TRIGLYCERIDES MEDIUM CHAIN FORMULA

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
10375CMPNP TRIGLYCERIDES MEDIUM CHAIN FORMULA
triglycerides medium chain formula oral liquid, 8 x 500 mL pouches (PI, CMI)
8 8 5 $718.02 $42.50 $42.50
Available brands
Nutrini Peptisorb
space


  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner