Product Details

Jevity 1.2 Cal

Nutritional Product
1.2 Kcal/mL
Liquid
1500-mL Pack

DIN/PIN/NPN

09857117

Manufacturer

Abbott Laboratories Limited

Formulary Listing Date

2003-04-16  

Unit Price

NA

Amount MOH Pays

13.7000

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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