Friday, November 15, 2013
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- Roland Shields
- 7 years ago
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Transcription
1 Friday, November 15, 2013 Category for Single Adult Nutritional 5500 Ensure Clear Ready-to-Drink Blueberry Pomegranate Retail / 10-fl-oz Bottle / Case of 12 Adult Nutritional 504 Ensure Clear Ready-to-Drink Peach Retail / 10-fl-oz Bottle / Case of 12 Adult Nutritional 540 Ensure Clear Ready-to-Drink Apple Institutional /.7-fl-oz (198 ml) Brik Pak / Case of 32 Adult Nutritional 542 Ensure Clear Ready-to-Drink Mixed Berry Institutional /.7-floz (198 ml) Brik Pak / Case of 32 Adult Nutritional 5044 Ensure Plus Ready-to-Drink Vanilla Institutional / 8-fl-oz (237- ml) Can / Adult Nutritional 504 Ensure Plus Ready-to-Drink Milk Chocolate Institutional / 8-floz Adult Nutritional 504 Ensure Plus Ready-to-Drink Strawberry Institutional / 8-fl-oz Adult Nutritional Ensure Plus Ready-to-Drink Butter Pecan Institutional / 8-fl-oz Adult Nutritional Ensure Plus Ready-to-Drink Dark Chocolate Retail / 8-fl-oz Bottle / Adult Nutritional 5723 Ensure Plus Ready-to-Drink Vanilla Retail / 8-fl-oz Bottle / Adult Nutritional 572 Ensure Plus Ready-to-Drink Milk Chocolate Retail / 8-fl-oz Bottle / Adult Nutritional 5729 Ensure Plus Ready-to-Drink Strawberry Retail / 8-fl-oz Bottle / None No Medicare rate (4 None No Medicare rate (4 B4102 No Medicare rate (32 tetras) B4102 No Medicare rate (32 tetras) B4152 $ B4152 $ B4152 $ B4152 $ B4152 $ B4152 $ ( B4152 $ ( B4152 $ ( Adult Nutritional Ensure Plus Ready-to-Drink Butter Pecan Retail / 8-fl-oz Bottle / B4152 $ ( Adult Nutritional Ensure Plus Ready-to-Drink Vanilla Institutional / 32-fl-oz (94- B4152 $ ml) Bottle / Case Adult Nutritional Ensure Plus Ready-to-Drink Milk Chocolate Institutional / 8-floz (237-mL) Bottle / Adult Nutritional Ensure Plus Ready-to-Drink Strawberry Institutional / 8-fl-oz (237-mL) Bottle / Adult Nutritional Ensure Plus Ready-to-Drink Vanilla Institutional / 8-fl-oz (237- ml) Bottle / Adult Nutritional 5380 Ensure Ready-to-Drink Dark Chocolate Retail / 8-fl-oz Bottle / Adult Nutritional Ensure Ready-to-Drink Milk Chocolate Retail / 8-fl-oz Bottle / Adult Nutritional Ensure Ready-to-Drink Strawberry Retail / 8-fl-oz Bottle / Adult Nutritional Ensure Ready-to-Drink Butter Pecan Retail / 8-fl-oz Bottle / Adult Nutritional Ensure Ready-to-Drink Vanilla Retail / 8-fl-oz Bottle / Case of 24 Adult Nutritional Ensure Ready-to-Drink Vanilla Retail CLUB / 8-fl-oz Bottle / Case of 1 Adult Nutritional 5323 Ensure Ready-to-Drink Milk Chocolate CLUB / 8-fl-oz Bottle / Case of 1 Adult Nutritional 554 Ensure Complete Ready-to-Frink Vanilla Institutional/ 8 fl-oz Bottle/ Adult Nutritional 552 Ensure Complete Ready-to-Frink Chocolate Institutional/ 8 floz Bottle/ B4152 $ B4152 $ B4152 $ B4150 $ B4150 $ ( B4150 $ ( B4150 $ ( B4150 $ ( B4150 $ (1 B4150 $ (1 B4152 $ (24 Bottles) B4152 $ (24 Bottles)
2 for Single Adult Nutritional 2010 Ensure Complete Ready-to-Frink Strawberry Institutional/ 8 floz Bottle/ B4152 $ (24 Bottles) Adult Nutritional 271 Ensure Complete Ready-to-Frink Vanilla Retaill/ 8 fl-oz Bottle/ Adult Nutritional 2758 Ensure Complete Ready-to-Frink Chocolate Retaill/ 8 fl-oz Bottle/ Adult Nutritional 5488 Ensure Clinical Strength Ready-to-Drink Homemade Vanilla Retail / 8-fl-oz Bottle/ Case of 1 Adult Nutritional 5491 Ensure Clinical Strength Ready-to-Drink Creamy Milk Chocolate Retail / 8-fl-oz Bottle / Case of 1 Adult Nutritional 5494 Ensure Clinical Strength Ready-to-Drink Strawberries & Cream Retail / 8-fl-oz Bottle / Case of 1 Adult Nutritional 552 Ensure Clinical Strength Ready-to-Drink Creamy Milk Chocolate Institutional / 8-fl-oz (237-mL) Bottle / Adult Nutritional 554 Ensure Clinical Strength Ready-to-Drink Homemade Vanilla Institutional/ 8-fl-oz (237-mL) Bottle / Adult Nutritional 2010 Ensure Clinical Strength Ready-to-Drink Strawberries & Cream Institutional / 8-fl-oz (237-mL) Bottle / Adult Nutritional Ensure High Protein Ready-to-Drink Milk Chocolate Institutional / 8-fl-oz Adult Nutritional Ensure High Protein Ready-to-Drink Vanilla Institutional / 8-floz B4152 $ (4 B4152 $ (4 B4152 $ (4 B4152 $ (4 B4152 $ (4 B4152 $ B4152 $ B4152 $ B4150 $ B4150 $ (24 Bottles) (24 Bottles) Adult Nutritional Ensure High Protein SHAKE Ready-to-Drink Homemade Vanilla Retail / 14-fl-oz (414-mL) Bottle / Case of 12 None No Medicare rate (4 Adult Nutritional Ensure High Protein SHAKE Ready-to-Drink Creamy Milk Chocolate Retail / 14-fl-oz (414-mL) Bottle / Case of 12 None No Medicare rate (4 Adult Nutritional 5040 Ensure Immune Health Ready-to-Drink Vanilla Institutional / 8- B4150 $ fl-oz Adult Nutritional 5042 Ensure Immune Health Ready-to-Drink Milk Chocolate Institutional / 8-fl-oz