AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS, WITHOUT PHENYLALANINE AND TYROSINE
amino acid formula with fat, carbohydrate, vitamins, minerals and trace elements,
without phenylalanine and tyrosine powder for oral liquid, 30 x 34 g bottles
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS, WITHOUT PHENYLALANINE AND TYROSINE (10934L)
10934L
Body System:
Manner of administration:Oral
Restriction
Indication: Tyrosinaemia
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: $2,827.16 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| TYR Easy Shake & Go | |||||