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Medical Dietary Nutritionals & Supplements Metabolics Nutricia MON21692600

Nutricia PKU Oral Supplement Lophlex Berry 14 oz. Individual Packet Powder, 30 EA/CS

Item # MON 21692600 by Nutricia (Mfg. Part # 21692600, UPC # 0749735121696)



A low volume, phenylalanine-free, powdered medical food for the dietary management of phenylketonuria in children over 9 years of age, adults, and pregnant women. Contains vitamins, minerals, and trace elements. Age-appropriate DRI formulation. Lophlex provides 10 grams of protein equivalent per sachet.


  • Quantity : 30 EA/CS

  • Application: PKU Oral Supplement

  • Calories per Serving: 41 Calories

  • Container Size: 14 oz.

  • Container Type: Individual Packet

  • Flavor: Berry

  • HCPCS: B4155

  • Preparation: Powder

  • UNSPSC Code: 51191900

  • User: Ages 9 Years and Up

MON21692600 - NutriciaPKU Oral Supplement Lophlex Berry 14 oz. Individual Packet Powder
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Retail Price: $217.70
BettyMills Discount Price: $161.26 Per Case
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Order 3+ and Save an Extra $3.23 Per Case
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Prescription Required !

Unless you are a licensed care provider or similar
qualified entity, a prescription is required
to purchase this item.

Thanks! -- Betty Mills




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