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DME MEDICAL SUPPLY AND OTC PRODUCTS ONLINE STORE

P.O.Box 7185 Deerfield IL United States 60015

PKU Oral Supplement Lophlex® Orange 14.3 Gram Individual Packet Powder CS/30

LOPHLEX ORG PWD 14.3 30EA/CS NUTRICIA N.

Nutricia North America
$217.03

$217.03 per CS/30

This product qualifies for Free Shipping

  • Nutricia North America Food Supplements, Ent Formula Category Iii
    Lophlex Org Pwd 14.3 Cs/30 Nutricia N
  • A low volume, phenylalanine-free, powdered medical food for the dietary management of phenylketonuria (PKU) in older children and adults, including pregnant women and women of child-bearing age
  • Phenylalanine-free
  • Low volume low calorie
  • HCPCS SUGGESTED CODE B4157 OR B4162
  • Application pku oral supplement
  • Container Type individual packet
  • UNSPSC Code 51191900
  • User adult child
  • Flavor Orange
  • Calories per Serving 41 calories
  • Container Size 14 3 gram
  • Preparation Powder
  • Brand Lophlex®
  • Packaging CS/30
  • HCPCS Code Description
  • B4157 - Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
  • B4162 - Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

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