AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDES

amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g

AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDES (1545H)

amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g
1545H
Body System:
Manner of administration:Oral
General Schedule
Authority Required

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: $471.36 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Neocate Gold