Adult Nutritional 5048 Ensure Immune Health Ready-to-Drink Strawberry Institutional / 8-fl-oz Adult Nutritional Ensure Immune Health Ready-to-Drink Butter Pecan Institutional / 8-fl-oz B4150 $ B4150 $ B4150 $ Adult Nutritional 5458 Ensure Immune Health Ready-to-Drink Creamy Milk Chocolate Retail / 8-fl-oz Bottle / Case of 1 B4150 $ (4 Adult Nutritional 541 Ensure Immune Health Ready-to-Drink Strawberries & Cream Retail / 8-fl-oz Bottle / Case of 1 Adult Nutritional 547 Ensure Immune Health Ready-to-Drink Homemade Vanilla Retail / 8-fl-oz Bottle / Case of 1 Adult Nutritional Ensure Immune Health Ready-to-Drink Milk Chocolate Institutional / 8-fl-oz (237-mL) Bottle / Adult Nutritional Ensure Immune Health Ready-to-Drink Strawberry Institutional / 8-fl-oz (237-mL) Bottle / B4150 $ (4 B4150 $ (4 B4150 $ B4150 $ Adult Nutritional Ensure Immune Health Ready-to-Drink Vanilla Institutional / 8- B4150 $ fl-oz (237-mL) Bottle / Adult Nutritional 547 Ensure Muscle Health Ready-to-Drink Vanilla Retail / 8-fl-oz Bottle / Case of 1 B4150 $ (4 Adult Nutritional 5479 Ensure Muscle Health Ready-to-Drink Milk Chocolate Retail / 8- B4150 $ (4 fl-oz Bottle / Case of 1 Adult Nutritional 5482 Ensure Muscle Health Ready-to-Drink Strawberry Retail / 8-floz Bottle / Case of 1 B4150 $ (4 Adult Nutritional 5485 Ensure Muscle Health Ready-to-Drink Banana Cream Retail / 8- B4150 $ (4 fl-oz Bottle / Case of 1 Adult Nutritional 5558 Ensure Muscle Health Vanilla Institutional / 8-fl-oz (237-mL) Bottle / B4150 $
3 for Single Adult Nutritional 550 Ensure Muscle Health Milk Chocolate Institutional / 8-fl-oz (237-mL) Bottle / Adult Nutritional 2012 Ensure Muscle Health Strawberry Institutional / 8-fl-oz (237- ml) Bottle / Adult Nutritional Ensure Powder Homemade Vanilla / 14-oz (397-g) Can / Case B4150 $ B4150 $ B4150 $ Adult Nutritional Ensure Pudding Homemade Vanilla / 4-oz (113-g) Plastic Cups / Case of 48 None No Medicare rate (4 cups) Adult Nutritional 5484 Ensure Pudding Creamy Milk Chocolate / 4-oz (113-g) Plastic Cups / Case of 48 Adult Nutritional Ensure Pudding Butterscotch Delight / 4-oz (113-g) Plastic Cups / Case of 48 Adult Nutritional Glucerna 1.0 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz Adult Nutritional 271 Glucerna 1.0 Cal Ready-To-Hang Institutional / 1 Liter (1000- Adult Nutritional 5120 Glucerna 1.0 Cal Ready-To-Hang Institutional / 1 Liter (1000- None No Medicare rate (4 cups) None No Medicare rate (4 cups) B4154 $ B4154 $ (8 B4154 $ Adult Nutritional 273 Glucerna 1.0 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154 $ ( ml) Bottle / Case Adult Nutritional 5202 Glucerna 1.0 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154 $ ml) Bottle / Case Adult Nutritional 275 Glucerna 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154 $ ( ml) Bottle / Case Adult Nutritional Glucerna 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154 $ ml) Bottle / Case Adult Nutritional Glucerna 1.2 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz Adult Nutritional 277 Glucerna 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000- Adult Nutritional 5090 Glucerna 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000- Adult Nutritional Glucerna 1.5 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz Adult Nutritional 279 Glucerna 1.5 Cal Ready-to-Hang Institutional / 1 Liter (1000- Adult Nutritional 5353 Glucerna 1.5 Cal Ready-to-Hang Institutional / 1 Liter (1000- Adult Nutritional 2059 Glucerna Hunger Smart Shake Ready-to-Drink Vanilla Retail / 11.5-fl-oz (340-mL) Bottle / Case of 12 Adult Nutritional 202 Glucerna Hunger Smart Shake Ready-to-Drink Chocolate Retail / 11.5-fl-oz (340-mL) Bottle / Case of 12 B4154 $ B4154 $ (8 B4154 $ B4154 $ B4154 $ (8 B4154 $ B4154 $ (4 B4154 $ (4 Adult Nutritional 2074 Glucerna Nutrition Bars Crispy Delight / Chocolate Chip / oz (40-g) Bar / Adult Nutritional 2077 Glucerna Nutrition Bars Crispy Delight / Peanut Chocolate Chip / 1.41-oz (40-g) Bar / None No Medicare rate (4 None No Medicare rate ( ( (24 Adult Nutritional Glucerna Mini-Snack Bar Cinnamon Bun / 0.70-oz (20-g) Bar / Case of 48 None No Medicare rate (8 Adult Nutritional Glucerna Mini-Snack Bar Oatmeal Raisin / 0.70-oz (20-g) Bar / Case of 48 None No Medicare rate (8 Adult Nutritional Glucerna Mini-Snack Bar Chocolate Peanut / 0.70-oz (20-g) Bar / Case of 48 Adult Nutritional 5432 Glucerna Shake Ready-to-Drink Classic Butter Pecan Institutional / 8-fl-oz Adult Nutritional Glucerna Shake Ready-to-Drink Homemade Vanilla Institutional / 8-fl-oz None No Medicare rate (8 B4154 $ B4154 $
