AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE
amino acid formula with vitamins and minerals without methionine powder for oral liquid,
30 x 29 g sachets
AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE (12273Y)
12273Y
Body System:
Manner of administration:Oral
Restriction
Indication: Pyridoxine non-responsive homocystinuria
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: $3,359.96 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| HCU Lophlex | |||||