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Manufacturer # 64903 Country of Origin United States Administration Method Oral Application Oral Supplement Calories per Serving 240 Calories Calories per Serving Range 201 to 300 Calories Container Type Reclosable Carton Container Type Range Cartons & Pouches Dietary Restrictions Galactosemia Flavor Apple Flavor Flavor Range Fruit Flavor HCPCS B4103 (Disclaimer) Ingredients Water
Pre-Cut Barrier Type Standard Wear Capacity 550 mL Color Opaque Drain Type Closed End FSA Eligible - Buy UOM Yes FSA Eligible - Primary UOM Yes FSA Eligible - Sell UOM Yes HCPCS A4416 Length 8 Inch Length Sterility NonSterile Stoma Opening Size 1-3/8 Inch Stoma System Type One-Piece System UNSPSC Code 42312104
3 Inch Lot_Tracking_Flag N Material Hydrophilic Polymer Coated PVC On_Allocation N Securing Method Without Balloon Sterility Sterile Style Female Supplier_ID 487763 UNSPSC Code 42142715
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Hollister Urostomy Pouch New Image™ 18912 Two-Piece System 9 Inch Length 1-3/4 Inch Stoma Drainable Nutritionals Accessories Manufacturer # 64903 Country ofUOM BOX 10 UNITS PER BOX Features 2 Sided Comfort Panel Tap has teardrop indicator; some available with attached cap Anti reflux helps prevent urine backflow ComfortWear pouch panels Manufacturer # 18912 Brand New Image Manufacturer Hollister Country of Origin Unknown Application Urostomy Pouch Color Beige Drain Type Drainable Flange Size 1 3 4 Inch Flange HCPCS A4432 Length 9 Inch Length Sterility NonSterile Stoma Opening Size 1 3 4 Inch Stoma System
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