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Enteral Nutrition ProgramByram Healthcare is committed toproviding the best possible products andservice to our customers. We provide ahigh level of clinical monitoring andcontinuous care to patients in the homethrough our enteral nutrition program.Program Features:n Skilled Nutrition Team: Workswith healthcare professionals toaddress specific patient needsn Enteral Nutrition Department:Phone: 1-866-447-4611Fax: 1-866-447-4426
Enteral Nutrition ProductsPRIVATE INSURANCE AND MANAGED CAREByram will work directly with your insurance company toensure that you receive your full benefits. Since medicalsupply coverage and reimbursement varies by health plan, wewill be happy to investigate your supply coverage with yourinsurance company.MEDICAIDByram participates in a growing number of state Medicaidprograms. Our customer service representatives will be happyto discuss your particular state’s coverage of medical supplies.Nutritional Supllements.N-186Oral & Tube Feeding Formulas: Pediatric.N-188Tube Feeding Formulas: Adult .N-189Feeding Pumps & Accessories.N-191CUSTOMER SERVICEOur customer service team is committed to your satisfaction.Our representatives have extensive product andreimbursement knowledge to make ordering easy andconvenient. If you do not see the product you are looking for inthe catalog, or have any questions, contact our customerservice department for assistance toll-free at 1-866-447-4611.SHIPPINGThere is no charge for shipping on orders over 50. Mostorders will ship the same day by UPS Ground or via PriorityMail through the US Post Office. This provides you with prompt,reliable nationwide delivery. Express shipping options areavailable.PRIVACY POLICYByram adheres to state and federal laws complying with theconfidentiality of business and customer privacy, including thefederal HIPAA (Health Insurance Portability and AccountabilityAct) regulations. If you would like a copy of our Privacy Policy,please visit our website or contact us and we will gladly mailyou our policy.Disclaimer: The reimbursement information provided by Byram Healthcare is intended to provide general information relevant to coding and reimbursementof Byram Healthcare’s products only. Coverage and payment policies for the same insurer can vary from one region to another and may change from time totime because of ongoing changes in government and insurance industry rules and regulations. Therefore, please confirm HCPCS Codes with your local DMEMAC, private insurer, or Medicaid agency before processing claims. Byram Healthcare does not guarantee coverage or payment of its products listed herein.To place an order: 1-866-447-4611Visit us online: www.byramhealthcare.com
NutritionNUTRITIONAL SUPPLEMENTSReimbursement of nutritional products varies by Medicaid orindividual insurance plans. Please consult with our nutrition teamregarding your specific needs.NUTRITIONAL SUPPLEMENTSBoost HCPCS: B4150Boost is a nutritionally complete, great-tasting nutritional supplement.Boost provides a balance of essential vitamins and minerals thathelps you both physically and mentally. Boost can be taken as a snackbetween meals, or in place of a meal. 240 calories per 8 oz. serving.Item24/Case8 oz. eaOrder awberryBoost Glucose ControlHCPCS: B4154Great for people with diabetes. Contains a unique blend ofcarbohydrates designed to help manage blood glucose levels. BOOSTGlucose Control has been fomulated as both a meal replacement and alight snack. The meal replacement comes in a convenient brik pack.Item27/Cs8 oz eaOrder awberryBoost Plus ENSURE ENLIVE! HCPCS: B4102This 200 calorie tangy, clear liquid nutritional supplement contains21 essential vitamins and minerals. It is an excellent fat-free source ofprotein. Recommended for those on a fat restricted diet and for thosewho don’t enjoy creamy supplements.Item32/Cs6.7 oz. ea.Item24/Cs8oz eaItem24/Cs8 oz eaOrder #NE33896NE38940FlavorChocolate colateHomemade VanillaStrawberries & CreamButter PecanHCPCS: B4150This high protein drink can be especially helpful to individuals postsurgery because it provides extra protein needed for muscle and bonerepair. Also provides supplemental amino acids essential to the healingprocess. Helps regulate hormones and enzymes and supports themanufacture of red blood cells. 