4 for Single Adult Nutritional Glucerna Shake Ready-to-Drink Rich Chocolate Institutional / 8-fl-oz Adult Nutritional 5052 Glucerna Shake Ready-to-Drink Creamy Strawberry Institutional / 8-fl-oz B4154 $ B4154 $ Adult Nutritional Glucerna Shake Ready-to-Drink Homemade Vanilla Retail/ 8-floz Bottle / B4154 $ Adult Nutritional Glucerna Shake Ready-to-Drink Rich Chocolate Retail / 8-fl-oz Bottle / Adult Nutritional Glucerna Shake Ready-to-Drink Creamy Strawberry Retail / 8- fl-oz Bottle / B4154 $ B4154 $ Adult Nutritional Glucerna Shake Ready-to-Drink Classic Butter Pecan Retail / 8- B4154 $ fl-oz Bottle / Adult Nutritional 5373 Glucerna Snack Bar Blueberry / 1.41-oz (40-g) Bar / Case of 24 Adult Nutritional 5957 Glucerna Snack Bar Chocolate Caramel / 1.41-oz (40-g) Bar / Adult Nutritional 581 Glucerna Snack Bar Double Chocolate Crisp / 1.41-oz (40-g) Bar / Adult Nutritional 5709 Glucerna Snack Bar Caramel Nut / 1.41-oz (40-g) Bar / Case of 24 Adult Nutritional 5985 Glucerna Snack Shake Ready-to-Drink Homemade Vanilla Retail / 8-fl-oz Can / Case of 1 Adult Nutritional Glucerna Snack Shake Ready-to-Drink Creamy Chocolate Delight Retail / 8-fl-oz Can / Case of 1 None No Medicare rate (24 None No Medicare rate (4 None No Medicare rate (4 None No Medicare rate (4 None No Medicare rate None No Medicare rate Adult Nutritional 2999 Glucerna Advance/ Chocolate/ 237 ml bottle / Case of 1 B4154 $ (4 Adult Nutritional 3001 Glucerna Advance/ Vanilla/ 237 ml bottle / Case of 1 B4154 $ ( ( (1 Adult Nutritional 3024 Glucerna Nutrition Bars Mini Snacks Oatmeal Raisin / 20g / case 3 (carton ) Adult Nutritional 3027 Glucerna Nutrition Bars Mini Snacks Chocolate Caramel/ 20g / case 3 (carton ) Adult Nutritional 3030 Glucerna Nutrition Bars Mini Snacks Chocolate Peanut / 20g / case 3 (carton ) Adult Nutritional Hi-Cal Ready-To-Hang Vanilla Institutional / 1 Liter (1000-mL) Adult Nutritional Jevity 1 Cal Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / None No Medicare rate ( None No Medicare rate ( None No Medicare rate ( B4152 $ B4150 $ ( ( (3 Adult Nutritional 285 Jevity 1 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) Adult Nutritional 0082 Jevity 1 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) Adult Nutritional 287 Jevity 1 Cal Ready-To-Hang Institutional / 1.5 Liter (1500-mL) Bottle / Case Adult Nutritional 5204 Jevity 1 Cal Ready-To-Hang Institutional / 1.5 Liter (1500-mL) Bottle / Case Adult Nutritional 27 Jevity 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- ml) Bottle / Case Adult Nutritional Jevity 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- ml) Bottle / Case Adult Nutritional Jevity 1.2 Cal Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / Adult Nutritional 283 Jevity 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) B4150 $ (8 B4150 $ B4150 $ ( B4150 $ B4150 $ ( B4150 $ B4150 $ B4150 $ (8 Adult Nutritional Jevity 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) B4150 $
5 for Single Adult Nutritional 281 Jevity 1.5 Cal Ready-To- Hang Institutional / 1 Liter (1000- Adult Nutritional Jevity 1.5 Cal Ready-To- Hang Institutional / 1 Liter (1000- Adult Nutritional 289 Jevity 1.5 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- ml) Bottle / Case Adult Nutritional Jevity 1.5 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- ml) Bottle / Case Adult Nutritional Jevity 1.5 Cal Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / Adult Nutritional 5094 Juven Powder Unflavored Institutional / 0.8 oz (19.3-g) Packet / 30 Packets (Outer Carton) B4152 $ (8 B4152 $ B4152 $ ( B4152 $ B4152 $ B4155 $ (30 packets) Adult Nutritional Juven Powder Unflavored Institutional / 0.8-oz (19.3-g) Packet / Case of 180 B4155 $ (30 packets) (180 packets) Adult Nutritional 522 Juven Powder Fruit Punch / 0.85-oz (24-g) Packet / 8 Packets per Box Adult Nutritional 5433 Juven Powder Fruit Punch Institutional / 0.85-oz (24-g) Packet / Carton of 30 (Outer Carton) B4155 $ (8 packets) B4155 $ (30 packets) Adult Nutritional 5431 Juven Powder Fruit Punch Institutional / 0.85-oz (24-g) Packet / Case of 180 B4155 $ (30 packets) (180 packets) Adult Nutritional 525 Juven Powder Orange Institutional / 0.85-oz (24-g) Packet / 8 Packets per Box Adult Nutritional Juven Powder Orange Institutional / 0.85-oz (24-g) Packet / Carton of 30 (Outer Carton) B4155 $ (8 packets) B4155 $ (30 packets) Adult Nutritional Juven Powder Orange Institutional / 0.85-oz (24-g) Packet / Case of 180 Adult Nutritional 5324 Nepro with Carb Steady Ready-to-Drink Homemade Vanilla Institutional / 8-fl-oz (237-mL) Bottle / Adult Nutritional 5327 Nepro with Carb Steady Ready-to-Drink Butter Pecan Institutional / 8-fl-oz (237-mL) Bottle / Adult Nutritional 5333 Nepro with Carb Steady Ready-to-Drink Homemade Vanilla / 8-fl-oz (237-mL) Bottle / Adult Nutritional 5330 Nepro with Carb Steady Ready-to-Drink Mixed Berry Institutional / 8-fl-oz (237-mL) Bottle / B4155 $ (30 packets) B4154 $ B4154 $ B4154 $ B4154 $ (180 packets) Adult