Nutritional Products
PRODUCT | HCPCS | ML/CALORIES PER CAN | CANS/ITEM PER CASE | PACKAGING | UNIT OF MEASURE | RATE PER UNIT |
Ensure Clear | B4102:BO | 250 | 24 | Bottle | 1 UNIT = 500ML | $ 1.00 |
Boost Breeze | B4102:BO | 250 | 24 | Bottle | 1 UNIT = 500ML | $ 1.25 |
Boost Soothe | B4102:BO | 250 | 24 | Bottle | 1 UNIT = 500ML | $2.60 |
Pedialyte | B4103:BO | 1000 | 8 | Bottle | 1 UNIT = 500ML | $ 10.75 |
ReSource Benefiber | B4104:BO | 25 per scoop | . | (248 g cans) | . | $ 30.00 |
Ensure | B4150:BO | 250 | 24 | 24 | 1 UNIT = 100 CALORIES | $ 0.59 |
Jevity 1.0 Cal | B4150:BO | 250 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 0.59 |
Jevity 1.2 Cal | B4150:BO | 285 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 0.59 |
Osmolite 1.2 Cal | B4150:BO | 285 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 0.59 |
Boost Very High Calorie (VHC) | B4152:BO | 530 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 0.48 |
Ensure Plus | B4152:BO | 350 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 0.48 |
Hi-Cal | B4152:BO | 2000 | 8 | Bottle | 1 UNIT = 100 CALORIES | $ 0.48 |
IsoSource 1.5 Cal | B4152:BO | 375 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 0.48 |
Jevity 1.5 Cal | B4152:BO | 355 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 0.48 |
Osmolite 1.5 Cal | B4152:BO | 355 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 0.48 |
TwoCal HN | B4152:BO | 475 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 0.48 |
Kate Farms Peptide 1.0 | B4153:BO | 325 | 12 | Bottle | 1 UNIT = 100 CALORIES | $ 4.00 |
Kate Farms Peptide 1.5 | B4153:BO | 500 | 12 | Bottle | 1 UNIT = 100 CALORIES | $ 3.75 |
Peptamen | B4153:BO | 250 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 5.60 |
Peptamen 1.5 | B4153:BO | 375 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 20.25 |
Glucerna 1.0 Cal | B4154:BO | 237 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 1.03 |
Glucerna 1.2 Cal | B4154:BO | 285 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 1.03 |
Glucerna 1.5 | B4154:BO | 356 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 1.03 |
Glucerna Shake | B4154:BO | 190 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 1.03 |
Nepro | B4154:BO | 420 | 24 | Bottle | 1 UNIT = 100 CALORIES | $ 1.03 |
LiquaCel Liquid Protein (32 oz bottles) | B4155:BO | 3200 | 32 oz bottle | Bottle | 1 UNIT = 100 CALORIES | $ 1.15 |
Resource Benecalorie | B4155:BO | 330 | 24 | (1.5 oz containers) | 1 UNIT = 100 CALORIES | $ 1.15 |
Simply Thick-Honey (indiv service pkts) | B4100 | 1.1 oz/pkt (thickens 4oz) | 100 | (pkts/case) | $ 1.10 | |
Thick-It | B4100 | 221 Tablespoons | 1 | (36oz can) | $ 25.00 |
Nutritional Products
Ensure Clear
HCPCS
B4102:BO
ML/CALORIES PER CAN
250
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
Bottle
RATE PER UNIT
$ 1.00
Boost Breeze
HCPCS
B4102:BO
ML/CALORIES PER CAN
250
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
Bottle
RATE PER UNIT
$ 1.25
Boost Soothe
HCPCS
B4102:BO
ML/CALORIES PER CAN
250
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
Bottle
RATE PER UNIT
$2.60
Pedialyte
HCPCS
B4103:BO
ML/CALORIES PER CAN
1000
CANS/ITEM PER CASE
8
PACKAGING
Bottle
UNIT OF MEASURE
Bottle
RATE PER UNIT
$ 10.75
ReSource Benefiber
HCPCS
B4104:BO
ML/CALORIES PER CAN
25 per scoop
CANS/ITEM PER CASE
.
