AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES
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 |
10522TMPNP |
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and
medium chain triglycerides powder for oral liquid, 400 g
(PI,
CMI)
|
8 |
8 |
5 |
$344.35 |
$31.60 |
$31.60 |
Available brands |
Alfamino Junior |
space
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES
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 |
10527CMPNP |
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and
medium chain triglycerides powder for oral liquid, 400 g
(PI,
CMI)
|
8 |
8 |
5 |
$344.35 |
$31.60 |
$31.60 |
Available brands |
Alfamino Junior |
space
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES
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 |
11161KMPNP |
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and
medium chain triglycerides powder for oral liquid, 400 g
(PI,
CMI)
|
8 |
8 |
5 |
$344.35 |
$31.60 |
$31.60 |
Available brands |
Neocate Junior |
space
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES
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 |
11183NMPNP |
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and
medium chain triglycerides powder for oral liquid, 400 g
(PI,
CMI)
|
8 |
8 |
5 |
$344.35 |
$31.60 |
$31.60 |
Available brands |
Neocate Junior |
space
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES
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 |
12643KMPNP |
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and
medium chain triglycerides powder for oral liquid, 800 g
(PI,
CMI)
|
4 |
4 |
5 |
$336.55 |
$31.60 |
$31.60 |
Available brands |
Essential Care Jr |
space
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES
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 |
12650TMPNP |
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND
MEDIUM CHAIN TRIGLYCERIDES amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and
medium chain triglycerides powder for oral liquid, 800 g
(PI,
CMI)
|
4 |
4 |
5 |
$336.55 |
$31.60 |
$31.60 |
Available brands |
Essential Care Jr |
space
- Legend
- MPMedical Practitioner
- NPNurse Practitioner