GLYCOMACROPEPTIDE AND ESSENTIAL AMINO ACIDS WITH VITAMINS AND MINERALS

glycomacropeptide and essential amino acids with vitamins and minerals bar, 7 x 81 g
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Phenylketonuria
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 14 Max qty units: 14 # of repeats: 5 DPMQ: $1,909.38 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Camino Pro Complete