Product Details
KetoVie 3:1
Nutritional Product1.04 Kcal/mL
Liquid
250-mL Carton Box (Unflavoured)
DIN/PIN/NPN
09858166
Manufacturer
Ajinomoto Cambrooke, Inc.
Formulary Listing Date
2022-10-31
Unit Price
NA
Amount MOH Pays
6.5451
Coverage Status
Nutrition Product