ESSENTIAL AMINO ACIDS FORMULA WITH VITAMINS AND MINERALS

essential amino acids formula with vitamins and minerals powder for oral liquid, 30 x 12.5 g sachets

ESSENTIAL AMINO ACIDS FORMULA WITH VITAMINS AND MINERALS (13759E)

essential amino acids formula with vitamins and minerals powder for oral liquid, 30 x 12.5 g sachets
13759E
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Gyrate atrophy of the choroid and retina

Restriction

Indication: Urea cycle disorders
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 6 Max qty units: 6 # of repeats: 5 DPMQ: $1,182.30 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
EAA Supplement