230 calories per serving.ENSURE Plus This high calorie nutritional drink can be taken as a supplementto a regular diet or used as a complete meal replacement. Helpsindividuals to gain or maintain their body weight. Appropriate forlow-sodium, low-cholesterol or carbohydrate-controlled diets. Kosher.Lactose, gluten and cholesterol free. Low-residue. 375 calories per8 oz serving.Order #ENSURE High ProteinItem24/Cs8 oz eaFlavorChocolateVanillaStrawberryFlavorAppleMixed BerryHCPCS: B4150This product provides a source of complete, balanced nutrition thatcan be used as a snack or as a meal replacement. Use this product toensure that you meet recommended daily nutritional requirements.250 calories per serving.Item24/Cs8 oz eaOrder #NV093239NV093139NV093338Order #RL56640RL56642ENSURE HCPCS: B4152Boost Plus provides 360 calories in a tasty 8oz serving. Thisnutritionally complete oral supplement helps individuals gain ormaintain their weight. Each serving contains 14 grams of high-qualityprotein to help build muscles and skin.Carnation Instant Breakfast Lactose Free PlusHCPCS: B4152N-186NUTRITIONAL SUPPLEMENTSOrder #RL52098RL52100RL52104FlavorCreamy ChocolateHomemade VanillaWild BerryHCPCS: B4152This nutritional supplement can be helpful to anyone who hasdifficulty maintaining his or her weight. It is especially helpful forpatients undergoing chemotherapy or radiation therapy. Providesconcentrated calories to help individuals gain or maintain their weight.Contains probiotics for a healthy immune system. 360 calories perserving.Item24/Cs8oz eaOrder #RL50466RL50464RL50646FlavorCreamy Milk ChocolateHomemade VanillaStrawberry
Nutrition1-866-447-4611NUTRITIONAL & SPECIALTY SUPPLEMENTSNUTRITIONAL SUPPLEMENTSNUTRITIONAL SUPPLEMENTSGLUCERNA ShakeHCPCS: B4154If you have diabetes, maintaining a healthy balance of blood glucose isvery important. A Glucerna shake contains a blend of slowly digestedcarbohydrates, dietary fiber and fructose. This specialized blend ofcarbohydrates produces a lower blood glucose response which meansthat a Glucerna Shake will not cause your blood glucose to rise asquickly or as high as with a standard medical nutritional beverage.220 calories per can.Item24/Cs8 oz. ea.Order #RL54544RL54328RL56052RL54326FlavorChocolate GoodnessHomemade VanillaStrawberryBetter Butter PecanGlucerna SnackHCPCS: B9998For people with diabetes. Kosher dairy. 1 carb choice. 1-4 oz. bar.Item4/BoxOrder #RL56957FlavorChocolate CaramelNeproHCPCS: B4154For people on dialysis from the makers of ENSURE. Great tastinghigh-protein, low phosphorus and low potassium. Carb steady blenddesigned to help manage blood sugar.Item24/Cs8 oz eaOrder #RL53624FlavorVanillaPeptamen HCPCS: B4153Peptamen Complete Isotonic Liquid Elemental Diet is formulatedto provide complete or supplemental nutritional support in an easilyabsorbed form for patients with impaired gastrointestinal function.Not for parenteral use. Use under medical supervision 250 caloriesper can. 8oz serving.Item24/Cs8 oz. ea.Order #NE16269NE16260FlavorUnflavoredVanillaPeptamen OS 1.0HCPCS: B4153The trusted, well-tolerated GI formula that tastes great. 100% wheybased to facilitate gastric emptying. 20% of calories from protein.Lactose-free.Item27/Cs8 oz. ea.Order #NE37149000RESOURCE BreezeHCPCS: B4102Delicious, fat-free, clear fruit-flavored nutritional supplement.Intended for those individuals who cannot consume a sufficient intakeof calories to meet their daily nutritional requirements. This product isa medical food. Consumers should consult with their physician on theuse of this product. 