AMINO ACID FORMULA WITH CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS WITHOUT PHENYLALANINE
amino acid formula with carbohydrate, vitamins, minerals and trace elements without
phenylalanine powder for oral liquid, 30 x 20 g sachets
Body System:
Manner of administration:Oral
Restriction
Indication: Phenylketonuria
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 4 | # of repeats: 5 | DPMQ: $958.12 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| PKU Go | |||||