Nutritional 29 Nepro with Carb Steady Ready-to-Hang Vanilla Institutional / 1 Liter (1000- Adult Nutritional 5977 Nepro with Carb Steady Ready-to-Hang Vanilla Institutional / 1 Liter (1000- Adult Nutritional 2090 Nepro with Carb Steady Ready-to-Drink Butter Pecan Institutional / 8-fl-oz Adult Nutritional 2092 Nepro with Carb Steady Ready-to-Drink Mixed Berry Institutional / 8-fl-oz Adult Nutritional 2094 Nepro with Carb Steady Ready-to-Drink Homemade Vanilla Institutional / 8-fl-oz Adult Nutritional 291 Osmolite 1 Cal Ready-To-Hang Institutional / 1 Liter (1000- Adult Nutritional 008 Osmolite 1 Cal Ready-To-Hang Institutional / 1 Liter (1000- Adult Nutritional Osmolite 1 Cal Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / Adult Nutritional 295 Osmolite 1 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- ml) Bottle / Case Adult Nutritional 5200 Osmolite 1 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- ml) Bottle / Case B4154 $ (8 B4154 $ B4154 $ B4154 $ B4154 $ B4150 $ (8 B4150 $ B4150 $ B4150 $ ( B4150 $ Adult Nutritional 293 Osmolite 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4150 $ ( ml) Bottle / Case
6 for Single Adult Nutritional 5311 Osmolite 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4150 $ ml) Bottle / Case Adult Nutritional Osmolite 1.2 Cal Ready-to-Drink Institutional / 8-fl-oz (237- ml) Can / Adult Nutritional 297 Osmolite 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000- Adult Nutritional Osmolite 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000- Adult Nutritional 5749 Osmolite 1.5 Cal Ready-to-Drink Institutional / 8-fl-oz (237- ml) Bottle / Adult Nutritional 299 Osmolite 1.5 Cal Ready-To-Hang Institutional / 1 Liter (1000- Adult Nutritional Osmolite 1.5 Cal Ready-To-Hang Institutional / 1 Liter (1000- Adult Nutritional 5438 Oxepa Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / Adult Nutritional 2717 Oxepa Ready-To-Hang Institutional / 1 Liter (1000-mL) Bottle / Case of 8 Adult Nutritional Oxepa Ready-To-Hang Institutional / 1 Liter (1000-mL) Bottle / Case of 8 Adult Nutritional 5028 Perative Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / Adult Nutritional 2723 Perative Ready-To-Hang Institutional / 1 Liter (1000-mL) Adult Nutritional Perative Ready-To-Hang Institutional / 1 Liter (1000-mL) Adult Nutritional 271 Perative Ready-To-Hang Institutional / 1.5 Liter (1500-mL) Bottle / Case Adult Nutritional 5735 Perative Ready-To-Hang Institutional / 1.5 Liter (1500-mL) Bottle / Case Adult Nutritional Pivot 1.5 Cal Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / Adult Nutritional 2719 Pivot 1.5 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) Adult Nutritional Pivot 1.5 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) Adult Nutritional 0074 Polycose Powder Institutional / 12.3-oz (349-g) Can / Case of B4150 $ B4150 $ (8 B4150 $ B4152 $ B4152 $ (8 B4152 $ B4154 $ B4154 $ (8 B4154 $ B4153 $ B4153 $ (8 B4153 $ B4153 $ ( B4153 $ B4153 $ B4153 $ (8 B4153 $ B4155 $ Adult Nutritional ProMod Liquid Protein Ready-to-Drink Fruit Punch Institutional / 32-fl-oz (94-mL) Bottle / Case B4155 $ Adult Nutritional Promote Ready-to-Drink Vanilla Institutional / 8-fl-oz (237- ml) Can / Adult Nutritional 2701 Promote Ready-To-Hang Institutional / 1 Liter (1000-mL) Adult Nutritional 511 Promote Ready-To-Hang Institutional / 1 Liter (1000-mL) Adult Nutritional 2705 Promote Ready-To-Hang Institutional / 1.5 Liter (1500-mL) Bottle / Case Adult Nutritional 5731 Promote Ready-To-Hang Institutional / 1.5 Liter (1500-mL) Bottle / Case Adult Nutritional Promote With Fiber Ready-to-Drink Vanilla Institutional / 8-floz (237-fl-oz) Can / Adult Nutritional 2703 Promote With Fiber Ready-To-Hang Institutional / 1 Liter (1000- Adult Nutritional Promote With Fiber Ready-To-Hang Institutional / 1 Liter (1000- B4150 $ B4150 $ (8 B4150 $ B4150 $ ( B4150 $ B4150 $ B4150 $ (8 B4150 $
7 for Single Adult Nutritional 2707 Promote With Fiber Ready-To-Hang Institutional / 1.5 Liter (1500-mL) Bottle / Case Adult Nutritional 5733 Promote With Fiber Ready-To-Hang Institutional / 1.5 Liter (1500-mL) Bottle / Case Adult Nutritional 0099 Pulmocare Ready-to-Drink Vanilla Institutional / 8-fl-oz (237- ml) Can / B4150 $ ( B4150 $ B4154 $ Adult Nutritional 2725 Pulmocare Ready-To-Hang Vanilla Institutional / 1 Liter (1000- Adult Nutritional Pulmocare Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4154 $ (8 B4154 $ Adult Nutritional 533 Suplena with Carb Steady Ready-to-Drink Homemade Vanilla Institutional / 8-fl-oz (237-mL) Bottle / Adult Nutritional 2088 Suplena w Carb Steady Ready-to-Drink Homemade Vanilla Institutional / 8 fl-oz Adult Nutritional TwoCal HN Ready-to-Drink Vanilla Institutional / 8-fl-oz (237- ml) Can / Adult Nutritional 5404 TwoCal HN Ready-to-Drink Butter Pecan Institutional / 8-fl-oz B4154 $ B4154 $ B4152 $ B4152 $ Adult Nutritional 2709 TwoCal HN Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4152 $ (8 Adult Nutritional TwoCal HN Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4152 $ Adult Nutritional 5542 Vital AF 1.2 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz Adult Nutritional 5542 Vital AF 1.2 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz Adult Nutritional 209 Vital AF 1.2 Cal Ready-to-Hang Vanilla Institutional / 1.5 Liter (1500-mL) Bottle/ Case Adult Nutritional 2715 Vital AF 1.2 Cal Ready-to-Hang Vanilla Institutional / 1 Liter (1000- Adult Nutritional 5544 Vital AF 1.2 Cal Ready-to-Hang Vanilla Institutional / 1 Liter (1000- B4153 $ (8 B4153 $ B4153 $ B4153 $ (8 B4153 $ Adult Nutritional 5277 Vital 1.0 Ready-to-Drink Vanilla Institutional / 8-fl-oz (237-mL) Can / B4153 $ Adult Nutritional 207 Vital 1.0 Cal Ready-to-Hang Vanilla Institutional / 1.5 Liter (1500-mL) Bottle / Case Adult Nutritional 2711 Vital 1.0 Ready-to-Hang Vanilla Institutional / 1 Liter (1000- Adult Nutritional 5281 Vital 1.0 Ready-to-Hang Vanilla Institutional / 1 Liter (1000- B4153 $ ( B4153 $ (8 B4153 $ Adult Nutritional 5279 Vital 1.5 Ready-to-Drink Vanilla Institutional / 8-fl-oz (237-mL) Can / B4153 $ Adult Nutritional 2713 Vital 1.5 Ready-To-Hang Vanilla Institutional / 1 Liter (1000- Adult Nutritional 5283 Vital 1.5 Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4153 $ (8 B4153 $ Adult Nutritional 2071 Vital 1.5 Ready-To-Hang Vanilla Institutional / 1.5 Liter (1500- ml) Bottle / Case B4153 $ ( Adult Nutritional 007 Vital HN Powder Vanilla Institutional / 2.79-oz (79-g) Packet / Metabolic Calcilo XD Powder Institutional / 13.2-oz (375-g) Can / Case Metabolic Cyclinex-1 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 5114 Cyclinex-2 Powder Institutional / 14.1-oz (400-g) Can / Case B4153 $ ( packets) B412 No Medicare rate B412 No Medicare rate B412 (Ped) No Medicare rate
8 for Single Metabolic 5114 Cyclinex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic Glutarex-1 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic Glutarex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic Glutarex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 5111 Hominex-1 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic Hominex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic Hominex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 5113 I-Valex-1 Powder Institutional / 14.1-oz (400-g) Can / Case of Metabolic I-Valex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of Metabolic I-Valex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of Metabolic Ketonex-1 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic Ketonex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic Ketonex-2 Powder Institutional / 14.1-oz (400-g) Can / Case B4157 (Adult) No Medicare rate B412 No Medicare rate B412 (Ped) No Medicare rate B4157 (Adult) No Medicare rate B412 No Medicare rate B412 (Ped) No Medicare rate B4157 (Adult) No Medicare rate B412 No Medicare rate B412 (Ped) No Medicare rate B4157 (Adult) No Medicare rate B412 No Medicare rate B412 (Ped) No Medicare rate B4157 (Adult) No Medicare rate Metabolic Phenex-1 Powder Institutional / 14.1-oz (400-g) Can / Case of Metabolic Phenex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of Metabolic Phenex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of B412 No Medicare rate B412 (Ped) No Medicare rate B4157 (Adult) No Medicare rate Metabolic Phenex-2 Powder Vanilla Institutional / 14.1-oz (400-g) Can / Case Metabolic Phenex-2 Powder Vanilla Institutional / 14.1-oz (400-g) Can / Case Metabolic Pro-Phree Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic Propimex-1 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic Propimex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic Propimex-2 Powder Institutional / 14.1-oz (400-g) Can / Case B4157 (Adult) No Medicare rate B412 (Ped) No Medicare rate B4155 $ B412 No Medicare rate B412 (Ped) No Medicare rate B4157 (Adult) No Medicare rate Metabolic 5020 ProViMin Powder Institutional / 5.3-oz (150-g) Can / Case B4155 $ ( Metabolic RCF Concentrated Liquid Institutional / 13-fl-oz (384-mL) Can / Case of 12 B4155 $ Metabolic Tyrex-1 Powder Institutional / 14.1-oz (400-g) Can / Case B412 No Medicare rate Metabolic 5112 Tyrex-2 Institutional Powder / 14.1-oz (400-g) Can / Case B412 (Ped) No Medicare rate Metabolic 5112 Tyrex-2 Institutional Powder / 14.1-oz (400-g) Can / Case B4157 (Adult) No Medicare rate Pediatric Nutritional EleCare with DHA and ARA Powder Institutional / 14.1-oz (400-g) Can / Case B411 No Medicare rate (