250 calories per 8 oz serving.Item24/Cs8 oz. ea.Order #NV186200NV186400NV186600FlavorOrangePeachWild BerrySuplena Carb SteadyHCPCS: B4150A low protein diet may make the work of the kidneys easier. Lowprotein, low potassium, low sodium. Carb steady blend designed tohelp manage blood sugar. Great tasting. Kosher. From the makers ofENSURE . Concentrated calories.Item24/Cs8 oz eaOrder #RL62088FlavorVanillaSPECIALTY FORMULA & SUPPLEMENTSArginaidHCPCS: B4155For patients recovering from burns, surgery, or chronic wounds. Eachserving contains 4.5 g of L-arginine along with supplemental vitaminsC and E. Mixes quickly and easily with water.Item56/Box0.3 oz. ea.Order VENHCPCS: B4155Targeted nutritional therapy helps build and maintain lean bodymass, heal and recover from illness, surgery or wounds. In people withcertain illness-related weight loss. Ask your health care professional ifJUVEN is right for you.Item30 Pkts/Cs0.85 oz. ea.Order #RL58012FlavorOrangeFlavorVanillaPeptamen OS 1.5HCPCS: B4153The trusted, well-tolerated high-calorie GI formula that tastes great.100% whey-based to facilitate gastric emptying. 20% of calories fromprotein. Lactose-free.Item27/Cs8 oz. ea.Order #NE37122900FlavorVanillaN-187
NutritionSPECIALTY SUPPLEMENTS & PEDIATRIC FORMULASSPECIALTY FORMULA & SUPPLEMENTSORAL & TUBE FEEDING FORMULA: PEDIATRICEnsure Clinical StrengthHCPCS: B4152Proper nutrition is important when you’re trying to bounce back. EnsureClinical Strength has Revigor (source of HMB, an amino acid metabolite)and also is an excellent source of protein to help rebuild muscle andstrength naturally lost over time. Immune Balance to support digestivetract health and the immune system. Focused clinical nutrition for yourhealth goals.Nutren JuniorItem24/Cs8 oz. ea.Item24/Cs8 oz. eaOrder #RL56564RL56562FlavorHomemade VanillaMilk ChocolateEnsure Muscle HealthHCPCS: B4150You can lose 8% of your muscle every 10 years after you turn 40. EnsureMuscle Health has RevigorTM (source of HMB, an amino acid metabolite) and also is an excellent source of protein to help rebuild muscle andstrength naturally lost over time.Item24/Cs8 oz. ea.Order #RL56558RL56560FlavorHomemade VanillaMilk ChocolateORAL & TUBE FEEDING FORMULA: PEDIATRICHCPCS: B4160Boost Kid Essentials 1.0Specially designed packaging and formula for children ages 1-13. Richin calcium to help grow strong bones. May be consumed orally or usedfor tube feeding.Item27 Cans/Cs237 ml eaOrder ateStrawberryBoost Kid Essentials 1.5HCPCS: B4160Specially designed packaging and formula for children ages 1-10.Delivers more calories in less volume. Rich in calcium to help growstrong bones. May be consumed orally or used as a tube feeding.Item27/Cs237 ml eaOrder #NE335400NE335800FlavorVanillaChocolateEleCare with DHA/ARAHCPCS: B4161Elecare is a nutritionally complete elemental formula specificallyindicated for infants and children who need an amino acid-basedmedical food or who cannot tolerate intact or hydrolyzed protein.Elecare vanilla is for children 1 year and older. For oral or tube feeding.Item6/Cs14 oz. canisterOrder #RL59405RL53510FlavorVanillaUnflavoredHCPCS: B4160Complete calorie-dense liquid nutrition that can be used for completeor supplemental nutrition support of children. Appropriate for eithershort or long-term tube feeding of GI impaired children from ages1 to 10. Available with or without added fiber. Use requires medicalsupervision.FlavorVanilla w/fiberVanillaPediaSure Oral &Enteral FormulaHCPCS: B4160This nutritionally complete, balanced formula was developed forchildren ages 1-10. Available in either Oral or Enteral formula. May beused as the sole source of nutrition or as a supplement. Not intendedfor infants under 1 year of age unless specified by a physician. Use onlyunder medical supervision. 237 calories per 8 oz serving.Oral FormulaItem24/Cs8 oz. ea.Enteral FormulaItem24/Cs8 oz. eaOrder aStrawberryBananaOrder #RL51804RL51806FlavorVanillaVanilla w/FiberPeptamen Jr.HCPCS: B4161For the nutritional support of GI-impaired children ages 1-10. Balancedpeptide profile to support nitrogen absorption and growth. 100%whey-based to facilitate gastric emptying. High MCT level to decreasepotential for fat malabsorption.Item24/Cs250 ml eaOrder #NE16253NE16252Similac Advance EarlyshieldFlavorUnflavoredVanillaHCPCS: B4158Breast milk is recommended. If you feed formula, the makers ofSimilac have a formula that’s right for your baby. Ask your doctor.DHA and ARA special nutrients found in breast milk. Early shield forimmune support. New & improved formula, same trusted nutrition.Kosher Dairy. Designed to be more like breast milk. Early shield (R):immune support, strong bones, brain & eye.Item6/Cs12.9 oz. canisterRe-order your supplies online at: www.byramhealthcare.comN-188Order #NE16063NE16062Order #RL55957
