Nestlé HealthCare Nutrition Product Code Cross Reference

Transcription

1 Nestlé HealthCare Nutrition Cross Reference Institutional and Retail s (Excluding Devices, Foods, Optisource and Optifast ) TUBE FEEDING FORMULAS COMPLEAT Unflavored 24 x 250 ml Tetra Prisma ml SpikeRight PLUS UltraPak 4 x 1500 ml COMPLEAT PEDIATRIC Unflavored 24 x 250 ml Tetra Prisma COMPLEAT PEDIATRIC REDUCED CALORIE- New Unflavored 24 x 250 ml Tetra Prisma CRUCIAL - Will be discontinued, Replaced by IMPACT PEPTIDE 1.5 Unflavored 24 x 250 ml cans UltraPak with SpikeRight port 6 x 1000 ml DIABETISOURCE AC Unflavored 24 x 250 ml cans SpikeRight port 6 x 1000 ml SpikeRight port 6 x 1500 ml FIBERSOURCE HN Unflavored 24 x 250 ml Tetra Prisma ml B4149 B4149 B4149 (pending)

2 SpikeRight PLUS UltraPak 4 x 1500 ml IMPACT Unflavored 24 x 250 ml cans SpikeRight port 6 x 1000 ml IMPACT Will be discontinued, Replaced by IMPACT PEPTIDE 1.5 Unflavored 24 x 250 ml IMPACT with FIBER Unflavored 24 x 250 ml cans SpikeRight port 6 x 1000 ml IMPACT GLUTAMINE Unflavored 24 x 250 ml Tetra Prisma ml IMPACT PEPTIDE 1.5 Unflavored 24 x 250 ml Tetra Prisma ml ISOSOURCE 1.5 CAL Vanilla 24 x 250 ml cans SpikeRight port 6 x 1000 ml SpikeRight port 6 x 1500 ml ISOSOURCE HN Unflavored 24 x 250 ml cans

3 SpikeRight port 6 x 1000 ml SpikeRight port 6 x 1500 ml NOVASOURCE RENAL Vanilla 27 x 8 fl oz Tetra Brik SpikeRight port 6 x 1000 ml NUTREN 1.0 Vanilla 24 x 250 ml Tetra Prisma NUTREN 1.0 FIBER Vanilla 24 x 250 ml Tetra Prisma NUTREN 1.5 Vanilla 24 x 250 ml Tetra Prisma ml NUTREN 2.0 Vanilla 24 x 250 ml Tetra Prisma ml NUTREN GLYTROL Vanilla 24 x 250 ml cans UltraPak with SpikeRight port 6 x 1000 ml UltraPak with SpikeRight port 4 x 1500 ml NUTREN JUNIOR B4160 Vanilla 24 x 250 ml Tetra Prisma SpikeRight Plus UltraPak 6 x 1000 ml

4 NUTREN JUNIOR FIBER Vanilla 24 x 250 ml Tetra Prisma SpikeRight Plus UltraPak 6 x 1000 ml NUTREN PULMONARY Vanilla 24 x 250 ml Tetra Prisma ml NUTREN REPLETE - Will be replaced by REPLETE Vanilla 24 x 250 ml cans UltraPak with SpikeRight port 6 x 1000 ml NUTREN REPLETE FIBER- Will be replaced by REPLETE FIBER Vanilla 24 x 250 ml cans UltraPak with SpikeRight port 6 x 1000 ml UltraPak with SpikeRight port 4 x 1500 ml NUTRIHEP Unflavored 24 x 250 ml cans PEPTAMEN Unflavored 24 x 250 ml Tetra Prisma Vanilla 24 x 250 ml Tetra Prisma PEPTAMEN 1.5 Unflavored 24 x 250 ml Tetra Prisma B4160 Vanilla 24 x 250 ml Tetra Prisma ml

5 PEPTAMEN 1.5 with PREBIO 1TM - New Vanilla 24 x 250 ml Tetra Prisma ml PEPTAMEN AF Unflavored 24 x 250 ml Tetra Prisma ml PEPTAMEN BARIATRIC Unflavored 24 x 250 ml Tetra Prisma ml PEPTAMEN with PREBIO 1TM Vanilla 24 x 250 ml Tetra Prisma ml SpikeRight PLUS UltraPak 4 x 1500 ml PEPTAMEN JUNIOR B4161 Vanilla 24 x 250 ml Tetra Prisma Chocolate 24 x 250 ml Tetra Prisma Strawberry 24 x 250 ml Tetra Prisma Unflavored 24 x 250 ml Tetra Prisma SpikeRight Plus UltraPak 6 x 1000 ml PEPTAMEN JUNIOR 1.5 Unflavored 24 x 250 ml Tetra Prisma B4161

