AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE

Source General Schedule
Body System VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10411YMPNP AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
amino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 174 mL pouch (PI, CMI)
4 4 5 $1681.17 $39.50 $39.50
Available brands
PKU Air 20
space


  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner