TRIGLYCERIDES LONG CHAIN WITH GLUCOSE POLYMER
triglycerides long chain with glucose polymer oral liquid, 6 x 1 L cartons
Body System:
Manner of administration:Oral
Restriction
Indication: Proven inborn errors of protein metabolism
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: $714.04 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| ProZero | |||||