Nutrition1-866-447-4611PEDIATRIC & ADULT FORMULASORAL & TUBE FEEDING FORMULA: PEDIATRICTUBE FEEDING FORMULAS: ADULTVital Jr.HCPCS: B4161A semi-elemental for the nutritional needs of children, ages 1-13years with malabsorption, maldigestion and other GI conditions. Forsupplemental or sole-source nutrition. For oral or tube feeding.Item24/Cs8 oz. eaOrder #RL56389FlavorVanillaFibersource HNHCPCS: B4150Fibersource HN is a tube-feeding formula that provides concentratednutrition and a blend of soluble and insoluble fiber. Can also beingested by mouth. NutriShield added to the formula, provides alevel of microbial protection only available from Nestle Nutrition.Fibersource HM provides concentrated nutrition with 300 calories per8 oz serving. 100% soy protein. To be used under medical supervision.Order #NV185500FlavorVanillaJevity 1 CalHCPCS: B4150JEVITY 1 CAL is a fiber-fortified tube-feeding formula forsupplemental or sole-source nutrition. May be used for oral feedingof patients with altered taste perception. Provides protein to supportlean body mass and wound healing. Kosher. Lactose and gluten free.Not for parenteral use. Use under medical supervision. 250 calories per8 oz serving.Item24/CsOrder #RL143Size8 oz.Nepro HCPCS: B4154Specialized complete nutrition contains FOS for electrolyte and fluidrestrictions. Use for tube feeding or as an oral feeding supplement.Can be used as used for sole-source nutrition. Kosher. Lactose andgluten free. Not for parenteral use. Requires medical supervision. 450calories per 8 oz serving.Item24 /Cs8 oz. ea.HCPCS: B4154Novasource Renal is a tasty, calorie dense nutritionally completeproduct formulated to meet the special needs of renal-impairedindividuals. Its protein, vitamin and mineral profile meets the needs ofpatients with chronic or acute renal failure that requires electrolyte orfluid restriction. This is a medical food. Consumers should consult theirphysician on the use of this product. 475 calories per 8 oz serving.Item24/Pk8 oz. ea.TUBE FEEDING FORMULAS: ADULTItem24/Case8 oz.Novasource RenalOrder #RL53624RL53627RL53630FlavorHomemade VanillaButter PecanMixed BerryByram stocks otherJevity Family ProductsOrder #NV351100FlavorVanillaNutren CompleteLiquid Nutrition 1.0HCPCS: B4150Nutren 1.0 may be used for either complete or supplementalnutritional support. It is ideal for patients who require either shortterm or long term tube feeding. This product has been formulated forindividuals who have normal protein and calorie requirements. Notfor parenteral use. Requires medical supervision. 250 calories per 8 ozserving.Item24/Cs8 oz. ea.Order #NE16056NE16210FlavorVanilla w/FiberVanillaNutren CompleteLiquid Nutrition 1.5HCPCS: B4152Nutren 1.5 may be used for either complete or supplementalnutritional support. It is ideal for patients who require either shortterm or long term tube feeding. This product has been formulatedfor individuals with increased calorie requirements and/or a fluidrestriction. Not for parenteral use. Requires medical supervision.375 calories per 8 oz serving.Item24/Cs8 oz. ea.Order #NE16220FlavorVanilla w/FiberNutren CompleteLiquid Nutrition 2.0HCPCS: B4152Nutren 2.0 may be used for either complete or supplementalnutritional support. It is ideal for patients who require either shortterm or long term tube feeding. This product has been formulated forindividuals with very high calorie requirements and/or a severe fluidrestriction. Not for parenteral use. Requires medical supervision.500 calories per 8 oz serving.Item24 /Cs8 oz.Order #NE16230FlavorVanillaIn addition to the Jevity products shown in thiscatalog, Byram stocks the following: Jevity 1.2 Caland Jevity 1.5 Cal. If you wish to order theseitems, a Byram customer service representativewill be happy to help you.N-189
