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 51894 Ensure Plus Ready-to-Drink Butter Pecan Institutional / 8-fl-oz Adult Nutritional 53809 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 70074-055-02 70074-055-01 (4 None No Medicare rate 70074-05-0 70074-05-05 (4 B4102 No Medicare rate 70074-05-41 70074-05-40 (32 tetras) B4102 No Medicare rate 70074-05-43 70074-05-42 (32 tetras) B4152 $0.55 70074-0504-5 B4152 $0.55 70074-0504-7 B4152 $0.55 70074-050-47 B4152 $0.55 70074-0518-95 B4152 $0.55 70074-0538-11 B4152 $0.55 70074-0407-07 ( B4152 $0.55 70074-0407-02 ( B4152 $0.55 70074-0407-18 ( Adult Nutritional 57272 Ensure Plus Ready-to-Drink Butter Pecan Retail / 8-fl-oz Bottle / B4152 $0.55 70074-0517-87 ( Adult Nutritional 58251 Ensure Plus Ready-to-Drink Vanilla Institutional / 32-fl-oz (94- B4152 $0.55 70074-0582-52 ml) Bottle / Case Adult Nutritional 58299 Ensure Plus Ready-to-Drink Milk Chocolate Institutional / 8-floz (237-mL) Bottle / Adult Nutritional 58301 Ensure Plus Ready-to-Drink Strawberry Institutional / 8-fl-oz (237-mL) Bottle / Adult Nutritional 58303 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 57231 Ensure Ready-to-Drink Milk Chocolate Retail / 8-fl-oz Bottle / Adult Nutritional 57234 Ensure Ready-to-Drink Strawberry Retail / 8-fl-oz Bottle / Adult Nutritional 57240 Ensure Ready-to-Drink Butter Pecan Retail / 8-fl-oz Bottle / Adult Nutritional 57243 Ensure Ready-to-Drink Vanilla Retail / 8-fl-oz Bottle / Case of 24 Adult Nutritional 53432 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 $0.55 70074-0583-00 B4152 $0.55 70074-0583-02 B4152 $0.55 70074-0583-04 B4150 $0.8 70074-0538-08 B4150 $0.8 70074-0407-01 ( B4150 $0.8 70074-0407-05 ( B4150 $0.8 70074-0517-85 ( B4150 $0.8 70074-0407-11 ( B4150 $0.8 70074-0534-32 (1 B4150 $0.8 70074-053-23 (1 B4152 $0.55 70074-055-5 70074-055-4 (24 Bottles) B4152 $0.55 70074-055-3 70074-055-2 (24 Bottles)
for Single Adult Nutritional 2010 Ensure Complete Ready-to-Frink Strawberry Institutional/ 8 floz Bottle/ B4152 $0.55 70074-020-11 70074-020-10 (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 52098 Ensure High Protein Ready-to-Drink Milk Chocolate Institutional / 8-fl-oz Adult Nutritional 52100 Ensure High Protein Ready-to-Drink Vanilla Institutional / 8-floz B4152 $0.55 70074-027-3 70074-027-2 (4 B4152 $0.55 70074-027-0 70074-027-59 (4 B4152 $0.55 70074-054-89 (4 B4152 $0.55 70074-054-92 (4 B4152 $0.55 70074-054-95 (4 B4152 $0.55 70074-055-3 B4152 $0.55 70074-055-5 B4152 $0.55 70074-020-11 B4150 $0.8 70074-0520-99 B4150 $0.8 70074-0521-01 70074-027-1 (24 Bottles) 70074-027-58 (24 Bottles) Adult Nutritional 50459 Ensure High Protein SHAKE Ready-to-Drink Homemade Vanilla Retail / 14-fl-oz (414-mL) Bottle / Case of 12 None No Medicare rate 70074-0504-57 70074-0504-58 (4 Adult Nutritional 50515 Ensure High Protein SHAKE Ready-to-Drink Creamy Milk Chocolate Retail / 14-fl-oz (414-mL) Bottle / Case of 12 None No Medicare rate 70074-0504-9 70074-0505-14 (4 Adult Nutritional 5040 Ensure Immune Health Ready-to-Drink Vanilla Institutional / 8- B4150 $0.8 70074-0504-1 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 51892 Ensure Immune Health Ready-to-Drink Butter Pecan Institutional / 8-fl-oz B4150 $0.8 70074-0504-3 B4150 $0.8 70074-050-49 B4150 $0.8 70074-0518-93 Adult Nutritional 5458 Ensure Immune Health Ready-to-Drink Creamy Milk Chocolate Retail / 8-fl-oz Bottle / Case of 1 B4150 $0.8 70074-054-59 (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 58293 Ensure Immune Health Ready-to-Drink Milk Chocolate Institutional / 8-fl-oz (237-mL) Bottle / Adult