AMINO ACID FORMULA WITH FAT, CARBOHYDRATE WITHOUT PHENYLALANINE AND TYROSINE

amino acid formula with fat, carbohydrate without phenylalanine and tyrosine modified release tablet, 6 x 77

AMINO ACID FORMULA WITH FAT, CARBOHYDRATE WITHOUT PHENYLALANINE AND TYROSINE (12015J)

amino acid formula with fat, carbohydrate without phenylalanine and tyrosine modified release tablet, 6 x 77
12015J
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

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: $2,291.08 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
TYR Easy Tablet