Product Details
SMOFLipid 20%
Soybean Oil + Medium Chain Triglycerides + Olive Oil + Fish Oil6% + 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
NOLU 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. |