Product Details

Monogen

Nutritional Product
4.41 Kcal/g
Powder
400-g Can with DHA & ARA (Unflavoured)

DIN/PIN/NPN

09858280

Manufacturer

Nutricia North America

Formulary Listing Date

2023-09-28  

Unit Price

38.3333

Amount MOH Pays

38.3333

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