Product Details

Jevity 1 Cal

Nutritional Product
1.06 Kcal/mL
Liquid
235-mL Pack

DIN/PIN/NPN

97984060

Manufacturer

Abbott Laboratories Limited

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

1.9200

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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