AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDES
amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and
medium chain triglycerides powder for oral liquid, 400 g
AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDES (14797T)
14797T
Body System:
Manner of administration:Oral
Restriction
Indication: Cows' milk protein enteropathy
Treatment phase: Initial treatment for up to 6 months
Restriction
Indication: Severe cows' milk protein enteropathy with failure to thrive
Treatment phase: Initial treatment for up to 6 months
Restriction
Indication: Proven combined immunoglobulin E (IgE) mediated allergy to cows' milk protein and
soy protein
Treatment phase: Initial treatment for up to 6 months
Restriction
Indication: Cows' milk protein enteropathy
Treatment phase: Continuing treatment
Restriction
Indication: Severe cows' milk protein enteropathy with failure to thrive
Treatment phase: Continuing treatment
Restriction
Indication: Proven combined immunoglobulin E (IgE) mediated allergy to cows' milk protein and
soy protein
Treatment phase: Continuing treatment
Restriction
Indication: Cows' milk anaphylaxis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 8 | Max qty units: 8 | # of repeats: 5 | DPMQ: $374.24 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Essential Care Jr | |||||