Product Details

KetoVie 4:1 Unflavoured

Nutritional Product
1.50 Kcal/mL
Liquid
250-mL Carton Box

DIN/PIN/NPN

09858161

Manufacturer

Ajinomoto Cambrooke, Inc.

Formulary Listing Date

2022-08-31  

Unit Price

NA

Amount MOH Pays

6.5451

Coverage Status

Nutrition Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

Interchangeable Products

NO  

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph