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PKU Lophlex LQ 125 mL Pouch Juicy Orange

PKU Lophlex LQ 125 mL Pouch, Juicy Orange SB86051

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SB86051
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PKU Lophlex LQ 125 mL Pouch, Juicy Orange
Manufacturer#: 86051
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$13.71


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Description
PKU Lophlex LQ 125 mL pouch, juicy orange ready to drink, 120 calories. A phenylalanine-free, ready-to-drink medical food containing amino acids, vitamins, trace elements and some minerals; for the dietary management of proven Phenylketonuria (PKU) in individuals 4 years and older including pregnant women and women of child-bearing age.
Model #:
SB86051
HCPCS
B4157
Manufacturer