ESSENTIAL AMINO ACIDS FORMULA WITH MINERALS AND VITAMIN C

essential amino acids formula with minerals and vitamin C powder for oral liquid, 400 g

ESSENTIAL AMINO ACIDS FORMULA WITH MINERALS AND VITAMIN C (2027Q)

essential amino acids formula with minerals and vitamin C powder for oral liquid, 400 g
2027Q
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: 5 Max qty units: 5 # of repeats: 5 DPMQ: $523.63 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Dialamine