MODIFIED LONG CHAIN AMYLOPECTIN

modified long chain amylopectin powder for oral liquid, 30 x 60 g sachets
Manner of administration:Oral
General Schedule
Restricted Benefit

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