PROTEIN HYDROLYSATE FORMULA WITH MEDIUM CHAIN TRIGLYCERIDES
protein hydrolysate formula with medium chain triglycerides powder for oral liquid,
450 g
Body System:
Manner of administration:Oral
Restriction (Streamlined authority code: 6174)
Indication: Cows' milk protein enteropathy and intolerance to soy protein
Treatment phase: Initial treatment
Restriction (Streamlined authority code: 6193)
Indication: Cows' milk protein enteropathy and intolerance to soy protein
Treatment phase: Continuing treatment
Restriction (Streamlined authority code: 6204)
Indication: Cows' milk protein enteropathy and intolerance to soy protein
Restriction (Streamlined authority code: 6137)
Indication: Proven combined immunoglobulin E (IgE) mediated allergy to cows' milk protein and
soy protein
Treatment phase: Initial treatment for up to 6 months
Restriction (Streamlined authority code: 6182)
Indication: Proven combined immunoglobulin E (IgE) mediated allergy to cows' milk protein and
soy protein
Treatment phase: Continuing treatment
Restriction (Streamlined authority code: 6194)
Indication: Biliary atresia
Restriction (Streamlined authority code: 6157)
Indication: Chronic liver failure with fat malabsorption
Restriction (Streamlined authority code: 6205)
Indication: Chylous ascites
Restriction (Streamlined authority code: 6195)
Indication: Cystic fibrosis
Restriction (Streamlined authority code: 6158)
Indication: Enterokinase deficiency
Restriction (Streamlined authority code: 6166)
Indication: Proven fat malabsorption
Restriction (Streamlined authority code: 6148)
Indication: Severe diarrhoea of greater than 2 weeks duration
Restriction (Streamlined authority code: 6138)
Indication: Severe intestinal malabsorption including short bowel syndrome
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: $202.96 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Aptamil Gold+ Pepti-Junior | |||||