ESSENTIAL AMINO ACIDS FORMULA

essential amino acids formula powder for oral liquid, 2 x 200 g

ESSENTIAL AMINO ACIDS FORMULA (9329B)

essential amino acids formula powder for oral liquid, 2 x 200 g
9329B
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: $1,033.62 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Essential Amino Acid Mix