MODIFIED LONG CHAIN AMYLOPECTIN
modified long chain amylopectin powder for oral liquid, 30 x 60 g sachets
Body System:
Manner of administration:Oral
Restriction
Indication: Glycogen storage disease
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: $652.64 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Glycosade | |||||