6 SpikeRight Plus UltraPak 6 x 1000 ml PEPTAMEN JUNIOR FIBER Vanilla 24 x 250 ml Tetra Prisma PEPTAMEN JUNIOR with PREBIO 1 Vanilla 24 x 250 ml Tetra Prisma RENALCAL Unflavored 24 x 250 ml Tetra Prisma REPLETE Vanilla 24 x 250 ml Tetra Prisma ml REPLETE FIBER Vanilla 24 x 250 ml Tetra Prisma ml SpikeRight PLUS UltraPak 4 x 1500 ml TOLEREX 60 x 2.82 oz (80 g) pkts VIVONEX PEDIATRIC Unflavored 36 x 48.5 g (1.7 oz) pkts VIVONEX PLUS Unflavored 36 x 2.8 oz (79 g) pkts VIVONEX RTF Unflavored 24 x 250 ml Tetra Prisma B4161 B4161 B4161

7 ml SpikeRight PLUS UltraPak 4 x 1500 ml VIVONEX T.E.N. Unflavored 60 x 80.4 g (2.84 oz) pkts ORAL SUPPLEMENTS ARGINAID Orange 56 x 0.32 oz (9 g) pkts Cherry 56 x 0.32 oz (9 g) pkts BENECALORIE fl oz cups/case BENEPROTEIN Powder 75 x 7 g (0.25 oz) pkts Powder 6 x 8 fl oz BOOST (bottle) (INSTITUTIONAL)- Former Vanilla 24 x 237 ml bottle Chocolate 24 x 237 ml bottle Strawberry 24 x 237 ml bottle BOOST (INSTITUTIONAL)- New Case Count, UPC and s Vanilla 27 x 237 ml Tetra Brik Chocolate 27 x 237 ml Tetra Brik Strawberry 27 x 237 ml Tetra Brik BOOST (RETAIL) Vanilla 24 (4x6 Pk) x 237 ml bottle Chocolate 24 (4x6 Pk) x 237 ml bottle

8 Strawberry 24 (4x6 Pk) x 237 ml bottle BOOST GLUCOSE CONTROL (INSTITUTIONAL) Vanilla 27 x 8 fl oz Strawberry 27 x 8 fl oz Chocolate 27 x 8 fl oz BOOST GLUCOSE CONTROL (RETAIL) Vanilla 24 (4x6 Pk) x 237 ml bottle Chocolate 24 (4x6 Pk) x 237 ml bottle Strawberry 24 (4x6 Pk) x 237 ml bottle BOOST HIGH PROTEIN (bottle) (INSTITUTIONAL)- Former Vanilla 24 x 237 ml bottle BOOST HIGH PROTEIN (bottle) (INSTITUTIONAL)-New Case Count, UPC and s Vanilla 27 x 237 ml Tetra Brik BOOST HIGH PROTEIN (bottle) (RETAIL) Vanilla 24 (4x6 Pk) x 237 ml bottle Chocolate 24 (4x6 Pk) x 237 ml bottle Strawberry 24 (4x6 Pk) x 237 ml bottle BOOST KID ESSENTIALS (INSTITUTIONAL) Vanilla 27 x 237 ml Tetra Brik Chocolate 27 x 237 ml Tetra Brik Strawberry 27 x 237 ml Tetra Brik BOOST KID ESSENTIALS (RETAIL) Vanilla 16 (4x4 Pk) x 244 ml Chocolate 16 (4x4 Pk) x 244 ml BOOST KID ESSENTIALS 1.5 (INSTITUTIONAL) Vanilla 27 x 237 ml Tetra Brik Strawberry 27 x 237 ml Tetra Brik B4160 B4160 B4160

9 Chocolate 27 x 237 ml Tetra Brik With Fiber, Vanilla 27 x 237 ml Tetra Brik BOOST PLUS (bottle) (INSTITUTIONAL)- Former Vanilla 24 x 237 ml bottle Strawberry 24 x 237 ml bottle Chocolate 24 x 237 ml bottle BOOST PLUS (INSTITUTIONAL)- New Case Count, UPC and s Vanilla 27 x 237 ml Tetra Brik Chocolate 27 x 237 ml Tetra Brik Strawberry 27 x 237 ml Tetra Brik BOOST PLUS (RETAIL) Vanilla 24 (4x6 Pk) x 237 ml bottle Strawberry 24 (4x6 Pk) x 237 ml bottle Chocolate 24 (4x6 Pk) x 237 ml bottle BOOST VHC (INSTITUTIONAL) Vanilla 27 x 237 ml Tetra Brik CARNATION INSTANT BREAKFAST LACTOSE FREE- Will be discontinued Vanilla Swirl 24 x 250 ml Chocolate Splash 24 x 250 ml CARNATION INSTANT BREAKFAST LACTOSE FREE PLUS- Will be discontinued Plus, Vanilla Swirl 24 x 250 ml Plus, Chocolate Splash 24 x 250 ml CARNATION INSTANT BREAKFAST LACTOSE FREE VHC- Will be replaced by BOOST VHC VHC, Vanilla 24 x 250 ml GLUTASOLVE