Nutritional 58295 Ensure Immune Health Ready-to-Drink Strawberry Institutional / 8-fl-oz (237-mL) Bottle / B4150 $0.8 70074-054-2 (4 B4150 $0.8 70074-054-8 (4 B4150 $0.8 70074-0582-94 B4150 $0.8 70074-0582-9 Adult Nutritional 58297 Ensure Immune Health Ready-to-Drink Vanilla Institutional / 8- B4150 $0.8 70074-0582-98 fl-oz (237-mL) Bottle / Adult Nutritional 547 Ensure Muscle Health Ready-to-Drink Vanilla Retail / 8-fl-oz Bottle / Case of 1 B4150 $0.8 70074-054-77 (4 Adult Nutritional 5479 Ensure Muscle Health Ready-to-Drink Milk Chocolate Retail / 8- B4150 $0.8 70074-054-80 (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 $0.8 70074-054-83 (4 Adult Nutritional 5485 Ensure Muscle Health Ready-to-Drink Banana Cream Retail / 8- B4150 $0.8 70074-054-8 (4 fl-oz Bottle / Case of 1 Adult Nutritional 5558 Ensure Muscle Health Vanilla Institutional / 8-fl-oz (237-mL) Bottle / B4150 $0.8 70074-055-59
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 00750 Ensure Powder Homemade Vanilla / 14-oz (397-g) Can / Case B4150 $0.8 70074-055-1 B4150 $0.8 70074-020-13 B4150 $0.8 70074-007-50 Adult Nutritional 54844 Ensure Pudding Homemade Vanilla / 4-oz (113-g) Plastic Cups / Case of 48 None No Medicare rate 70074-0548-45 (4 cups) Adult Nutritional 5484 Ensure Pudding Creamy Milk Chocolate / 4-oz (113-g) Plastic Cups / Case of 48 Adult Nutritional 54848 Ensure Pudding Butterscotch Delight / 4-oz (113-g) Plastic Cups / Case of 48 Adult Nutritional 50240 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 70074-0548-47 (4 cups) None No Medicare rate 70074-0548-49 (4 cups) B4154 $1.22 70074-0502-41 B4154 $1.22 70074-02-72 70074-02-71 (8 B4154 $1.22 70074-0512-07 Adult Nutritional 273 Glucerna 1.0 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154 $1.22 70074-02-74 70074-02-73 ( ml) Bottle / Case Adult Nutritional 5202 Glucerna 1.0 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154 $1.22 70074-052-03 ml) Bottle / Case Adult Nutritional 275 Glucerna 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154 $1.22 70074-02-7 70074-02-75 ( ml) Bottle / Case Adult Nutritional 50902 Glucerna 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4154 $1.22 70074-0509-03 ml) Bottle / Case Adult Nutritional 50904 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 53534 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 $1.22 70074-0509-05 B4154 $1.22 70074-02-78 70074-02-77 (8 B4154 $1.22 70074-0509-07 B4154 $1.22 70074-0535-35 B4154 $1.22 70074-02-80 70074-02-79 (8 B4154 $1.22 70074-0535-37 B4154 $1.22 70074-020-0 70074-020-1 (4 B4154 $1.22 70074-020-3 70074-020-4 (4 Adult Nutritional 2074 Glucerna Nutrition Bars Crispy Delight / Chocolate Chip / 1.41- 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 70074-020-75 70074-020-7 (4 None No Medicare rate 70074-020-78 70074-020-79 (4 7007402074 (24 7007402077 (24 Adult Nutritional 53742 Glucerna Mini-Snack Bar Cinnamon Bun / 0.70-oz (20-g) Bar / Case of 48 None No Medicare rate 70074-0537-43 (8 Adult Nutritional 59704 Glucerna Mini-Snack Bar Oatmeal Raisin / 0.70-oz (20-g) Bar / Case of 48 None No Medicare rate 70074-0597-05 (8 Adult Nutritional 59708 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 54328 Glucerna Shake Ready-to-Drink Homemade Vanilla Institutional / 8-fl-oz None No Medicare rate 70074-0597-09 (8 B4154 $1.22 70074-0543-27 B4154 $1.22 70074-0543-29