9 for Single Pediatric Nutritional 545 EleCare Powder Institutional / 14.1-oz (400-g) Can / Case B411 No Medicare rate ( Pediatric Nutritional EleCare Vanilla Powder Institutional / 14.1-oz (400-g) Can / Case Pediatric Nutritional 5585 EleCare Jr Vanilla Powder Institutional / 14.1-oz (400-g) Can / Case Pediatric Nutritional EleCare Jr Unflavored Powder Institutional / 14.1-oz (400-g) Can / Case Pediatric Nutritional EleCare for Infants (DHA/ARA) Powder Institutional / 14.1-oz (400-g) Can / Case Pediatric Nutritional Pedialyte Ready-to-Drink Grape Retail / 33.8 fl-oz (1-Liter) B411 No Medicare rate ( B411 No Medicare rate B411 No Medicare rate B411 No Medicare rate B4103 No Medicare rate Pediatric Nutritional 0033 Pedialyte Ready-to-Drink Unflavored Retail/ 33.8 fl-oz (1-Liter) B4103 No Medicare rate Pediatric Nutritional 0035 Pedialyte Ready-to-Drink Fruit Retail / 33.8 fl-oz (1-Liter) Pediatric Nutritional Pedialyte Ready-to-Drink Bubble Gum Retail / 33.8 fl-oz (1- Liter) B4103 No Medicare rate B4103 No Medicare rate Pediatric Nutritional Pedialyte Ready-to-Drink Strawberry Retail/ 33.8 fl-oz (1-Liter) B4103 No Medicare rate Pediatric Nutritional Pedialyte Freezer Pops Variety Retail / 2.1-oz (2.5-mL) Sleeve / Case of 128 Pediatric Nutritional 5078 Pedialyte Powder Pack Apple Retail / 0.3-oz (8.5-g) Packet / Case of 40 Pediatric Nutritional 5081 Pedialyte Powder Pack Fruit Punch Retail / 0.3-oz (8.5-g) Packet / Case of 40 Pediatric Nutritional 5090 Pedialyte Powder Pack Variety Retail (2 each - Fruit Punch, Grape, Apple, Strawberry) / 0.3-oz Packet / Case 4 Pediatric Nutritional 5435 Pedialyte Singles Ready-to-Drink Fruit Retail /.8-fl-oz (200- ml) Carton / Case of 1 Pediatric Nutritional 5438 Pedialyte Singles Ready-to-Drink Apple Retail /.8-fl-oz (200- ml) Carton / Case of 1 B4103 No Medicare rate (1 sleeves) B4103 No Medicare rate (4 packets) B4103 No Medicare rate (4 packets) B4103 No Medicare rate (8 packets) B4103 No Medicare rate (4 tetras) B4103 No Medicare rate (4 tetras) Pediatric Nutritional 5441 Pedialyte Singles Ready- to-drink Cherry Retail /.8-fl-oz (200-B4103 No Medicare rate (4 ml) Carton / Case of 1 tetras) Pediatric Nutritional 541 PediaSure Sidekicks Ready-to-Drink Vanilla Retail / 8-fl-oz (237-mL) Bottle / Case of 1 Pediatric Nutritional 5523 PediaSure Sidekicks 0.3 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz (237-mL) Bottle / Pediatric Nutritional 2311 PediaSure Sidekicks Clear Ready-to-Drink Wild Berry Institutional /.8-fl-oz (200-mL) Tetra / Case of 32 Pediatric Nutritional 2309 PediaSure Sidekicks Clear Ready-to-Drink Tropical Fruit Institutional /.8-fl-oz (200-mL) Tetra / Case of 32 Pediatric Nutritional 248 PediaSure Sidekicks Ready-to-Drink Vanilla Retail / 8-fl-oz (237-mL) Bottle / Pediatric Nutritional 5419 PediaSure Sidekicks Ready-to-Drink Chocolate Retail / 8-fl-oz (237-mL) Bottle / Case of 1 Pediatric Nutritional 2484 PediaSure Sidekicks Ready-to-Drink Chocolate Retail / 8-fl-oz (237-mL) Bottle / Pediatric Nutritional 5422 PediaSure Sidekicks Ready-to-Drink Strawberry Retail / 8-fl-oz (237-mL) Bottle / Case of 1 Pediatric Nutritional 2482 PediaSure Sidekicks Ready-to-Drink Strawberry Retail / 8-fl-oz (237-mL) Bottle / None No Medicare rate (4 B4158 No Medicare B4155 $ B4155 $ None No Medicare rate ( None No Medicare rate (4 None No Medicare rate ( None No Medicare rate (4 None No Medicare rate ( Pediatric Nutritional 5744 PediaSure Sidekicks Ready-to-Drink Chocolate Club Pack / 8-floz (237-mL) Bottle / Case of 1 None No Medicare rate (1 Pediatric Nutritional 2130 PediaSure Sidekicks Clear Ready-to-Drink Wild Berry Retail /.8-fl-oz (200-mL) Tetra / Case of 32 B4155 $ (8 tetras) (32 tetras)
10 for Single Pediatric Nutritional 2125 PediaSure Sidekicks Clear Ready-to-Drink Tropical Fruit Retail /.8-fl-oz (200-mL) Tetra / Case of 32 Pediatric Nutritional PediaSure Ready-to-Drink Strawberry Institutional / 8-fl-oz Pediatric Nutritional PediaSure Ready-to-Drink Chocolate Institutional / 8-fl-oz Pediatric Nutritional PediaSure Ready-to-Drink Banana Institutional / 8-fl-oz (237- ml) Can / Pediatric Nutritional PediaSure Ready-to-Drink Vanilla Institutional / 8-fl-oz (237- ml) Bottle / Pediatric Nutritional PediaSure Ready-to-Drink Chocolate Institutional / 8-fl-oz (237-mL) Bottle / Pediatric Nutritional PediaSure Ready-to-Drink Strawberry Institutional / 8-fl-oz (237-mL) Bottle / Pediatric Nutritional PediaSure Ready-to-Drink Berry Retail / 8-fl-oz Bottle / Case of 24 Pediatric Nutritional PediaSure Ready-to-Drink Vanilla Institutional / 8-fl-oz (237- ml) Can / Pediatric Nutritional PediaSure Ready-to-Drink Vanilla Retail / 8-fl-oz Bottle / Case of 24 B4155 $ (8 tetras) B410 No Medicare rate B410 No Medicare rate B410 No Medicare rate B410 No Medicare rate B410 No Medicare rate B410 No Medicare rate B410 No Medicare rate ( B410 