Abstract: Learning Outcome: Describe the Oral Nutrition Supplement (ONS) delivery program at AVAMC. List three key factors to improve the success of ONS Delivery program. Describe impact of ONS program on patient outcomes. Background: Previous research indicated that, on average, 40% of Veterans were at risk of Malnutrition, while 15% were malnourished in hospital. The project aimed to determine if the VA-initiated Oral Nutrition Supplement (ONS) program dampens the impact of Malnutrition. Methods: Data was collected retrospectively using ONS audit form between June - December 2023. It included: 1. Identification of Malnutrition using NFPE, and monitoring of ONS supply. 2. Communication between pharmacy and dietitian. 3. The duration of ONS received by Veterans. Results: Of 43 chart audits, only 41 were analyzed, as two patients died and were excluded. All patients received ONS from the AVAMC outpatient pharmacy. The majority of the Veterans were African American males. More than 50% had an oncology diagnosis, 63.4% had a chronic disease, 26.8% of patients had substance/alcohol use, and 15% had food insecurity. Dietitian Intervention: Almost 73% of patients had an initial nutritional assessment, and 48.7% met ASPEN/AND Malnutrition criteria. Almost 53.6% (22) of patients who started on ONS received a 30-day supply. Nearly 48.7% (20) RTC for dietitian appointments. While 36.5% of patients received ONS for over a year, 17% were followed by dietitians. The dietitian offered alternatives to three patients who did not get ONS due to backorder. The chi-square test revealed a significant relationship between the duration of ONS and oncology diagnosis. Conclusion: The project focused on enhancing dietitians’ and interdisciplinary team members’ awareness of the ONS program at AVAMC. The dietitians must be vigilant about Malnutrition documentation to ensure the program’s efficiency.