for Single Adult Nutritional 54544 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 $1.22 70074-0545-45 B4154 $1.22 70074-050-53 Adult Nutritional 57801 Glucerna Shake Ready-to-Drink Homemade Vanilla Retail/ 8-floz Bottle / B4154 $1.22 70074-0578-03 Adult Nutritional 57804 Glucerna Shake Ready-to-Drink Rich Chocolate Retail / 8-fl-oz Bottle / Adult Nutritional 57807 Glucerna Shake Ready-to-Drink Creamy Strawberry Retail / 8- fl-oz Bottle / B4154 $1.22 70074-0578-0 B4154 $1.22 70074-0578-09 Adult Nutritional 57810 Glucerna Shake Ready-to-Drink Classic Butter Pecan Retail / 8- B4154 $1.22 70074-0578-12 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 59859 Glucerna Snack Shake Ready-to-Drink Creamy Chocolate Delight Retail / 8-fl-oz Can / Case of 1 None No Medicare rate 70074-0537-3 (24 None No Medicare rate 70074-059-58 (4 None No Medicare rate 70074-05-82 (4 None No Medicare rate 70074-057-10 (4 None No Medicare rate 70074-0598-58 None No Medicare rate 70074-0598-1 Adult Nutritional 2999 Glucerna Advance/ Chocolate/ 237 ml bottle / Case of 1 B4154 $1.22 70074-030-00 (4 Adult Nutritional 3001 Glucerna Advance/ Vanilla/ 237 ml bottle / Case of 1 B4154 $1.22 70074-030-02 (4 70074-029-99 (1 70074-030-17 (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 58253 Hi-Cal Ready-To-Hang Vanilla Institutional / 1 Liter (1000-mL) Adult Nutritional 00143 Jevity 1 Cal Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / None No Medicare rate 70074-030-25 70074-030-2 ( None No Medicare rate 70074-030-28 70074-030-29 ( None No Medicare rate 70074-030-31 70074-030-32 ( B4152 $0.55 70074-0582-54 B4150 $0.8 70074-0401-43 70074-030-24 (3 70074-030-27 (3 70074-030-30 (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 53114 Jevity 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- ml) Bottle / Case Adult Nutritional 53118 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 $0.8 70074-02-8 70074-02-85 (8 B4150 $0.8 70074-080-82 B4150 $0.8 70074-02-88 70074-02-87 ( B4150 $0.8 70074-052-05 B4150 $0.8 70074-02-8 70074-02-7 ( B4150 $0.8 70074-0531-15 B4150 $0.8 70074-0531-19 B4150 $0.8 70074-02-84 70074-02-83 (8 Adult Nutritional 53124 Jevity 1.2 Cal Ready-To-Hang Institutional / 1 Liter (1000-mL) B4150 $0.8 70074-0531-25
for Single Adult Nutritional 281 Jevity 1.5 Cal Ready-To- Hang Institutional / 1 Liter (1000- Adult Nutritional 57329 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 57331 Jevity 1.5 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- ml) Bottle / Case Adult Nutritional 57333 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 $0.55 70074-02-82 70074-02-81 (8 B4152 $0.55 70074-0573-30 B4152 $0.55 70074-02-90 70074-02-89 ( B4152 $0.55 70074-0573-32 B4152 $0.55 70074-0573-34 B4155 $0.95 59781-050-94 (30 packets) Adult Nutritional 54000 Juven Powder Unflavored Institutional / 0.8-oz (19.3-g) Packet / Case of 180 B4155 $0.95 59781-0540-02 59781-0540-01 (30 packets) 59781-0540-00 (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 $0.95 59781-05-23 (8 packets) B4155 $0.95 59781-054-33 (30 packets) Adult Nutritional 5431 Juven Powder Fruit Punch Institutional / 0.85-oz (24-g) Packet / Case of 180 B4155 $0.95 59781-054-30 59781-054-32 (30 packets) 59781-054-31 (180 packets) Adult Nutritional 525 Juven Powder Orange Institutional / 0.85-oz (24-g) Packet / 8 Packets per Box Adult Nutritional 58012 Juven Powder Orange Institutional / 0.85-oz (24-g) Packet / Carton of 30 (Outer Carton) B4155 $0.95 59781-05-2 (8 packets) B4155 $0.95 59781-0580-12 (30 packets) Adult Nutritional 57935 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 $0.95 59781-0225-50 59781-0225-51 (30 packets) B4154 $1.22 70074-053-2 B4154 $1.22 70074-053-29 B4154 $1.22 70074-053-34 B4154 $1.22 70074-053-32 59781-0579-35 (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 00735 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 $1.22 70074-02-70 70074-02-9 (8 B4154 $1.22 70074-059-78 B4154 $1.22 70074-020-91 B4154 $1.22 70074-020-93 B4154 $1.22 70074-020-95 B4150 $0.8 70074-02-92 70074-02-91 (8 B4150 $0.8 70074-080-8 B4150 $0.8 70074-0407-35 B4150 $0.8 70074-02-9 70074-02-95 ( B4150 $0.8 70074-052-01 Adult Nutritional 293 Osmolite 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4150 $0.8 70074-02-94 70074-02-93 ( ml) Bottle / Case
