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Polymeric; Standard Volume | Polymeric; Concentrated Volume | Hydrolyzed; Standard Volume

Hydrolyzed; Concentrated Volume | Elemental; Standard Volume | Blenderized

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Polymeric; Standard Volume

Composition Formula Brand Name, Manufacturer Features Specifics HCPCS Code Additional Details Contains Immune Nutrients
Soy Protein Diabetisource AC®, Nestlé Health Science Low carbohydrate with fiber Contains soy B4154 Kosher, Gluten-Free, Lactose free No
Milk and Soy Protein Fibersource HN®, Nestlé Health Science High protein with fiber Contains soy B4150 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk Protein Glucerna 1.0 Cal®, Abbott Low carbohydrate with fiber Contains soy B4154 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Glucerna 1.2 Cal®, Abbott Low carbohydrate Contains soy B4154 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk Protein Glytrol®, Nestlé Health Science Low Carbohydrate/High protein with fiber Contains soy B4154 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk Protein Impact®, Nestlé Health Science Modulating Inflammation/High Protein without fiber Contains soy B4154 Kosher, Halal, Gluten-Free, suitable for lactose intolerance Yes
Milk and Soy Protein Isosource HN®, Nestlé Health Science High protein without fiber Contains soy B4150 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Jevity 1.0 Cal®, Abbott Standard with fiber Contains soy B4150 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Jevity 1.2 Cal®, Abbott Standard with fiber Contains soy B4150 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Nutren 1.0®, Nestlé Health Science Standard without fiber Contains soy B4150 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Nutren 1.0 Fiber®, Nestlé Health Science Standard with fiber Contains soy B4150 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Osmolite 1.0 Cal®, Abbott Standard without fiber Contains soy B4150 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk Protein Osmolite 1.2 Cal®, Abbott Standard without fiber Contains soy B4150 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Promote®, Abbott High protein without fiber Contains soy B4150 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Promote with Fiber®, Abbott High protein with fiber Contains soy B4150 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk Protein Replete®, Nestlé Health Science High Protein without fiber B4150 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk Protein Replete® Fiber, Nestlé Health Science High Protein with fiber Contains soy B4150 Kosher, Gluten-Free, suitable for lactose intolerance No
Pea protein Standard 1.0 (chocolate or vanilla), Kate Farms Standard- plant based B4150 Lactose-free, Vegan, plant-based, gluten-free, no soy, no corn, no peanuts, no tree nuts, Organic, Non-GMO, Kosher No

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Polymeric; Concentrated Volume

Composition Formula Brand Name, Manufacturer Features Specifics HCPCS Code Additional Details Contains Immune Nutrients
Milk and Soy Protein Glucerna® 1.5 Cal, Abbott Low carbohydrate/Concentrated Contains soy B4154 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Isosource® 1.5 Cal, Nestlé Health Science With fiber Contains soy B4152 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Jevity® 1.5 Cal, Abbott Concentrated with fiber Contains soy B4152 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk Protein Nepro® with CARBSTEADY®, Abbott High protein with fiber/Low phosphorous, potassium and sodium Contains soy B4154 Kosher, Halal(certain flavors), Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Novasource® Renal, Nestlé Health Science High Protein without fiber/ Low phosphorous, potassium and magnesium Contains soy B4154 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Nutren® 1.5, Nestlé Health Science Without fiber Contains soy B4152 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Nutren® 2.0, Nestlé Health Science Without fiber Contains soy B4152 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk Protein Nutren® Pulmonary, Nestlé Health Science Increased Fat/Low carbohydrate without fiber B4154 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk Protein Nutrihep®, Nestlé Health Science High ratio of BCAA:AAA/High MCT:LCT ratio/Concentrated without fiber B4154 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk and Soy Protein Osmolite® 1.5 Cal, Abbott Concentrated without fiber Contains soy B4152 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk Protein Pulmocare®, Abbott Low carbohydrate/Increased fat without fiber Contains soy B4154 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk Protein Suplena® with CARBSTEADY®, Abbott Low protein with fiber/Low phosphorous, potassium and sodium Contains soy B4154 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Milk Protein TwoCal® HN, Abbott Contains soy B4152 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No
Pea ProteinStandard 1.4 (vanilla), Kate FarmsStandard plant-based
B4150Lactose-free, Vegan, plant-based, gluten-free, no soy, no corn, no peanuts, no tree nuts, Organic, Non-GMO, KosherNo

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Hydrolyzed; Standard Volume

Composition Formula Brand Name, Manufacturer Features Specifics HCPCS Code Additional Details Contains Immune Nutrients
Whey Protein Peptamen®, Nestlé Health Science MCT:LCT=70:30, no added fiber
Contains soy B4153 Gluten-Free, suitable for lactose intolerance, kosher No
Whey Protein Peptamen AF®, Nestlé Health Science Modulating Inflammation/ MCT:LCT=50:50 with EPA and DHA, High Protein with soluble fiber
Contains soy B4153 Gluten-Free, suitable for lactose intolerance, kosher No
Whey Protein Peptamen® Intense VHP, Nestlé Health Science Modulating Inflammation/Very High Protein, low carbohydrate with soluble fiber, MCT:LCT=50:50 with EPA and DHA
Contains soy B4153 Gluten-Free, suitable for lactose intolerance, kosher No
Whey Protein Peptamen® with Prebio1 TM , Nestlé Health Science High Protein/ MCT:LCT=70:30 and with soluble fiber
Contains soy B4153 Gluten-Free, suitable for lactose intolerance, kosher No
Milk Protein Perative®, Abbott High Protein/Contains Arginine Contains soy B4153 Kosher, Halal, Gluten-Free, suitable for lactose intolerance Yes
Milk Protein Vital® 1.0 Cal, Abbott B4153 Gluten-Free, suitable for lactose intolerance Yes
Milk Protein Vital® AF 1.2 Cal, Abbott Modulating Inflammation/Increased Protein B4153 Gluten-Free, suitable for lactose intolerance Yes
Milk Protein Vital® HP, Abbott Modulating Inflammation/High Protein without fiber B4153 Gluten-Free, suitable for lactose intolerance Yes

