ARGININE WITH CARBOHYDRATE
arginine with carbohydrate containing 5 g arginine powder for oral liquid, 30 x 7.6
g sachets
Body System:
Manner of administration:Oral
Restriction
Indication: Urea cycle disorders
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: $881.92 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Arginine 5000 | |||||
arginine with carbohydrate containing 2 g arginine powder for oral liquid, 30 x 4
g sachets
Body System:
Manner of administration:Oral
Restriction
Indication: Urea cycle disorders
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: $668.64 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Arginine 2000 | |||||
arginine with carbohydrate containing 500 mg arginine powder for oral liquid, 30 x
4 g sachets
Body System:
Manner of administration:Oral
Restriction
Indication: Urea cycle disorders
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: $448.68 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Arginine 500 | |||||