Product Details

SMOFLipid 20%

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

DIN/PIN/NPN

02396963

Manufacturer

Fresenius Kabi Canada Ltd.

Formulary Listing Date

2018-03-29  

Unit Price

27.5000

Amount MOH Pays

27.5000

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

B05BA02

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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