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Hydrolyzed; Concentrated Volume

Composition Formula Brand Name, Manufacturer Features Specifics HCPCS Code Additional Details Contains Immune Nutrients
Milk Protein Impact® Peptide 1.5, Nestlé Health Science Modulating Inflammation/High Protein Contains soy B4153 Gluten-Free, suitable for lactose intolerance Yes
Whey Protein Peptamen® 1.5, Nestlé Health Science MCT:LCT=70:30, no added fiber Contains soy B4153 Gluten-Free, suitable for lactose intolerance, kosher No
Whey Protein Peptamen® 1.5 with Prebio TM , Nestlé Health Science MCT:LCT=70:30, and with soluble fiber Contains soy B4153 Gluten-Free, suitable for lactose intolerance, kosher No
Pea protein Peptide 1.5® (plain), Kate Farms Plant based B4153 Lactose-free, Vegan, Plant-based, gluten-free, no corn, no nuts, no soy, Organic, Non-GMO, Kosher No
Milk Protein Pivot® 1.5, Abbott Modulating inflammation/High Protein Contains soy B4153 Halal, Gluten-Free, suitable for lactose intolerance Yes
Milk Protein Renalcal®, Nestlé Health Science Very low protein without fiber/Low phosphorous, potassium and magnesium B4154 Kosher, Gluten-Free, suitable for lactose intolerance No
Milk Protein Vital® 1.5 Cal, Abbott B4153 Gluten-Free, suitable for lactose intolerance No
Milk Protein Vital® Peptide 1.5 Cal, Abbott B4161 Kosher, Halal, Gluten-Free, suitable for lactose intolerance No

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Elemental; Standard Volume

Composition Formula Brand Name, Manufacturer Features Specifics HCPCS Code Additional Details Contains Immune Nutrients
100% Free AA Tolerex®, Nestlé Health Science Very low fat/low protein powder with no added fiber B4153 Kosher, Gluten-Free, Lactose-Free No
100% Free AA Vivonex® Plus, Nestlé Health Science Very low fat/moderate protein powder, no added fiber added glutamine, arginine and branched-chain amino acids

B4153 Kosher, Gluten-Free, Lactose-Free Yes
100% Free AA Vivonex® RTF, Nestlé Health Science Low fat, moderate protein liquid with no added fiber B4153 Kosher, Gluten-Free, Lactose-Free No
100% Free AA Vivonex® T.E.N., Nestlé Health Science Very low fat, moderate protein powder with no added fiber B4153 Kosher, Gluten-Free, Lactose-Free No

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Blenderized

Composition Formula Brand Name, Manufacturer Features Specifics HCPCS Code Additional Details Contains Immune Nutrients
Food Ingredients Compleat®, Nestlé Health Science Standard B4149 Gluten-Free, no soy, suitable for lactose intolerance No
Blenderized Compleat Organic Blends®, Nestlé Health Science Standard B4149 Gluten-Free, Lactose-Free, Organic, Non-GMO, no dairy, no soy, no corn No
Blenderized Compleat Organic Blends®, Nestlé Health Science Standard- Plant Based B4149 Gluten-Free, Lactose-Free, Organic, Non-GMO, no dairy, no soy, no corn, plant-based No
Blenderized - whole foods Kitchen Blends® Tender Chicken, Medline B4149 No
Blenderized - whole foods Kitchen Blends® Mixed Vegetables, Medline B4149 No
Blenderized - whole foods Kitchen Blends® Savory Salmon, Medline B4149 No
Blenderized - whole foods Liquid Hope®, Functional Formularies B4149 Organic, Gluten-free, dairy free, no soy, no corn, Non-GMO, plant-based, suitable for lactose intolerance No
Blenderized - whole foods Real Food Blends® - Orange Chicken, Carrots, and Brown Rice, Real Food Blends® B4149 Gluten-free, lactose-free,  no dairy, No soy, no corn, no added sugar, no nuts, no artificial ingredients
No
Blenderized - whole foods Real Food Blends® - Salmon, Oats, and Squash, Real Food Blends® B4149 Gluten-free, lactose-free, no dairy, No soy, no corn, no added sugar, no nuts, no artificial ingredients  No
Blenderized - whole foods Real Food Blends® - Quinoa, Kale and Hemp, Real Food Blends® B4149 Gluten-free, lactose-free, no dairy, No soy, no corn, no added sugar, no nuts, no artificial ingredients  No
Blenderized - whole foods Real Food Blends® - Beef, Potatoes, and Spinach, Real Food Blends® B4149 Gluten-free, lactose-free, no dairy, No soy, no corn, no added sugar, no nuts, no artificial ingredients  No
Blenderized - whole foods Real Food Blends® - Eggs, Apples, and Oats, Real Food Blends® B4149 Gluten-free, lactose-free, no dairy, No soy, no corn, no added sugar, no nuts, no artificial ingredients  No
Blenderized - whole foods Real Food Blends® - Turkey, Sweet Potatoes, and Peaches, Real Food Blends® B4149 Gluten-free, lactose-free, no dairy, No soy, no corn, no added sugar, no nuts, no artificial ingredients  No

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