Product Details

Nutramigen A+ with LGG

Nutritional Product
5 Kcal/g
Powder
561-g Can Pack

DIN/PIN/NPN

09857565

Manufacturer

Mead Johnson Nutritionals

Formulary Listing Date

2017-08-30  

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  

EAP Criteria

NO

Product Monograph

View Monograph