Product Details
ClinOleic 20%
Olive Oil + Soybean Oil16% + 4% w/w
Injectable Emulsion
250-mL Pack
DIN/PIN/NPN
02344327
Manufacturer
Baxter Corporation
Formulary Listing Date
2020-06-30
Unit Price
25.0000
Amount MOH Pays
25.0000
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
B05BA02
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 579 | Indefinite | As part of a parenteral nutrition regimen for adult patients when oral or enteral nutrition is not possible, insufficient, or contraindicated. |