PROTEIN FORMULA WITH AMINO ACIDS, CARBOHYDRATES, VITAMINS AND MINERALS WITHOUT PHENYLALANINE, AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACID
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 |
---|---|---|---|---|---|---|---|
10658YMPNP | PROTEIN FORMULA WITH AMINO ACIDS, CARBOHYDRATES, VITAMINS AND MINERALS WITHOUT PHENYLALANINE,
AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACID protein formula with amino acids, carbohydrates, vitamins and minerals without phenylalanine, and supplemented with docosahexaenoic acid oral liquid, 30 x 130 mL pouches (PI, CMI) |
5 | 5 | 5 | $1826.67 | $31.60 | $31.60 |
Available brands | |||||||
PKU Easy |
- Legend
- MPMedical Practitioner
- NPNurse Practitioner