Product Details

Jevity 1.5 Cal

Nutritional Product
1.5 Kcal/mL
Liquid
1500-mL Pack

DIN/PIN/NPN

09857312

Manufacturer

Abbott Laboratories Limited

Formulary Listing Date

2008-12-03  

Unit Price

NA

Amount MOH Pays

17.2800

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

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