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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® Berry 14 oz. Individual Packet Powder EA/1

LOPHLEX BERRY 14OZ 30EA/CS NUTRICIA N.

Nutricia North America
$7.22

$7.22 per EA/1

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  • Nutricia North America Food Supplements, Misc Nutrients
    Lophlex Berry 14oz Ea/1 Nutricia N
  • A low volume, phenylalanine-free, powdered medical food for the dietary management of phenylketonuria in children over 9 years of age, adults, and pregnant women
  • Contains vitamins, minerals, and trace elements
  • Age-appropriate DRI formulation
  • Lophlex provides 10 grams of protein equivalent per sachet
  • HCPCS SUGGESTED CODE B4157 OR B4162
  • Application pku oral supplement
  • Container Type individual packet
  • UNSPSC Code 51191900
  • User ages 9 years and up
  • Flavor berry
  • Calories per Serving 41 calories
  • Container Size 14 oz
  • Preparation Powder
  • Brand Lophlex®
  • Packaging EA/1
  • 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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