AMINO ACID SYNTHETIC FORMULA
amino acid synthetic formula powder for oral liquid, 400 g
AMINO ACID SYNTHETIC FORMULA (8575H)
8575H
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: $296.00 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| EleCare | |||||