juven Powder Unflavored Institutional / 0.68 oz (19.3-g)Packet / 30 Packets (Outer Carton)B4155Adult Nutritional54000Juven Powder Unflavored Institutional / 0.68-oz (19.3-g)Packet / Case of 180B4155Adult Nutritional56622Juven Powder Fruit Punch / 0.85-oz (24-g) Packet / 8 Packets B4155per BoxAdult Nutritional56433Juven Powder Fruit Punch Institutional / 0.85-oz (24-g) Packet B4155/ Carton of 30 (Outer Carton)Adult Nutritional56431Juven Powder Fruit Punch Institutional / 0.85-oz (24-g) Packet B4155/ Case of 180Adult Nutritional56625Juven Powder Orange Institutional / 0.85-oz (24-g) Packet / 8 B4155Packets per BoxAdult Nutritional58012Juven Powder Orange Institutional / 0.85-oz (24-g) Packet /Carton of 30 (Outer Carton)B4155Adult Nutritional57935Juven Powder Orange Institutional / 0.85-oz (24-g) Packet /Case of 180B415559781-0225-50Adult Nutritional53624Nepro with Carb Steady Homemade Vanilla Institutional / 8-fl- B4154oz (237-mL) Bottle / Case of 2470074-0536-2670074-0630-30(36 bars)70074-0626-85 (8bottles)70074-0626-87 (6bottles)70074-0626-67 (6bottles)70074-0626-83 (8bottles)70074-0626-81 (8bottles)70074-0626-89 (6bottles)59781-0560-94(30 packets)59781-0540-0259781-0540-01 (30 59781-0540-00packets)(180 packets)59781-0566-23 (8packets)59781-0564-33(30 packets)59781-0564-3059781-0564-32 (30 59781-0564-31packets)(180 packets)59781-0566-26 (8packets)59781-0580-12(30 packets)59781-0225-51 (30 59781-0579-35packets)(180 packets)

CategoryItem#SKU DescriptionHCPCSCodeNDC-FormatCode for SingleNDC-FormatNDC-FormatCode for Carton Code for CaseAdult Nutritional53627Nepro with Carb Steady Butter Pecan Institutional / 8-fl-oz(237-mL) Bottle / Case of 24B415470074-0536-29Adult Nutritional53633Nepro with Carb Steady Homemade Vanilla / 8-fl-oz (237-mL) B4154Bottle / Case of 2470074-0536-34Adult Nutritional53630Nepro with Carb Steady Mixed Berry Institutional / 8-fl-oz (237- B4154mL) Bottle / Case of 2470074-0536-32Adult Nutritional62669Nepro with Carb Steady Ready-to-Hang Vanilla Institutional / 1 B4154Liter (1000-mL) Bottle / Case of 870074-0626-70Adult Nutritional59677Nepro with Carb Steady Ready-to-Hang Vanilla Institutional / 1 B4154Liter (1000-mL) Bottle / Case of 870074-0596-78Adult Nutritional62090Nepro with Carb Steady Butter Pecan Institutional / 8-fl-oz(237-mL) Can / Case of 24B415470074-0620-91Adult Nutritional62092Nepro with Carb Steady Mixed Berry Institutional / 8-fl-oz (237- B4154mL) Can / Case of 2470074-0620-93Adult Nutritional62094Nepro with Carb Steady Homemade Vanilla Institutional / 8-fl- B4154oz (237-mL) Can / Case of 2470074-0620-9570074-0620-94(24 cans)Adult Nutritional62691Osmolite 1 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) B4150Bottle / Case of 870074-0626-9270074-0626-91 (8bottles)Adult Nutritional00668Osmolite 1 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) B4150Bottle / Case of 870074-0806-68Adult Nutritional00735Osmolite 1 Cal Institutional / 8-fl-oz (237-mL) Can / Case of 24 B415070074-0407-35Adult Nutritional62695Osmolite 1 Cal Ready-To-Hang Institutional / 1.5 Liter (1500mL) Bottle / Case of 6B415070074-0626-96Adult Nutritional52600Osmolite 1 Cal Ready-To-Hang Institutional / 1.5 Liter (1500mL) Bottle / Case of 6B415070074-0526-01Adult Nutritional62693Osmolite 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4150mL) Bottle / Case of 670074-0626-94Adult Nutritional53116Osmolite 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4150mL) Bottle / Case of 670074-0531-17Adult Nutritional53120Osmolite 1.2 Cal Institutional / 8-fl-oz (237-mL) Can / Case of24B415070074-0531-21Adult Nutritional62697Osmolite 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000mL) Bottle / Case of 8B415070074-0626-98Adult Nutritional53122Osmolite 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000mL) Bottle / Case of 8B415070074-0531-23Adult Nutritional57469Osmolite 1.5 Cal Institutional / 8-fl-oz (237-mL) Bottle / Caseof 24B415270074-0574-70Adult Nutritional62699Osmolite 1.5 Cal Ready-To-Hang Institutional / 1 Liter (1000mL) Bottle / Case of 8B415270074-0627-00Adult Nutritional57471Osmolite 1.5 Cal Ready-To-Hang Institutional / 1 Liter (1000mL) Bottle / Case of 8B415270074-0574-72Adult Nutritional54386Oxepa Institutional / 8-fl-oz (237-mL) Can / Case of 24B415470074-0543-87Adult Nutritional62717Oxepa Ready-To-Hang Institutional / 1 Liter (1000-mL) Bottle/ Case of 8B415470074-0627-18Adult Nutritional57043Oxepa Ready-To-Hang Institutional / 1 Liter (1000-mL) Bottle/ Case of 8B415470074-0570-44Adult Nutritional50628Perative Institutional / 8-fl-oz (237-mL) Can / Case of 24B415370074-0506-29Adult Nutritional62723Perative Ready-To-Hang Institutional / 1 Liter (1000-mL)Bottle / Case of 8B415370074-0627-2470074-0626-69 (8bottles)70074-0626-95 (6bottles)70074-0626-93 (6bottles)70074-0626-97 (8bottles)70074-0626-99 (8bottles)70074-0627-17 (8bottles)70074-0627-23 (8bottles)

CategoryItem#SKU DescriptionHCPCSCodeNDC-FormatCode for SingleAdult Nutritional51948Perative Ready-To-Hang Institutional / 1 Liter (1000-mL)Bottle / Case of 8B415370074-0519-49Adult Nutritional62721Perative Ready-To-Hang Institutional / 1.5 Liter (1500-mL)Bottle / Case of 6B415370074-0627-22Adult Nutritional57635Perative Ready-To-Hang Institutional / 1.5 Liter (1500-mL)Bottle / Case of 6B415370074-0576-36Adult Nutritional58013Pivot 1.5 Cal Institutional / 8-fl-oz (237-mL) Can / Case of 24B415370074-0580-14Adult Nutritional62719Pivot 1.5 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL)Bottle / Case of 8B415370074-0627-20Adult Nutritional58015Pivot 1.5 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL)Bottle / Case of 8B415370074-0580-16Adult Nutritional00746Polycose Powder Institutional / 12.3-oz (349-g) Can / Case of6B415570074-0607-46Adult Nutritional59721ProMod Liquid Protein Fruit Punch Institutional / 32-fl-oz (946- B4155mL) Bottle / Case of 670074-0597-22Adult Nutritional50774Promote Vanilla Institutional / 8-fl-oz (237-mL) Can / Case of24B415070074-0507-75Adult Nutritional62701Promote Ready-To-Hang Institutional / 1 Liter (1000-mL)Bottle / Case of 8B415070074-0627-02Adult Nutritional51616Promote Ready-To-Hang Institutional / 1 Liter (1000-mL)Bottle / Case of 8B415070074-0516-17Adult Nutritional62705Promote Ready-To-Hang Institutional / 1.5 Liter (1500-mL)Bottle / Case of 6B415070074-0627-06Adult Nutritional57631Promote Ready-To-Hang Institutional / 1.5 Liter (1500-mL)Bottle / Case of 6B415070074-0576-32Adult Nutritional51872Promote With Fiber Vanilla Institutional / 8-fl-oz (237-fl-oz)Can / Case of 24B415070074-0518-73Adult Nutritional62703Promote With Fiber Ready-To-Hang Institutional / 1 Liter(1000-mL) Bottle / Case of 8B415070074-0627-04Adult Nutritional51874Promote With Fiber Ready-To-Hang Institutional / 1 Liter(1000-mL) Bottle / Case of 8B415070074-0518-75Adult Nutritional62707Promote With Fiber Ready-To-Hang Institutional / 1.5 Liter(1500-mL) Bottle / Case of 6B415070074-0627-08Adult Nutritional57633Promote With Fiber Ready-To-Hang Institutional / 1.5 Liter(1500-mL) Bottle / Case of 6B415070074-0576-34Adult Nutritional00699Pulmocare Vanilla Institutional / 8-fl-oz (237-mL) Can / Case of B41542470074-0406-99Adult Nutritional62725Pulmocare Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4154mL) Bottle / Case of 870074-0627-26Adult Nutritional51204Pulmocare Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4154mL) Bottle / Case of 870074-0512-05Adult Nutritional53636Suplena with Carb Steady Homemade Vanilla Institutional / 8- B4154fl-oz (237-mL) Bottle / Case of 2470074-0536-38Adult Nutritional62088Suplena w Carb Steady Homemade Vanilla Institutional / 8 floz (237-mL) Can / Case of 24B415470074-0620-89Adult Nutritional00729TwoCal HN Vanilla Institutional / 8-fl-oz (237-mL) Can / Caseof 24B415270074-0407-29Adult Nutritional54064TwoCal HN Butter Pecan Institutional / 8-fl-oz (237-mL) Can /Case of 24B415270074-0540-65Adult Nutritional62709TwoCal HN Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4152mL) Bottle / Case of 870074-0627-10NDC-FormatNDC-FormatCode for Carton Code for Case70074-0627-21 (6bottles)70074-0627-19 (8bottles)70074-0627-01 (8bottles)70074-0627-05 (6bottles)70074-0627-03 (8bottles)70074-0627-07 (6bottles)70074-0627-25 (8bottles)70074-0627-09 (8bottles)

CategoryItem#SKU DescriptionAdult Nutritional57047TwoCal HN Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4152mL) Bottle / Case of 870074-0570-48Adult Nutritional56542Vital AF 1.2 Cal Vanilla Institutional / 8-fl-oz (237-mL) Can /Case of 24B415370074-0565-43Adult Nutritional62715Vital AF 1.2 Cal Ready-to-Hang Vanilla Institutional / 1 Liter(1000-mL) Bottle / Case of 8B415370074-0627-16Adult Nutritional56544Vital AF 1.2 Cal Ready-to-Hang Vanilla Institutional / 1 Liter(1000-mL) Bottle / Case of 8B415370074-0565-45Adult Nutritional56277Vital 1.0 Vanilla Institutional / 8-fl-oz (237-mL) Can / Case of24B415370074-0562-78Adult Nutritional62711Vital 1.0 Ready-to-Hang Vanilla Institutional / 1 Liter (1000mL) Bottle / Case of 8B415370074-0627-12Adult Nutritional56281Vital 1.0 Ready-to-Hang Vanilla Institutional / 1 Liter (1000mL) Bottle / Case of 8B415370074-0562-82Adult Nutritional56279Vital 1.5 Vanilla Institutional / 8-fl-oz (237-mL) Can / Case of24B415370074-0562-80Adult Nutritional62713Vital 1.5 Ready-To-Hang Vanilla Institutional / 1 Liter (1000mL) Bottle / Case of 8B415370074-0627-14Adult Nutritional56283Vital 1.5 Ready-To-Hang Vanilla Institutional / 1 Liter (1000mL) Bottle / Case of 8B415370074-0562-84Adult Nutritional00766Vital HN Powder Vanilla Institutional / 2.79-oz (79-g) Packet /Case of 24B4153Adult Nutritional63119Vital High Protein Institutional / 8-fl-oz (237-mL) Can / Case of B41532470074-0631-2070074-0631-19(24 cans)Adult Nutritional63081Vital High Protein Ready-To-Hang Institutional / 1 Liter (1000- B4153mL) Bottle / Case of 870074-0630-8270074-0630-81(8 bottles)Metabolic53328Calcilo XD Powder Institutional / 13.2-oz (375-g) Can / Case of B4162670074-0533-29Metabolic51144Cyclinex-1 Powder Institutional / 14.1-oz (400-g) Can / Case of B4162670074-0511-45Metabolic51146Cyclinex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of B4162 (Ped)670074-0511-47Metabolic51146Cyclinex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of B4157 (Adult)670074-0511-47Metabolic51140Glutarex-1 Powder Institutional / 14.1-oz (400-g) Can / Caseof 6B416270074-0511-41Metabolic51142Glutarex-2 Powder Institutional / 14.1-oz (400-g) Can / Caseof 6B4162 (Ped)70074-0511-43Metabolic51142Glutarex-2 Powder Institutional / 14.1-oz (400-g) Can / Caseof 6B4157 (Adult)70074-0511-43Metabolic51116Hominex-1 Powder Institutional / 14.1-oz (400-g) Can / Caseof 6B416270074-0511-17Metabolic51118Hominex-2 Powder Institutional / 14.1-oz (400-g) Can / Caseof 6B4162 (Ped)70074-0511-19Metabolic51118Hominex-2 Powder Institutional / 14.1-oz (400-g) Can / Caseof 6B4157 (Adult)70074-0511-19Metabolic51136I-Valex-1 Powder Institutional / 14.1-oz (400-g) Can / Case of B4162670074-0511-37Metabolic51138I-Valex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of B4162 (Ped)670074-0511-39Metabolic51138I-Valex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of B4157 (Adult)670074-0511-39HCPCSCodeNDC-FormatCode for SingleNDC-FormatNDC-FormatCode for Carton Code for Case70074-0627-15 (8bottles)70074-0627-11 (8bottles)70074-0627-13 (8bottles)70074-0407-66 (6packets)

CategoryItem#SKU DescriptionMetabolic51112Ketonex-1 Powder Institutional / 14.1-oz (400-g) Can / Case of B4162670074-0511-13Metabolic51114Ketonex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of B4162 (Ped)670074-0511-15Metabolic51114Ketonex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of B4157 (Adult)670074-0511-15Metabolic51120Phenex-1 Powder Institutional / 14.1-oz (400-g) Can / Case of B4162670074-0511-21Metabolic51122Phenex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of B4162 (Ped)670074-0511-23Metabolic51122Phenex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of B4157 (Adult)670074-0511-23Metabolic55755Phenex-2 Powder Vanilla Institutional / 14.1-oz (400-g) Can /Case of 6B4157 (Adult)70074-0557-56Metabolic55755Phenex-2 Powder Vanilla Institutional / 14.1-oz (400-g) Can /Case of 6B4162 (Ped)70074-0557-56Metabolic51148Pro-Phree Powder Institutional / 14.1-oz (400-g) Can / Case of B4155670074-0511-49Metabolic51132Propimex-1 Powder Institutional / 14.1-oz (400-g) Can / Caseof 6B416270074-0511-33Metabolic51134Propimex-2 Powder Institutional / 14.1-oz (400-g) Can / Caseof 6B4162 (Ped)70074-0511-35Metabolic51134Propimex-2 Powder Institutional / 14.1-oz (400-g) Can / Caseof 6B4157 (Adult)70074-0511-35Metabolic50260ProViMin Powder Institutional / 5.3-oz (150-g) Can / Case of 6 B415570074-0502-61Metabolic00108RCF Concentrated Liquid Institutional / 13-fl-oz (384-mL) Can / B4155Case of 1270074-0401-08Metabolic51128Tyrex-1 Powder Institutional / 14.1-oz (400-g) Can / Case of 6 B416270074-0511-29Metabolic51126Tyrex-2 Institutional Powder / 14.1-oz (400-g) Can / Case of 6 B4162 (Ped)70074-0511-27Metabolic51126Tyrex-2 Institutional Powder / 14.1-oz (400-g) Can / Case of 6 B4157 (Adult)70074-0511-27Pediatric Nutritional53510EleCare with DHA and ARA Powder Institutional / 14.1-oz (400- B4161g) Can / Case of 670074-0535-1170074-0535-10 (6cans)Pediatric Nutritional54665EleCare Powder Institutional / 14.1-oz (400-g) Can / Case of 6 B416170074-0546-6670074-0546-65 (6cans)Pediatric Nutritional59405EleCare Vanilla Powder Institutional / 14.1-oz (400-g) Can /Case of 6B416170074-0594-0670074-0594-05 (6cans)Pediatric Nutritional56585EleCare Jr Vanilla Powder Institutional / 14.1-oz (400-g) Can / B4161Case of 670074-0565-86Pediatric Nutritional55253EleCare Jr Unflavored Powder Institutional / 14.1-oz (400-g)Can / Case of 6B416170074-0552-54Pediatric Nutritional55251EleCare for Infants (DHA/ARA) Powder Institutional / 14.1-oz(400-g) Can / Case of 6B416170074-0535-11Pediatric Nutritional00240Pedialyte Grape Retail /

Category Item # SKU Description HCPCS Code NDC-Format Code for Single NDC-Format Code for Carton NDC-Format Code for Case Adult Nutritional 53432 Ensure Vanilla Reta

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