for Single Adult Nutritional 5311 Osmolite 1.2 Cal Ready-To-Hang Institutional / 1.5 Liter (1500- B4150 $0.8 70074-0531-17 ml) Bottle / Case Adult Nutritional 53120 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 53122 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 57471 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 57043 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 51948 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 58013 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 58015 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 $0.8 70074-0531-21 B4150 $0.8 70074-02-98 70074-02-97 (8 B4150 $0.8 70074-0531-23 B4152 $0.55 70074-0574-70 B4152 $0.55 70074-027-00 70074-02-99 (8 B4152 $0.55 70074-0574-72 B4154 $1.22 70074-0543-87 B4154 $1.22 70074-027-18 70074-027-17 (8 B4154 $1.22 70074-0570-44 B4153 $1.91 70074-050-29 B4153 $1.91 70074-027-24 70074-027-23 (8 B4153 $1.91 70074-0519-49 B4153 $1.91 70074-027-22 70074-027-21 ( B4153 $1.91 70074-057-3 B4153 $1.91 70074-0580-14 B4153 $1.91 70074-027-20 70074-027-19 (8 B4153 $1.91 70074-0580-1 B4155 $0.95 70074-007-4 Adult Nutritional 59721 ProMod Liquid Protein Ready-to-Drink Fruit Punch Institutional / 32-fl-oz (94-mL) Bottle / Case B4155 $0.95 70074-0597-22 Adult Nutritional 50774 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 51872 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 51874 Promote With Fiber Ready-To-Hang Institutional / 1 Liter (1000- B4150 $0.8 70074-0507-75 B4150 $0.8 70074-027-02 70074-027-01 (8 B4150 $0.8 70074-051-17 B4150 $0.8 70074-027-0 70074-027-05 ( B4150 $0.8 70074-057-32 B4150 $0.8 70074-0518-73 B4150 $0.8 70074-027-04 70074-027-03 (8 B4150 $0.8 70074-0518-75
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 $0.8 70074-027-08 70074-027-07 ( B4150 $0.8 70074-057-34 B4154 $1.22 70074-040-99 Adult Nutritional 2725 Pulmocare Ready-To-Hang Vanilla Institutional / 1 Liter (1000- Adult Nutritional 51204 Pulmocare Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4154 $1.22 70074-027-2 70074-027-25 (8 B4154 $1.22 70074-0512-05 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 00729 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 $1.22 70074-053-38 B4154 $1.22 70074-020-89 B4152 $0.55 70074-0407-29 B4152 $0.55 70074-0540-5 Adult Nutritional 2709 TwoCal HN Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4152 $0.55 70074-027-10 70074-027-09 (8 Adult Nutritional 57047 TwoCal HN Ready-To-Hang Vanilla Institutional / 1 Liter (1000- B4152 $0.55 70074-0570-48 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 $1.91 70074-027-15 70074-027-1 (8 B4153 $1.91 70074-055-43 B4153 $1.91 70074-055-43 B4153 $1.91 70074-027-1 70074-027-15 (8 B4153 $1.91 70074-055-45 Adult Nutritional 5277 Vital 1.0 Ready-to-Drink Vanilla Institutional / 8-fl-oz (237-mL) Can / B4153 $1.91 70074-052-78 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 $1.91 70074-020-8 70074-020-7 ( B4153 $1.91 70074-027-12 70074-027-11 (8 B4153 $1.91 70074-052-82 Adult Nutritional 5279 Vital 1.5 Ready-to-Drink Vanilla Institutional / 8-fl-oz (237-mL) Can / B4153 $1.91 70074-052-80 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 $1.91 70074-027-14 70074-027-13 (8 B4153 $1.91 70074-052-84 Adult Nutritional 2071 Vital 1.5 Ready-To-Hang Vanilla Institutional / 1.5 Liter (1500- ml) Bottle / Case B4153 $1.91 70074-020-72 70074-020-71 ( Adult Nutritional 007 Vital HN Powder Vanilla Institutional / 2.79-oz (79-g) Packet / Metabolic 53328 Calcilo XD Powder Institutional / 13.2-oz (375-g) Can / Case Metabolic 51144 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 $1.91 70074-0407- ( packets) B412 No Medicare rate 70074-0533-29 B412 No Medicare rate 70074-0511-45 B412 (Ped) No Medicare rate 70074-0511-47
for Single Metabolic 5114 Cyclinex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 51140 Glutarex-1 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 51142 Glutarex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 51142 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 51118 Hominex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 51118 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 51138 I-Valex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of Metabolic 51138 I-Valex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of Metabolic 51112 Ketonex-1 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 51114 Ketonex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 51114 Ketonex-2 Powder Institutional / 14.1-oz (400-g) Can / Case B4157 (Adult) No Medicare rate 70074-0511-47 B412 No Medicare rate 70074-0511-41 B412 (Ped) No Medicare rate 70074-0511-43 B4157 (Adult) No Medicare rate 70074-0511-43 B412 No Medicare rate 70074-0511-17 B412 (Ped) No Medicare rate 70074-0511-19 B4157 (Adult) No Medicare rate 70074-0511-19 B412 No Medicare rate 70074-0511-37 B412 (Ped) No Medicare rate 70074-0511-39 B4157 (Adult) No Medicare rate 70074-0511-39 B412 No Medicare rate 70074-0511-13 B412 (Ped) No Medicare rate 70074-0511-15 B4157 (Adult) No Medicare rate 70074-0511-15 Metabolic 51120 Phenex-1 Powder Institutional / 14.1-oz (400-g) Can / Case of Metabolic 51122 Phenex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of Metabolic 51122 Phenex-2 Powder Institutional / 14.1-oz (400-g) Can / Case of B412 No Medicare rate 70074-0511-21 B412 (Ped) No Medicare rate 70074-0511-23 B4157 (Adult) No Medicare rate 70074-0511-23 Metabolic 55755 Phenex-2 Powder Vanilla Institutional / 14.1-oz (400-g) Can / Case Metabolic 55755 Phenex-2 Powder Vanilla Institutional / 14.1-oz (400-g) Can / Case Metabolic 51148 Pro-Phree Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 51132 Propimex-1 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 51134 Propimex-2 Powder Institutional / 14.1-oz (400-g) Can / Case Metabolic 51134 Propimex-2 Powder Institutional / 14.1-oz (400-g) Can / Case B4157 (Adult) No Medicare rate 70074-0557-5 B412 (Ped) No Medicare rate 70074-0557-5 B4155 $0.95 70074-0511-49 B412 No Medicare rate 70074-0511-33 B412 (Ped) No Medicare rate 70074-0511-35 B4157 (Adult) No Medicare rate 70074-0511-35 Metabolic 5020 ProViMin Powder Institutional / 5.3-oz (150-g) Can / Case B4155 $0.95 70074-0502-0 ( Metabolic 00108 RCF Concentrated Liquid Institutional / 13-fl-oz (384-mL) Can / Case of 12 B4155 $0.95 70074-0401-08 Metabolic 51128 Tyrex-1 Powder Institutional / 14.1-oz (400-g) Can / Case B412 No Medicare rate 70074-0511-29 Metabolic 5112 Tyrex-2 Institutional Powder / 14.1-oz (400-g) Can / Case B412 (Ped) No Medicare rate 70074-0511-27 Metabolic 5112 Tyrex-2 Institutional Powder / 14.1-oz (400-g) Can / Case B4157 (Adult) No Medicare rate 70074-0511-27 Pediatric Nutritional 53510 EleCare with DHA and ARA Powder Institutional / 14.1-oz (400-g) Can / Case B411 No Medicare rate 70074-0535-11 70074-0535-10 (
