Product Details

Nutramigen A+

Nutritional Product
5 Kcal/g
Powder
561-g Pack

DIN/PIN/NPN

09858387

Manufacturer

Mead Johnson Nutritionals

Formulary Listing Date

2025-11-28  

Unit Price

NA

Amount MOH Pays

35.9900

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