Ordering
amerisourcebergen.com
610.727.7000
www.medline.com
800.633.5463
owens-minor.com
800.488.8850
preferredmedical.com
800.722.7865
indemed.com
800.860.8027
mms.mckesson.com
800.422.0280
cardinalhealth.com
800.964.5227
Kate Farms Formulas
| Pediatric Standard 1.2 | Pediatric Peptide 1.0 | Pediatric Peptide 1.5 | Standard 1.0 | Standard 1.4 | Peptide 1.0 | Peptide 1.5 | Glucose Support 1.2 | Renal Support 1.8 | |
|---|---|---|---|---|---|---|---|---|---|
| Single Carton UPC | Vanilla 851823006904 Chocolate 811112030683 | Vanilla 811112030522 | Vanilla 851823006874 Plain 811112030690 | Vanilla 851823006638 Chocolate 851823006645 Plain 851823006669 | Vanilla 811112030423 Plain 811112030010 | Vanilla 811112030546 Plain 811112030485 | Vanilla 851823006478 Plain 851823006461 | Vanilla 811112030669 | Vanilla 811112030645 |
| Case UPC | Vanilla 851823006997 Chocolate 811112030713 | Vanilla 811112030539 | Vanilla 851823006201 Plain 811112030706 | Vanilla 851823006683 Chocolate 851823006690 Plain 851823006676 | Vanilla 811112030430 Plain 811112030027 | Vanilla 811112030553 Plain 811112030492 | Vanilla 851823006386 Plain 851823006379 | Vanilla 811112030676 | Vanilla 811112030652 |
| NDC- Format Number | Vanilla 51823-0006-90 Chocolate 11112-0030-68 | Vanilla 11112-0030-52 | Vanilla 51823-0006-87 Plain 11112-0030-69 | Vanilla 51823-0006-63 Chocolate 51823-0006-64 Plain 51823-0006-66 | Vanilla 11112-0030-42 Plain 11112-0030-01 | Vanilla 11112-0030-54 Plain 11112-0030-48 | Vanilla 51823-0006-47 Plain 51823-0006-46 | Vanilla 11112-0030-66 | Vanilla 11112-0030-64 |
| Packaging | 12-250 mL cartons / case | 12-250 mL cartons / case | 12-250 mL cartons / case | 12-325 mL cartons / case | 12-325 mL cartons / case | 12-325 mL cartons / case | 12-325 mL cartons / case | 12-250 mL cartons / case | 12-250 mL cartons / case |
| Cal / Carton | 300 cal / 250 mL | 250 cal / 250 mL | 375 cal / 250 mL | 325 cal / 325 mL | 455 cal / 325 mL | 325 cal / 325 mL | 500 cal / 325 mL | 300 cal / 250 mL | 450 cal / 250 mL |
| HCPCS Code | B4160 | B4161 | B4161 | B4150 | B4150 | B4153 | B4153 | B4154 | B4154 |