for Single Pediatric Nutritional 545 EleCare Powder Institutional / 14.1-oz (400-g) Can / Case B411 No Medicare rate 70074-054- 70074-054-5 ( Pediatric Nutritional 59405 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 55253 EleCare Jr Unflavored Powder Institutional / 14.1-oz (400-g) Can / Case Pediatric Nutritional 55251 EleCare for Infants (DHA/ARA) Powder Institutional / 14.1-oz (400-g) Can / Case Pediatric Nutritional 00240 Pedialyte Ready-to-Drink Grape Retail / 33.8 fl-oz (1-Liter) B411 No Medicare rate 70074-0594-0 70074-0594-05 ( B411 No Medicare rate 70074-055-8 B411 No Medicare rate 70074-0552-54 B411 No Medicare rate 70074-0535-11 B4103 No Medicare rate 70074-0802-40 Pediatric Nutritional 0033 Pedialyte Ready-to-Drink Unflavored Retail/ 33.8 fl-oz (1-Liter) B4103 No Medicare rate 70074-0803-3 Pediatric Nutritional 0035 Pedialyte Ready-to-Drink Fruit Retail / 33.8 fl-oz (1-Liter) Pediatric Nutritional 51752 Pedialyte Ready-to-Drink Bubble Gum Retail / 33.8 fl-oz (1- Liter) B4103 No Medicare rate 70074-0803-5 B4103 No Medicare rate 70074-0517-53 Pediatric Nutritional 53983 Pedialyte Ready-to-Drink Strawberry Retail/ 33.8 fl-oz (1-Liter) B4103 No Medicare rate 70074-0539-84 Pediatric Nutritional 00245 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 70074-0002-4 (1 sleeves) B4103 No Medicare rate 70074-050-79 (4 packets) B4103 No Medicare rate 70074-050-82 (4 packets) B4103 No Medicare rate 70074-050-91 (8 packets) B4103 No Medicare rate 70074-054-37 70074-054-3 (4 tetras) B4103 No Medicare rate 70074-054-40 70074-054-39 (4 tetras) Pediatric Nutritional 5441 Pedialyte Singles Ready- to-drink Cherry Retail /.8-fl-oz (200-B4103 No Medicare rate 70074-054-43 70074-054-42 (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 70074-054-17 (4 B4158 No Medicare 70074-055-24 B4155 $0.95 70074-023-12 B4155 $0.95 70074-023-10 None No Medicare rate 70074-024-87 ( None No Medicare rate 70074-054-20 (4 None No Medicare rate 70074-024-85 ( None No Medicare rate 70074-054-23 (4 None No Medicare rate 70074-024-83 ( Pediatric Nutritional 5744 PediaSure Sidekicks Ready-to-Drink Chocolate Club Pack / 8-floz (237-mL) Bottle / Case of 1 None No Medicare rate 70074-0574-4 (1 Pediatric Nutritional 2130 PediaSure Sidekicks Clear Ready-to-Drink Wild Berry Retail /.8-fl-oz (200-mL) Tetra / Case of 32 B4155 $0.95 70074-021-31 70074-021-32 (8 tetras) 70074-021-30 (32 tetras)
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 51880 PediaSure Ready-to-Drink Strawberry Institutional / 8-fl-oz Pediatric Nutritional 51882 PediaSure Ready-to-Drink Chocolate Institutional / 8-fl-oz Pediatric Nutritional 51884 PediaSure Ready-to-Drink Banana Institutional / 8-fl-oz (237- ml) Can / Pediatric Nutritional 53581 PediaSure Ready-to-Drink Vanilla Institutional / 8-fl-oz (237- ml) Bottle / Pediatric Nutritional 53587 PediaSure Ready-to-Drink Chocolate Institutional / 8-fl-oz (237-mL) Bottle / Pediatric Nutritional 53589 PediaSure Ready-to-Drink Strawberry Institutional / 8-fl-oz (237-mL) Bottle / Pediatric Nutritional 53818 PediaSure Ready-to-Drink Berry Retail / 8-fl-oz Bottle / Case of 24 Pediatric Nutritional 55897 PediaSure Ready-to-Drink Vanilla Institutional / 8-fl-oz (237- ml) Can / Pediatric Nutritional 58049 PediaSure Ready-to-Drink Vanilla Retail / 8-fl-oz Bottle / Case of 24 B4155 $0.95 70074-021-2 70074-021-27 (8 tetras) B410 No Medicare rate 70074-0518-81 B410 No Medicare rate 70074-0518-83 B410 No Medicare rate 70074-0518-85 B410 No Medicare rate 70074-0535-82 B410 No Medicare rate 70074-0535-88 B410 No Medicare rate 70074-0535-90 B410 No Medicare rate 70074-0538-19 ( B410 No Medicare rate 70074-0558-98 B410 No Medicare rate 70074-0580-50 ( 70074-021-25 (32 tetras) Pediatric Nutritional 58052 PediaSure Ready-to-Drink Banana Retail / 8-fl-oz Bottle / Case of 24 B410 No Medicare rate 70074-0580-53 ( Pediatric Nutritional 58055 PediaSure Ready-to-Drink Strawberry Retail / 8-fl-oz Bottle / Pediatric Nutritional 58058 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 51804 PediaSure Enteral Formula 1.0 Cal Ready-to-Drink Vanilla Institutional / 8-fl-oz B410 No Medicare rate 70074-0580-5 ( B410 No Medicare rate 70074-0580-59 ( B410 No Medicare rate 70074-054-10 B410 No Medicare rate 70074-054-12 B410 No Medicare rate 70074-027-50 70074-027-49 (8 B410 No Medicare rate 70074-020-23 70074-020-22 (8 B410 No Medicare rate 70074-0518-05 Pediatric Nutritional 2727 PediaSure Enteral Formula 1.0 Cal with Fiber Ready-to-Hang B410 No Medicare rate 70074-027-28 70074-027-27 (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 70074-020-21 70074-020-20 (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 70074-0518-07 B411 No Medicare rate 70074-021-20 B411 No Medicare rate 70074-021-22 B411 No Medicare rate 70074-021-24 B411 No Medicare rate 70074-027-30 70074-027-29 (8 B411 No Medicare rate 70074-020-52 70074-020-51 (8 B411 No Medicare rate 70074-05-5 B411 No Medicare rate 70074-027-32 70074-027-31 (8
for Single Pediatric Nutritional 2014 PediaSure Peptide 1.5 Cal Ready-to-Hang Unflavored Institutional / 1 Liter (1000- B411 No Medicare rate 70074-020-15 70074-020-14 (8 Pediatric Nutritional 53585 PediaSure with Fiber Ready-to-Drink Vanilla Institutional / 8-floz (237-mL) Bottle / B410 No Medicare rate 70074-0535-8 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 70074-0580-2 ( B410 No Medicare rate 70074-053-9 ( Pediatric Nutritional 58220 PediaSure with Fiber Ready-to-Drink Vanilla Institutional / 8-floz B410 No Medicare rate 70074-0582-21 Pediatric Nutritional 00108 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 57508 Similac Expert Care Alimentum Ready-to-Feed / 8-fl-oz (237- ml) Can / Pediatric Nutritional 57512 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 $0.95 70074-0401-08 None No Medicare rate 70074-024-28 (1 Box) B411 No Medicare rate 70074-0575-09 70074-0578-8 ( B411 No Medicare rate 70074-0575-13 B411 No Medicare rate 70074-057-4 70074-024-27 (12 Boxes) Pediatric Nutritional 5127 Similac Expert Care Diarrhea Ready-to-Feed / 8-fl-oz (237-mL) Can / B4159 No Medicare rate 70074-0512-77 Pediatric Nutritional 5778 Similac Expert Care Diarrhea Ready-to-Feed / 1-Quart (94- ml) Bottle / Case Pediatric Nutritional 57430 Similac Expert Care NeoSure Powder / 13.1-oz (371-g) Can / Case Pediatric Nutritional 57455 Similac Expert Care NeoSure Ready-to-Feed / 1-Quart (94- ml) Bottle/ Case B4159 No Medicare rate 70074-0577-9 B410 No Medicare rate 70074-0574-31 B410 No Medicare rate 70074-0574-5 Pediatric Nutritional 5945 Similac Expert Care NeoSure Ready-to-Feed Retail/ 2-fl-oz (59- B410 No Medicare rate 70074-059-4 (8 ml) Bottle/ Case of 48 Pediatric Nutritional 50827 Similac Go & Grow Milk-Based Formula Powder / 1.37-lb (23- g) SimplePac / Case B4158 No Medicare rate 70074-0508-28 Pediatric Nutritional 50837 Similac Go & Grow Soy-Based Powder / 1.37-lb (23-g) SimplePac / Case B4159 No Medicare rate 70074-0508-38 Pediatric Nutritional 50959 Similac For Spit-Up Powder / 12.3-oz (349-g) Can / Case B4158 No Medicare rate 70074-0509-0 