Nutrition1-866-447-4611FEEDING PUMPS & ACCESSORIESENTERAL FEEDING PUMPS, ACCESSORIES & SETSENTERAL FEEDING PUMPS, ACCESSORIES & SETSKangaroo Joey Feeding Pumps, Accessories and Sets Aninnovation from Covidien that provides feeding and programmableflushing in a completely portable device. The first hydratingambulatory enteral device available, Covidien’s Kangaroo Joey Pumpassures clinicians of accurate and reliable function while providingpatients with freedom and mobility. Pumping Mechanism – Rotary peristaltic Operating Range: 1-400 ml/hour in 1 ml/hr increments Delivery Volume: 1-3000ml in 1 ml/hr increments Accuracy: /- 7% Occlusion Pressure: 15psi Battery Life: 18 hours at 125 ml/hr Memory: 72 hours Dimensions: 4.1” x 5.1” x 3.6” Weight: 1.7 lbs, w/pole clamp 2.3 lbs Alarms: 8 options Multilingual: 15 Languages Warranty: One year (pump) DEHP-free pump sets Anti-free-flow pump setsItemKangaroo Joey Enteral Feeding Pump withPole ClampOrder #KE383400SHCPCS: B9002Kangaroo Joey Pole ClampKE383493Kangaroo Joey Flexible Pole ClampKE383494Kangaroo Joey Power CordKE383491Kangaroo Joey Proximal SpikeKE764655Kangaroo Joey 500 mL Pump SetKE762055HCPCS: B4035Kangaroo Joey 1000 mL Pump SetKE763656HCPCS: B4035Kangaroo Joey Proximal Spike Setw/ 1000 mL Flush BagKE764669HCPCS: B4035Kangaroo Joey 1000 mL Pump Setw/ 1000 mL Flush BagKE763662HCPCS: B4035*For use with Nestle SpikeRight System(Nestle and SpikeRight are trademarks of the Societe des Produits Nestle S.A., Vevey, Switzerland.)Tips and TimesaversA typical MIC-KEY button can last from severalmonths to an entire year. A number of factorscan affect the life of the button includingmedications, stomach acid, site care, andinfections. If the balloon deflates, the MIC-KEYbutton should be replaced immediately.Kangaroo 924 Feeding Pumps, Accessories and SetsWhen ease of use, accuracy and dependability matter, the Kangaroo924 Enteral Feeding Pump delivers it all. Pumping Mechanism: Rotary peristaltic Operating Range: 1-300 ml/hr in 1 ml/hr increments Delivery Volume: 1-2000 ml in 1 ml increments Accuracy: /- 10% Occlusion Pressure: 12 psi Battery: Nickel Metal Hydride, Rechargeable Battery Life: 16 hours at 125 ml/hr Memory: 24 hours Dimensions: 7.25” x 6.6” x 4.33” Weight: 3.89 lbs Alarms: 6 options Multilingual: 13 languages Warranty: One year (pump) DEHP-free pump sets Anti-free-flow pump setsItemOrder #Kangaroo 924 Enteral Feeding Pump with Pole Clamp KE392455SHCPC: B9002Kangaroo 924 Proximal Spike SetKE774625HCPC: B4035Kangaroo 924 500 mL Pump SetKE772025HCPC: B4035Kangaroo 924 1000 mL Pump Set (Individual Pack)KE773621HCPC: B4035*For use with Nestle SpikeRight System(Nestle and SpikeRight are trademarks of the Societe des Produits Nestle S.A., Vevey, Switzerland. )Kangaroo Pump Set with easy Cap Closure with IcePouch Kangaroo HCPCS: B4035Kangaroo Pump Sets for use with all Kangaroo 224, Kangaroo 324,Kangaroo PET and Kangaroo Control Enteral Feeding PumpsOrder temProximal Spike SetEZ Cap 500 mL Pump SetEZ Cap 1000 mL Pump SetEZ Cap 1600 mL Pump SetEZ Cap 500 mL Pump Set - SterileEZ Cap 1000 mL Pump Set - SterileENTERAL FEEDING PUMP ACCESSORIESHCPCS: B4036Item1000 mL Large Bore Gravity Set (Non-Sterile)500 mL Intermittent Feeding Set withProximal Spike (Non-Sterile)1000 mL Large EZ Cap Opening (DEHP-Free)(Non-Sterile)1000 mL Gravity Set (Non-Sterile)1000 mL Gravity Set (Sterile)Order #KE702505KE702605KE702520KE702500KE712300N-191
Enteral Nutrition Products Disclaimer: The reimbursement information provided by Byram Healthcare is intended to provide general information relevant to coding and reimbursement of Byram Healthcare’s products only. Coverage and payment policies for the same insurer can va
