MILK PROTEIN AND FAT FORMULA WITH VITAMINS AND MINERALS CARBOHYDRATE FREE
milk protein and fat formula with vitamins and minerals carbohydrate free powder for
oral liquid, 225 g
MILK PROTEIN AND FAT FORMULA WITH VITAMINS AND MINERALS CARBOHYDRATE FREE (8630F)
8630F
Body System:
Manner of administration:Oral
Restriction
Indication: Ketogenic diet
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 24 | Max qty units: 24 | # of repeats: 5 | DPMQ: $909.84 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Carbohydrate Free Mixture | |||||