Avanos Medical Sales LLC Low Profile Gastrostomy Tube Kit MIC-Key® 16 Fr. 3.5 cm Tube Silicone Sterile #0120-16-3.5 Ostomy Accessories Manufacturer # 6390 Country of

Manufacturer # 6390 Country of Origin China Application Leg Bag Strap FSA Eligible - Buy UOM Yes FSA Eligible - Primary UOM Yes FSA Eligible - Sell UOM Yes For Use With Suitable for 44 fl

Manufacturer # 00043900585413 Country of Origin United States Administration Method Oral / Tube Application Pediatric Oral Supplement Calories per Serving 360 Calories Calories per Serving Range 301 to 400 Calories Container Type Carton Container Type Range Cartons & Pouches Flavor Vanilla Vortex Flavor Flavor Range Dessert Flavor HCPCS B4160 (Disclaimer) Ingredients Water

Manufacturer # 404034 Brand Sur-Fit Natura® Manufacturer ConvaTec Country of Origin Dominican Republic Application Ostomy Pouch Color Opaque Drain Type Drainable FSA Eligible - Buy UOM Yes FSA Eligible - Primary UOM Yes FSA Eligible - Sell UOM Yes Flange Size 2-3/4 Inch Flange HCPCS A5063 Length 10 Inch Length System Type Two-Piece System UNSPSC Code 42312104

Trim to Fit Barrier Type FlexWear Standard Wear with Tape Color Ultra Clear Drain Type Drainable FSA Eligible - Buy UOM Yes FSA Eligible - Primary UOM Yes FSA Eligible - Sell UOM Yes HCPCS A5063 Is a Kit Yes Length 12 Inch Length Sterility Sterile Stoma Opening Size Up to 1-3/4 Inch Stoma System Match Red Code System Type Two-Piece System UNSPSC Code 42312104

2 Blue Blotting (1-1/2" x 21")

Avanos Medical Sales LLC Low Profile Gastrostomy Tube Kit MIC-Key® 16 Fr. 3.5 cm Tube Silicone Sterile #0120-16-3.5 Ostomy Accessories Manufacturer # 6390 Country ofUOM 1 Per Each Features MIC KEY gastrostomy feeding tube sits at skin level and has an inflatable internal retention balloon Design features an inflatable internal retention balloon and connects with MIC KEY* extension sets via a lock and key style connection Low profile design Radiopaque stripe Recessed distal tip Product Specifications Manufacturer# 0120 16 3. 5 Brand MIC Key Manufacturer Avanos Medical Sales LLC Country of Origin Mexico Application