Source	General Schedule
Body System	VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS

Note

Restricted Benefit

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
14650CMPNP	GLYCOMACROPEPTIDE FORMULA WITH AMINO ACIDS AND LOW PHENYLALANINE glycomacropeptide formula with amino acids and low phenylalanine powder for oral liquid, 30 x 12.5 g sachets (PI, CMI)	5	5	5	$1317.87	$31.60	$31.60
	Available brands
	PKU GMPro MIX-IN