AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10258XMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral liquid: powder for, 30 x 36 g sachets (PI, CMI) |
4 | 4 | 5 | $869.51 | $31.60 | $31.60 |
Available brands | |||||||
PKU Anamix Junior |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
10411YMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 174 mL pouches (PI, CMI) |
4 | 4 | 5 | $1692.27 | $31.60 | $31.60 |
Available brands | |||||||
PKU Air 20 |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
12136RMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 28 g sachets (PI, CMI) |
4 | 4 | 5 | $1672.95 | $31.60 | $31.60 |
Available brands | |||||||
PKU Lophlex |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
1909LMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 34 g sachets (PI, CMI) |
4 | 4 | 5 | $1692.27 | $31.60 | $31.60 |
Available brands | |||||||
PKU express 20 |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
2382JMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 87 mL pouches (PI, CMI) |
4 | 4 | 5 | $849.63 | $31.60 | $31.60 |
Available brands | |||||||
PKU Cooler 10 |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
2474FMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 174 mL pouches (PI, CMI) |
4 | 4 | 5 | $1692.27 | $31.60 | $31.60 |
Available brands | |||||||
PKU Cooler 20 |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
2739EMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 500 g (PI, CMI) |
8 | 8 | 5 | $1109.55 | $31.60 | $31.60 |
Available brands | |||||||
XP Maxamum |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
2806QMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral semi-solid, 36 x 109 g tubs (PI, CMI) |
3 | 3 | 5 | $1520.64 | $31.60 | $31.60 |
Available brands | |||||||
PKU Lophlex Sensation 20 |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
5483NMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 85 g sachets (PI, CMI) |
4 | 4 | 5 | $868.55 | $31.60 | $31.60 |
Available brands | |||||||
PKU squeezie |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
8591EMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 25 g sachets (PI, CMI) |
4 | 4 | 5 | $1270.79 | $31.60 | $31.60 |
Available brands | |||||||
PKU express 15 |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
8746HMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral liquid, 18 x 250 mL (PI, CMI) |
5 | 90 | 5 | $852.52 | $31.60 | $31.60 |
Available brands | |||||||
Easiphen |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
8846NMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 130 mL pouches (PI, CMI) |
4 | 4 | 5 | $1270.11 | $31.60 | $31.60 |
Available brands | |||||||
PKU Cooler 15 |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
9021TMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 125 mL pouches (PI, CMI) |
4 | 4 | 5 | $1672.95 | $31.60 | $31.60 |
Available brands | |||||||
PKU Lophlex LQ 20 |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
9396MMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral liquid, 36 x 125 mL bottles (PI, CMI) |
4 | 4 | 5 | $1041.75 | $31.60 | $31.60 |
Available brands | |||||||
PKU Anamix Junior LQ |
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE
Source | General Schedule |
Body System | VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
9397NMPNP | AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE amino acid formula with vitamins and minerals without phenylalanine oral liquid, 60 x 62.5 mL pouches (PI, CMI) |
2 | 2 | 5 | $680.69 | $31.60 | $31.60 |
Available brands | |||||||
PKU Lophlex LQ 10 |
- Legend
- MPMedical Practitioner
- NPNurse Practitioner