Product Details
KetoCal 4:1 (Unflavoured)
Nutritional Product1.5 Kcal/mL
Liquid
237-mL Tetra Pack
DIN/PIN/NPN
09857497
Manufacturer
Nutricia North America
Formulary Listing Date
2014-09-25
Unit Price
NA
Amount MOH Pays
5.7463
Coverage Status
Nutrition Product