Product Details

Jevity 1.2 Cal

Nutritional Product
1.2 Kcal/mL
Liquid
237-mL Reclosable Carton Pack

DIN/PIN/NPN

09858383

Manufacturer

Abbott Laboratories Limited

Formulary Listing Date

2025-11-28  

Unit Price

NA

Amount MOH Pays

2.1842

Coverage Status

Nutrition Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

Interchangeable Products

NO  

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph