Oral Supplement Boost® Very High Calorie Strawberry Flavor Liquid 8 oz. Reclosable Carton Bags and Meter Bags Manufacturer # 16-42046 Country of

Manufacturer # 16-42046 Country of Origin China Application Drain Sponge Color White Dimensions 4 X 4 Inch HCPCS A6402 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Length Up to 4 Inch Length Lot_Tracking_Flag N Material Polyester / Rayon Number per Pack 2 per Pack On_Allocation N Ply 6-Ply Shape Square Shape Range Rectangle / Square Grouping Sterility Sterile Supplier_ID 488035 UNSPSC Code 42311512 Width 4 Inch Width Latex Free Indicator Not Made with Natural Rubber Latex

Flat Drape

10 mL Sterile Water Syringe

1 Fenestrated Drape

(2) Blister Modules with (3) SuperSkin Blister Tape Contents 3 (3) Hydration Modules with (2) Hydration Packets

Oral Supplement Boost® Very High Calorie Strawberry Flavor Liquid 8 oz. Reclosable Carton Bags and Meter Bags Manufacturer # 16-42046 Country ofManufacturer # 00043900661452 Country of Origin Unknown Administration Method Oral Application Oral Supplement Calories per Serving 530 Calories Calories per Serving Range 501 to 800 Calories Container Type Reclosable Carton Container Type Range Cartons & Pouches Dietary Restrictions Galactosemia Flavor Strawberry Flavor Flavor Range Fruit Flavor HCPCS B4152 (Disclaimer) Ingredients Water, Glucose Syrup, Canola Oil, Acid Casein (From Milk), Soy