No Medicare rate B410 No Medicare rate ( (32 tetras) Pediatric Nutritional PediaSure Ready-to-Drink Banana Retail / 8-fl-oz Bottle / Case of 24 B410 No Medicare rate ( Pediatric Nutritional PediaSure Ready-to-Drink Strawberry Retail / 8-fl-oz Bottle / Pediatric Nutritional PediaSure Ready-to-Drink Chocolate Retail / 8-fl-oz Bottle / Pediatric Nutritional 5409 PediaSure 1.5 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz Pediatric Nutritional 5411 PediaSure 1.5 Cal with Fiber Ready-to-Drink Vanilla Institutional / 8-fl-oz Pediatric Nutritional 2749 PediaSure 1.5 Cal with Fiber Ready-to-Hang Unflavored Institutional / 1 Liter (1000-mL ) Pediatric Nutritional 2022 PediaSure 1.5 Cal with Fiber Ready-to-Hang Unflavored Institutional / 1 Liter (1000-mL ) Pediatric Nutritional PediaSure Enteral Formula 1.0 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz B410 No Medicare rate ( B410 No Medicare rate ( B410 No Medicare rate B410 No Medicare rate B410 No Medicare rate (8 B410 No Medicare rate (8 B410 No Medicare rate Pediatric Nutritional 2727 PediaSure Enteral Formula 1.0 Cal with Fiber Ready-to-Hang B410 No Medicare rate (8 Unflavored Institutional / 1 Liter (1000-mL ) Pediatric Nutritional 2020 PediaSure Enteral Formula 1.0 Cal with Fiber Ready-to-Hang B410 No Medicare rate (8 Unflavored Institutional / 1 Liter (1000-mL ) Pediatric Nutritional 5180 PediaSure Enteral Formula 1.0 Cal with Fiber Ready-to-Drink Vanilla Institutional / 8-fl-oz Pediatric Nutritional 2119 PediaSure Peptide 1.0 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz (237-mL) Bottle / Pediatric Nutritional 2121 PediaSure Peptide 1.0 Cal Ready-to-Drink Strawberry Institutional / 8-fl-oz (237 ml) Bottle / Pediatric Nutritional 2123 PediaSure Peptide 1.0 Cal Ready-to-Drink Unflavored Institutional / 8-fl-oz (237 ml) Bottle / Pediatric Nutritional 2729 PediaSure Peptide 1.0 Cal Ready-to-Hang Unflavored Institutional / 1 Liter (1000- Pediatric Nutritional 2051 PediaSure Peptide 1.0 Cal Ready-to-Hang Unflavored Institutional / 1 Liter (1000- Pediatric Nutritional 555 PediaSure Peptide 1.5 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz (237-mL) Bottle / Pediatric Nutritional 2731 PediaSure Peptide 1.5 Cal Ready-to-Hang Unflavored Institutional / 1 Liter (1000- B410 No Medicare rate B411 No Medicare rate B411 No Medicare rate B411 No Medicare rate B411 No Medicare rate (8 B411 No Medicare rate (8 B411 No Medicare rate B411 No Medicare rate (8
11 for Single Pediatric Nutritional 2014 PediaSure Peptide 1.5 Cal Ready-to-Hang Unflavored Institutional / 1 Liter (1000- B411 No Medicare rate (8 Pediatric Nutritional PediaSure with Fiber Ready-to-Drink Vanilla Institutional / 8-floz (237-mL) Bottle / B410 No Medicare rate Pediatric Nutritional 5801 PediaSure with Fiber Ready-to-Drink Vanilla Retail / 8-fl-oz Bottle / Pediatric Nutritional 538 PediaSure with Fiber Ready-to-Drink Strawberry Retail / 8-floz Bottle / B410 No Medicare rate ( B410 No Medicare rate ( Pediatric Nutritional PediaSure with Fiber Ready-to-Drink Vanilla Institutional / 8-floz B410 No Medicare rate Pediatric Nutritional RCF Concentrated Liquid Institutional / 13-fl-oz (384-mL) Can / Case of 12 Pediatric Nutritional 2427 Similac Prenatal Dietary Supplement / 4 x 3 30-ct each multivit/min tablets and DHA/lutein softgels Pediatric Nutritional Similac Expert Care Alimentum Ready-to-Feed / 8-fl-oz (237- ml) Can / Pediatric Nutritional Similac Expert Care Alimentum Ready-to-Feed / 1 Quart (94- ml) Bottle / Case Pediatric Nutritional 573 Similac Expert Care Alimentum Powder / 1-lb (454-g) Can / Case B4155 $ None No Medicare rate (1 Box) B411 No Medicare rate ( B411 No Medicare rate B411 No Medicare rate (12 Boxes) Pediatric Nutritional 5127 Similac Expert Care Diarrhea Ready-to-Feed / 8-fl-oz (237-mL) Can / B4159 No Medicare rate Pediatric Nutritional 5778 Similac Expert Care Diarrhea Ready-to-Feed / 1-Quart (94- ml) Bottle / Case Pediatric Nutritional Similac Expert Care NeoSure Powder / 13.1-oz (371-g) Can / Case Pediatric Nutritional Similac Expert Care NeoSure Ready-to-Feed / 1-Quart (94- ml) Bottle/ Case B4159 No Medicare rate B410 No Medicare rate B410 No Medicare rate Pediatric Nutritional 5945 Similac Expert Care NeoSure Ready-to-Feed Retail/ 2-fl-oz (59- B410 No Medicare rate (8 ml) Bottle/ Case of 48 Pediatric Nutritional Similac Go & Grow Milk-Based Formula Powder / 1.37-lb (23- g) SimplePac / Case B4158 No Medicare rate Pediatric Nutritional Similac Go & Grow Soy-Based Powder / 1.37-lb (23-g) SimplePac / Case B4159 No Medicare rate Pediatric Nutritional Similac For Spit-Up Powder / 12.3-oz (349-g) Can / Case B4158 No Medicare rate ( Pediatric Nutritional Similac For Spit-Up Powder / 1.41-lb (38-g) SimplePac / Case Pediatric Nutritional 5728 