GLYCOMACROPEPTIDE FORMULA WITH DOCOSAHEXAENOIC ACID AND LOW 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
13257RMPNP GLYCOMACROPEPTIDE FORMULA WITH DOCOSAHEXAENOIC ACID AND LOW PHENYLALANINE
glycomacropeptide formula with docosahexaenoic acid and low phenylalanine oral liquid, 15 x 237 mL bottles (PI, CMI)
8 8 5 $1984.43 $31.60 $31.60
Available brands
PKU Sphere Liquid
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  • NPNurse Practitioner