Product Details

Nutramigen A+

Nutritional Product
5 Kcal/g
Powder
454-g Pack

DIN/PIN/NPN

09857345

Manufacturer

Mead Johnson Nutritionals

Formulary Listing Date

2010-03-02  

Unit Price

NA

Amount MOH Pays

19.9412

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