Product Details

KetoVie 4:1

Nutritional Product
1.44 Kcal/mL
Liquid
250-mL Pack (Vanilla Flavour)

DIN/PIN/NPN

09858118

Manufacturer

Ajinomoto Cambrooke, Inc.

Formulary Listing Date

2020-06-30  

Unit Price

NA

Amount MOH Pays

6.5451

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