Similac For Spit-Up Ready-to-Feed / 1-Quart (94-mL) Bottle / Case B4158 No Medicare rate ( B4158 No Medicare rate ( Pediatric Nutritional Similac Sensitive Powder / 1.41-lb (38-g) SimplePac / Case Pediatric Nutritional Similac Sensitive Club Powder / 2.12-lb (93-g) SimplePac / Case Pediatric Nutritional 5258 Similac Sensitive Concentrated Liquid / 1-Quart (94-mL) Bottle / Case Pediatric Nutritional Similac Sensitive Ready-to-Feed / 1-Quart (94-mL) Bottle / Case Pediatric Nutritional Similac Sensitive Concentrated Liquid / 13-fl-oz (384-mL) Can / Case of 12 B4158 No Medicare rate B4158 No Medicare rate B4158 No Medicare rate ( B4158 No Medicare rate B4158 No Medicare rate Pediatric Nutritional Similac Sensitive Powder / 12.-oz (357-g) Can / Case B4158 No Medicare rate Pediatric Nutritional 537 Similac Sensitive On-the-Go Ready-to-Feed / 8-fl-oz (237-mL) Bottle / B4158 No Medicare rate ( Pediatric Nutritional Similac Advance Powder / 1.45-lb (57-g) SimplePac / Case of B4158 No Medicare rate
12 for Single Pediatric Nutritional 5333 Similac Advance Ready-to-Feed / 1-Quart (94-mL) Bottle / Case Pediatric Nutritional 5349 Similac Advance Club Powder / 2.12-lb (93-g) SimplePac / Case B4158 No Medicare rate B4158 No Medicare rate Pediatric Nutritional 5352 Similac Advance On-the-Go Ready-to-Feed / 8-fl-oz (237-mL) Bottle / Case of 12 B4158 No Medicare rate Pediatric Nutritional Similac Advance Powder / 12.4-oz (352-g) Can / Case B4158 No Medicare rate Pediatric Nutritional 5250 Similac Advance Concentrated Liquid / 1-Quart (94-mL) Bottle / Case Pediatric Nutritional 5973 Similac Advance Concentrated Liquid / 13-fl-oz (384-mL) Can / Case of 12 Pediatric Nutritional 5700 Similac Advance Newborn Bottles Ready-to-Feed Retail / 2-floz (59 ml) Bottle / Case of 48 Pediatric Nutritional Similac Advance On-the-Go Powder Singles / 0.1-oz (17.4-g) Packets / Case of 9 Pediatric Nutritional 5805 Similac Advance On-the-Go Ready-to-Feed / 8-fl-oz (237-mL) Bottle / Pediatric Nutritional Similac Human Milk Fortifier Powder Institutional / 0.9-g Packet / Case of 150 Pediatric Nutritional Similac Organic Powder / 1.45-lb (57-g) SimplePac / Case of Pediatric Nutritional Similac Organic Ready-to-Feed / 1-Quart (94-mL) Bottle / Case B4158 No Medicare rate B4158 No Medicare rate B4158 No Medicare rate (8 B4158 No Medicare rate (1 packets) B4158 No Medicare rate None No Medicare rate (50 packets) B4158 No Medicare rate B4158 No Medicare rate Pediatric Nutritional Similac PM 0/40 Powder / 14.1-oz (400-g) Can / Case B4154 $ Pediatric Nutritional Similac Soy Isomil Powder / 1.45-lb (57-g) SimplePac / Case B4159 No Medicare rate Pediatric Nutritional 5593 Similac Soy Isomil Powder / 12.4-oz (352-g) Can / Case B4159 No Medicare rate Pediatric Nutritional 5597 Similac Soy Isomil Ready-to-Feed / 1-Quart (94-mL) Bottle / Case Pediatric Nutritional 5975 Similac Soy Isomil Concentrated Liquid / 13-fl-oz (384-mL) Can / Case of 12 B4159 No Medicare rate B4159 No Medicare rate Pediatric Nutritional 5982 Similac Soy Isomil On-the-Go Powder Singles / 0.2-oz (17.- g) Packets / Case of 9 B4159 No Medicare rate Pediatric Nutritional 5801 Similac Soy Isomil On-the-Go Ready-to-Feed / 8-fl-oz (237- ml) Bottle / B4159 No Medicare rate ( Pediatric Nutritional Similac Soy Isomil CLUB Powder / 2.13-lb (94-gm) SimplePac / Case B4159 No Medicare rate ( Pediatric Nutritional Similac Special Care 24 with Iron Ready-to-Feed Retail / 2-floz (59-mL) Bottle / Case of 48 B410 No Medicare rate Pediatric Nutritional 5294 Similac Special Care 30 With Iron Ready-to-Feed Retail / 2-floz (59-mL) Bottle / Case of 48 B410 No Medicare rate (8 Pediatric Nutritional 2082 PediaSure Vanilla 1ct B410 No Medicare rate Pediatric Nutritional 3013 Similac For Supplementation / 1.45-lb (58-gm) Powder / Case Pediatric Nutritional 2990 Similac For Supplementation / 2-fl-oz (59-mL) Bottle / Case of 48 Pediatric Nutritional 3057 Pedialyte AdvancedCare Cherry Punch / 1 Liter (1000-mL) / Liquid/ Case 8 Pediatric Nutritional 3059 Pedialyte AdvancedCare Blue Raspberry / 1 Liter (1000-mL / Liquid/ Case 9 Pediatric Nutritional 549 Similac Human Milk Fortifier Concentrated Liquid Institutional / 5-mL Packet / Case of 144 B4158 No Medicare rate (4 units) B4158 No Medicare rate (8 B4103 No Medicare rate (8 B4103 No Medicare rate ( (48 B4155 $ (144 packets)
13 for Single Pediatric Nutritional 2595 Similac Total Comfort Ready-to-Feed Institutional / 2-fl-oz (59- B4158 No Medicare rate ml) Bottle / Case of 48 (48 Pediatric Nutritional 2597 Similac Total Comfort Powder / 1.41-lb (38-g) SimplePac / Case of 4 B4158 No Medicare rate (4 SimplePacs) Pediatric Nutritional 2599 Similac Total Comfort Powder / 12. oz Can / Case B4158 No Medicare rate (
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