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American Health Care Services, Inc. offers competitive pricing through outstanding purchasing power and by honoring group purchasing contracts. While others focus solely on pricing. American Health Care Services, Inc. recognizes that not only our pricing, but also our SERVICES & SUPPORT will retain you as long term customers.

Our competitors cannot offer the personalized services and support that we have been providing for our mursing communities and home care customers throughout the Delaware Valley for over 20 years.

Two Cal RTH, 1000ML

Two Cal RTH, 1000ML

TwoCal® HN, Ready to Hang, 1000ML

HCPCS Code:  B4152

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Calorie and Protein Dense Nutrition

  • TWOCAL® HN is a nutritionally complete, high-calorie formula designed to meet the increased protein and calorie needs of stressed patients and patients requiring low-volume feedings.
  • For tube or oral feeding.
  • Often provided in 2-fl-oz amounts QID with Med Pass programs to assist with weight gain or maintenance.
  • For supplemental or sole-source nutrition.
  • Use under medical supervision.


  • 2 Cal/mL to help patients gain and maintain healthy weight.
  • Protein to help support lean body mass and wound healing.
  • Meets or exceeds 25% of the RDI for 24 essential vitamins and minerals in 8 fl oz.
  • 1.2 g of NutraFlora® scFOS®*/8 fl oz (5 g/L). scFOS are prebiotics that stimulate the growth of beneficial bacteria in the colon.
  • Halal.
  • Kosher.
  • Gluten-free.
  • Low-residue.
  • Suitable for lactose intolerance.
Feeding sets are for single-patient use only. Use clean technique to avoid set and/or product contamination


  • Not for IV use.
  • Not for people with galactosemia. 


Serving Size: 1000 mL

Amount Per Serving % DV % RDI*
    Nutrient Density, Cal/mL:2.0    
    Protein, % Cal:16.7    
    Carbohydrate, % Cal:43.2    
    Fat, % Cal:40.1    
    Cal to Meet 100% RDIs:1900    
    mL to Meet 100% RDIs:948    
    Total Cal:g Nitrogen:149:1    
    Nonprotein Cal:g Nitrogen:126:1    
    Osmolality, mOsm/kg H2O:725    
    Renal Solute Load, mOsm/L:656    
    Viscosity:Nectar-Like (Room Temperature and Chilled)    
    Minimum Tube Size for Gravity/Pump Feeding (Fr):Not Recommended/8    
Nutrient Data
Protein, g:83.5    
Fat, g:90.5    
Carbohydrate, g:218.5    
    Dietary Fiber, g: 5.0    
L-Carnitine, mg:160    
Taurine, mg:160    
Water, g/mL/cc:700    
Vitamin A, IU:5270   105 
Vitamin D, IU:425   105 
Vitamin E, IU:51   170 
Vitamin K, mcg:85   105 
Vitamin C, mg:320   535 
Folic Acid, mcg:675   170 
Thiamin (Vitamin B1), mg:2.6   175 
Riboflavin (Vitamin B2), mg:2.9   170 
Vitamin B6, mg:3.4   170 
Vitamin B12, mcg:10   165 
Niacin, mg:34   170 
Choline, mg:635   Not established 
Biotin, mcg:510   170 
Pantothenic Acid, mg:17   170 
Sodium, mg:1450   Not established 
Sodium, mEq:63.6    
Potassium, mg:2440   Not established 
Potassium, mEq:62.6    
Chloride, mg:1810   53 
Chloride, mEq:51.2    
Calcium, mg:1050   105 
Phosphorus, mg:1050   105 
Magnesium, mg:425   105 
Iodine, mcg:160   105 
Manganese, mg:5.3   265 
Copper, mg:2.1   105 
Zinc, mg:24   160 
Iron, mg:19   105 
Selenium, mcg:74   105 
Chromium, mcg:130   110 
Molybdenum, mcg:160   215 
* RDI percentages for adults and children 4 or more years of age.
5 g of fructooligosaccharides.


Water, Corn Syrup Solids, Sodium & Calcium Caseinates, Corn Maltodextrin, High Oleic Safflower Oil, Sugar (Sucrose), Medium-Chain Triglycerides, Canola Oil, Fructooligosaccharides, Potassium Citrate, Magnesium Chloride, Calcium Phosphate, Natural & Artificial Flavors, Soy Lecithin, Sodium Citrate, Ascorbic Acid, Choline Chloride, Taurine, L-Carnitine, Zinc Sulfate, Ferrous Sulfate, dl-Alpha-Tocopheryl Acetate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Palmitate, Folic Acid, Biotin, Chromium Chloride, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.
Contains milk and soy ingredients.