Source	General Schedule
Body System	VARIOUS > GENERAL NUTRIENTS > OTHER NUTRIENTS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8577KMPNP	SOY PROTEIN AND FAT FORMULA WITH VITAMINS AND MINERALS CARBOHYDRATE FREE soy protein and fat formula with vitamins and minerals carbohydrate free oral liquid, 384 mL can (PI, CMI)	120	120	5	$552.27	$31.60	$31.60
	Available brands
	RCF