Oral Supplement Boost® Original Very Vanilla Flavor Liquid 8 oz. Bottle UOM:CS Manufacturer # M1-5-1415 Country of

Manufacturer # M1-5-1415 Country of Origin United States Application Low Profile Balloon Button Gastrostomy Tube Kit Contents 1 (1) Device

(1) Skin Protectant Prep Pad Solution

HCPCS A4351 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Length 13 Inch Lot_Tracking_Flag N Material Hydrophilic Coated Polyurethane On_Allocation N Securing Method Without Balloon Sterility Sterile Style Straight Tip Supplier_ID 488040 UNSPSC Code 42142702

Manufacturer # 61281 Country of Origin China Application Laceration Tray Contents 1 (1) Overwrap

Oral Supplement Boost® Original Very Vanilla Flavor Liquid 8 oz. Bottle UOM:CS Manufacturer # M1-5-1415 Country ofManufacturer # 64937 Country of Origin United States Administration Method Oral Application Oral Supplement Calories per Serving 250 Calories Calories per Serving Range 201 to 300 Calories Container Type Reclosable Carton Container Type Range Cartons & Pouches Dietary Restrictions Galactosemia Flavor Chocolate Flavor Flavor Range Dessert Flavor HCPCS B4150 (Disclaimer) Ingredients Water, Sugar, Corn Maltodextrin, Milk Protein Concentrate, Blend of