Nepro with Carb Steady is therapeutic nutrition specifically designed to help meet the nutritional needs of patients on dialysis (Stage 5 chronic kidney disease). For oral or tube feeding. For supplemental or sole-source nutrition. Excellent source of high-quality protein (19.1 g /8 fl oz) to help meet nutritional needs and replace protein lost during dialysis. A good source of fiber including prebiotics. Gluten-free; suitable for lactose intolerance. This listing is for quantity of Pkg of 24.