Product Details

SMOFLipid 20%

Soybean Oil + Medium Chain Triglycerides + Olive Oil + Fish Oil
6% + 6% + 5% + 3% w/v
Injectable Emulsion
500-mL Pack

DIN/PIN/NPN

09857595

Manufacturer

Fresenius Kabi Canada Ltd.

Formulary Listing Date

2018-03-29  

Unit Price

33.3300

Amount MOH Pays

33.3300

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

Interchangeable Products

NO  

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
525 Indefinite

As part of a parenteral nutrition regimen for adult patients where oral or enteral nutrition is not possible, insufficient or contra-indicated.

 

EAP Criteria

NO

Product Monograph

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