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 (5467R)
5467R
Body System:
Manner of administration:Oral
Restriction
Indication: Cows' milk anaphylaxis
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: Combined intolerance to cows' milk protein, soy protein and protein hydrolysate formulae
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: Severe intestinal malabsorption including short bowel syndrome
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 | |||||