AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINE
amino acid formula with vitamins and minerals without methionine, threonine and valine
and low in isoleucine powder for oral liquid, 30 x 18 g sachets
Body System:
Manner of administration:Oral
Restriction
Indication: Methylmalonic acidaemia
Restriction
Indication: Propionic acidaemia
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: $1,744.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| MMA/PA Anamix Junior | |||||
amino acid formula with vitamins and minerals without methionine, threonine and valine
and low in isoleucine containing 5 g of protein equivalent powder for oral liquid,
30 x 12.5 g sachets
Body System:
Manner of administration:Oral
Restriction
Indication: Methylmalonic acidaemia
Restriction
Indication: Propionic acidaemia
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: $1,744.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| MMA/PA explore5 | |||||
amino acid formula with vitamins and minerals without methionine, threonine and valine
and low in isoleucine powder for oral liquid, 30 x 25 g sachets
Body System:
Manner of administration:Oral
Restriction
Indication: Methylmalonic acidaemia
Restriction
Indication: Propionic acidaemia
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: $2,560.72 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| MMA/PA express 15 | |||||
amino acid formula with vitamins and minerals without methionine, threonine and valine
and low in isoleucine powder for oral liquid, 400 g
Body System:
Manner of administration:Oral
Restriction
Indication: Methylmalonic acidaemia
Restriction
Indication: Propionic acidaemia
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: $634.40 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| MMA/PA Anamix infant | |||||