10 56 x 22.5 g (0.79 oz) pkts IMPACT ADVANCED RECOVERY Vanilla 15 X 8 fl oz Chocolate 15 X 8 fl oz MCT OIL (Medium Chain Triglycerides) 6 x 1 Qt Amber bottle MICROLIPID 48 x 3 fl oz bottle NUTRAMENT (RETAIL) Vanilla 24 x 12 fl oz cans Chocolate 24 x 12 fl oz cans Strawberry 24 x 12 fl oz cans Coconut 24 x 12 fl oz cans Banana 24 x 12 fl oz cans Egg Nog 24 x 12 fl oz cans Dulce De Leche 24 x 12 fl oz cans NUTRISOURCE FIBER Powder 75 x 0.14 oz pkts Powder 4 x 7.2 oz Canister RESOURCE 2.0 Vanilla Creme 27 x 8 fl oz Vanilla Creme 12 x 32 fl oz RESOURCE ARGINAID - Will be replaced by ARGINAID Orange 56 x 0.32 oz (9 g) pkts Lemon 56 x 0.32 oz (9 g) pkts Cherry 56 x 0.32 oz (9 g) pkts RESOURCE ARGINAID EXTRA N/A B4104 B4102

11 Orange Burst 27 x 8 fl oz Wildberry 27 x 8 fl oz RESOURCE BENECALORIE - Will be replaced by BENECALORIE fl oz cups/case RESOURCE BENEFIBER - Will be replaced by NUTRISOURCE FIBER Powder 75 x 4 g (0.14 oz) pkts Powder 4 x 7.2 oz (205 g) Canister RESOURCE BENEPROTEIN - Will be replaced by BENEPROTEIN Powder 75 x 7 g (0.25 oz) pkts Powder 6 x 8 fl oz RESOURCE BREEZE Orange 27 x 8 fl oz Peach 27 x 8 fl oz Wild Berry 27 x 8 fl oz Orange Peach- Variety Case 27 x 8 fl oz Wild Berry RESOURCE DIABETISHIELD Orange Twist 27 x 8 fl oz Mixed Berry 27 x 8 fl oz RESOURCE GLUTASOLVE - Will be replaced by GLUTASOLVE 56 x 22.5 g (0.79 oz) pkts RESOURCE THICKENUP B4104 B4100 Unflavored 75 x 0.22 oz (6.4 g) pkts/case

12 Unflavored 12 x 8 oz (227 g) cans/case Unflavored 1 x 25 lb (11.34 kg)bag/box RESOURCE THICKENUP CLEAR (RETAIL)- New 12 x 125 g (4.4 oz) canister/ case pack 4.4 oz (2x6 ct case) canister Sticks 24 x 12 ct case RESOURCE THICKENUP CLEAR (INSTITUTIONAL)- New 288 x 1.4 g stick packets/ case x 125 g (4.4 oz) canister/ case Kg 1 ct case na Benefiber is the registered trademark of Novartis AG and is used under license. * NDC Format - Since Nestlé no longer prints NDC Format s on product labels, FDB uses the product UPC code to create a number that can be found in the "NDC" field of the FDB publication. Reimbursement information provided by Nestlé HealthCare Nutrition, Inc., (HCN) is gathered from third party sources and is presented for illustrative purposes only. This information does not constitute reimbursement or legal advice and does not constitute a recommendation related to medical necessity or the documentation that should be provided in connection with a given patient or claim. All medical necessity determinations must be made by the responsible clinician. HCN makes no representation or warranty regarding this information or its completeness, accuracy, timeliness, or applicability to a particular patient. HCN specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on information in this document. Suppliers are responsible for submitting accurate and appropriate claims for services. Laws, regulations and payer policies concerning reimbursement are complex and change frequently. Accordingly, HCN recommends that you consult with your payers, reimbursement specialist and/or legal counsel regarding coding, coverage and reimbursement matters. Please be advised that certain Nestlé HealthCare Nutrition, Inc., products have been assigned s. s are not actual National Drug s (NDC). s are product codes adjusted according to standard industry practice to meet the format requirements of certain suppliers and payers. Nestlé HealthCare Nutrition submits product information including various product codes to the compendia including, RedBook and Medispan but cannot confirm that the s submitted have been published by the compendia. Except as noted all trademarks are owned by Société des Produits Nestlé S.A., Vevey, Switzerland or are used with permission. (c) 2011 Nestlé Updated B4100 B4100