HIGH FAT FORMULA WITH VITAMINS, MINERALS AND TRACE ELEMENTS AND LOW IN PROTEIN AND CARBOHYDRATE
high fat formula with vitamins, minerals and trace elements and low in protein and
carbohydrate (4:1 ratio medium chain fat to carbohydrate plus protein) oral liquid,
30 x 250 mL cartons
HIGH FAT FORMULA WITH VITAMINS, MINERALS AND TRACE ELEMENTS AND LOW IN PROTEIN AND CARBOHYDRATE (12789D)
12789D
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: 6 | Max qty units: 6 | # of repeats: 5 | DPMQ: $1,809.84 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| KetoVie Peptide 4:1 | |||||