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PKU Lophlex LQ 125 mL Pouch Juicy Tropical

PKU Lophlex LQ 125 mL Pouch, Juicy Tropical SB86055

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SB86055
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PKU Lophlex LQ 125 mL Pouch, Juicy Tropical
Manufacturer#: 86055
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$13.48


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Description
PKU Lophlex LQ 125 mL Pouch, Juicy Tropical. PKU Lophlex LQ 125 mL pouch, tropical 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 #:
SB86055
HCPCS
B4157
Manufacturer