AMINO ACID SYNTHETIC FORMULA
amino acid synthetic formula powder for oral liquid, 400 g
AMINO ACID SYNTHETIC FORMULA (1521C)
1521C
Body System:
Manner of administration:Oral
Restriction
Indication: Eosinophilic oesophagitis
Treatment phase: Initial treatment for up to 3 months
Restriction
Indication: Eosinophilic oesophagitis
Treatment phase: Continuing treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 12 | Max qty units: 12 | # of repeats: 5 | DPMQ: $439.56 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Neocate Junior Vanilla | |||||