TRIGLYCERIDES MEDIUM CHAIN AND LONG CHAIN WITH GLUCOSE POLYMER
triglycerides medium chain and long chain with glucose polymer powder for oral liquid,
400 g
TRIGLYCERIDES MEDIUM CHAIN AND LONG CHAIN WITH GLUCOSE POLYMER (3136C)
3136C
Body System:
Manner of administration:Oral
Restriction
Indication: Proven inborn errors of protein metabolism
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 8 | Max qty units: 8 | # of repeats: 5 | DPMQ: $240.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Duocal | |||||