70074-0509-59 ( Pediatric Nutritional 53729 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 70074-0537-30 70074-0537-29 ( B4158 No Medicare rate 70074-057-31 70074-057-28 ( Pediatric Nutritional 50817 Similac Sensitive Powder / 1.41-lb (38-g) SimplePac / Case Pediatric Nutritional 53445 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 57533 Similac Sensitive Ready-to-Feed / 1-Quart (94-mL) Bottle / Case Pediatric Nutritional 57535 Similac Sensitive Concentrated Liquid / 13-fl-oz (384-mL) Can / Case of 12 B4158 No Medicare rate 70074-0508-18 B4158 No Medicare rate 70074-0534-4 B4158 No Medicare rate 70074-052-59 70074-052-58 ( B4158 No Medicare rate 70074-0575-34 B4158 No Medicare rate 70074-0575-3 Pediatric Nutritional 57539 Similac Sensitive Powder / 12.-oz (357-g) Can / Case B4158 No Medicare rate 70074-0575-41 Pediatric Nutritional 537 Similac Sensitive On-the-Go Ready-to-Feed / 8-fl-oz (237-mL) Bottle / B4158 No Medicare rate 70074-050-92 70074-053-77 ( Pediatric Nutritional 53359 Similac Advance Powder / 1.45-lb (57-g) SimplePac / Case of B4158 No Medicare rate 70074-0533-0
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 70074-0533-4 B4158 No Medicare rate 70074-0534-97 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 55957 Similac Advance Powder / 12.4-oz (352-g) Can / Case B4158 No Medicare rate 70074-0559-58 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 57938 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 54598 Similac Human Milk Fortifier Powder Institutional / 0.9-g Packet / Case of 150 Pediatric Nutritional 50821 Similac Organic Powder / 1.45-lb (57-g) SimplePac / Case of Pediatric Nutritional 59883 Similac Organic Ready-to-Feed / 1-Quart (94-mL) Bottle / Case B4158 No Medicare rate 70074-052-51 B4158 No Medicare rate 70074-059-74 B4158 No Medicare rate 70074-057-01 (8 B4158 No Medicare rate 70074-0579-39 (1 packets) B4158 No Medicare rate 70074-058-14 None No Medicare rate 70074-0545-99 (50 packets) B4158 No Medicare rate 70074-0508-22 B4158 No Medicare rate 70074-0598-84 Pediatric Nutritional 00850 Similac PM 0/40 Powder / 14.1-oz (400-g) Can / Case B4154 $1.22 70074-008-50 Pediatric Nutritional 50819 Similac Soy Isomil Powder / 1.45-lb (57-g) SimplePac / Case B4159 No Medicare rate 70074-0508-20 Pediatric Nutritional 5593 Similac Soy Isomil Powder / 12.4-oz (352-g) Can / Case B4159 No Medicare rate 70074-0559-4 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 70074-0559-8 B4159 No Medicare rate 70074-059-7 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 70074-058-04 70074-058-03 ( Pediatric Nutritional 50825 Similac Soy Isomil CLUB Powder / 2.13-lb (94-gm) SimplePac / Case B4159 No Medicare rate 70074-0508-2 70074-0508-25 ( Pediatric Nutritional 59582 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 70074-052-95 (8 Pediatric Nutritional 2082 PediaSure Vanilla 1ct B410 No Medicare rate 70041-024-95 70074-020-82 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 70074-029-50 70074-030-13 (4 units) B4158 No Medicare rate 70074-029-91 (8 B4103 No Medicare rate 70074-030-58 70074-030-57 (8 B4103 No Medicare rate 70074-030-0 70074-030-59 (8 70074-029-90 (48 B4155 $0.95 70074-05-50 70074-05-49 (144 packets)
for Single Pediatric Nutritional 2595 Similac Total Comfort Ready-to-Feed Institutional / 2-fl-oz (59- B4158 No Medicare rate 70074-025-9 70074-025-95 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 70074-025-98 70074-025-97 (4 SimplePacs) Pediatric Nutritional 2599 Similac Total Comfort Powder / 12. oz Can / Case B4158 No Medicare rate 70074-02-00 70074-025-99 (