| NURSERY INTERMEDIATE | ||
| SERVICE CHARGE CODE | SERVICE DESCRIPTION | SERVICE CHARGE PRICE |
| 1601583 | ENFAMIL HUMAN MILK FORTIFIER | 396.46 |
| 1633303 | PREGESTIMIL W/MCT OIL 20CAL 3OZ BOT/PK | 62.89 |
| 1670635 | ENFACARE NURSETTE 22CAL 3OZ BOT/PK | 53.59 |
| 1670636 | ENFAMIL PRM 24CAL 3OZ BOT/PK | 53.59 |
| 1670637 | ENFAMIL PRM 20CAL 3OZ BOT/PK | 53.59 |
| 1670638 | ENFAMIL AR LIPIL NR 20CAL 3OZ BOT/PK | 53.59 |