PACKAGING
(248 g cans)
UNIT OF MEASURE
.
RATE PER UNIT
$ 30.00
Ensure
HCPCS
B4150:BO
ML/CALORIES PER CAN
250
CANS/ITEM PER CASE
24
PACKAGING
24
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.59
Jevity 1.0 Cal
HCPCS
B4150:BO
ML/CALORIES PER CAN
250
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.59
Jevity 1.2 Cal
HCPCS
B4150:BO
ML/CALORIES PER CAN
285
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.59
Osmolite 1.2 Cal
HCPCS
B4150:BO
ML/CALORIES PER CAN
285
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.59
Boost Very High Calorie (VHC)
HCPCS
B4152:BO
ML/CALORIES PER CAN
530
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.48
Ensure Plus
HCPCS
B4152:BO
ML/CALORIES PER CAN
350
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.48
Hi-Cal
HCPCS
B4152:BO
ML/CALORIES PER CAN
2000
CANS/ITEM PER CASE
8
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.48
IsoSource 1.5 Cal
HCPCS
B4152:BO
ML/CALORIES PER CAN
375
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.48
Jevity 1.5 Cal
HCPCS
B4152:BO
ML/CALORIES PER CAN
355
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.48
Osmolite 1.5 Cal
HCPCS
B4152:BO
ML/CALORIES PER CAN
355
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.48
TwoCal HN
HCPCS
B4152:BO
ML/CALORIES PER CAN
475
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 0.48
Kate Farms Peptide 1.0
HCPCS
B4153:BO
ML/CALORIES PER CAN
325
CANS/ITEM PER CASE
12
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 4.00
Kate Farms Peptide 1.5
HCPCS
B4153:BO
ML/CALORIES PER CAN
500
CANS/ITEM PER CASE
12
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 3.75
Peptamen
HCPCS
B4153:BO
ML/CALORIES PER CAN
250
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 5.60
Peptamen 1.5
HCPCS
B4153:BO
ML/CALORIES PER CAN
375
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 20.25
Glucerna 1.0 Cal
HCPCS
B4154:BO
ML/CALORIES PER CAN
237
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 1.03
Glucerna 1.2 Cal
HCPCS
B4154:BO
ML/CALORIES PER CAN
285
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 1.03
Glucerna 1.5
HCPCS
B4154:BO
ML/CALORIES PER CAN
356
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 1.03
Glucerna Shake
HCPCS
B4154:BO
ML/CALORIES PER CAN
190
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 1.03
Nepro
HCPCS
B4154:BO
ML/CALORIES PER CAN
420
CANS/ITEM PER CASE
24
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 1.03
LiquaCel Liquid Protein (32 oz bottles)
HCPCS
B4155:BO
ML/CALORIES PER CAN
3200
CANS/ITEM PER CASE
32 oz bottle
PACKAGING
Bottle
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 1.15
Resource Benecalorie
HCPCS
B4155:BO
ML/CALORIES PER CAN
330
CANS/ITEM PER CASE
24
PACKAGING
(1.5 oz containers)
UNIT OF MEASURE
1 UNIT = 100 CALORIES
RATE PER UNIT
$ 1.15
Simply Thick-Honey (indiv service pkts)
HCPCS
B4100
ML/CALORIES PER CAN
1.1 oz/pkt (thickens 4oz)
CANS/ITEM PER CASE
100
PACKAGING
(pkts/case)
UNIT OF MEASURE
RATE PER UNIT
$ 1.10
Thick-It
HCPCS
B4100
ML/CALORIES PER CAN
221 Tablespoons
CANS/ITEM PER CASE
1
PACKAGING
(36oz can)
UNIT OF MEASURE
RATE PER UNIT
$ 25.00