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 (5466Q)
5466Q
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: Combined intolerance to cows' milk protein, soy protein and protein hydrolysate formulae
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
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: $317.12 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Neocate Gold | |||||