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| SLI Medical# | 687703 |
| Manufacturer # | 49417 |
| Brand | PKU Lophlex® |
| Manufacturer | Nutricia North America |
| Country of Origin | United Kingdom |
| Administration Method | Oral |
| Application | Oral Supplement |
| Calories per Serving | 41 Calories |
| Calories per Serving Range | 0-100 Calories |
| Container Type | Individual Packet |
| Container Type Range | Individual Package |
| Flavor | Orange Flavor |
| Flavor Range | Citrus Flavor |
| HCPCS | B4162 |
| Health Condition | Phenylketonuria (PKU) |
| Ingredients | Orange Juice Concentrate (45.5%) |
| Nutrient Type | Water |
| Preparation | Corn Syrup Solids |
| Product Dating | L-Leucine |
| Serving Size | Citric Acid |
| UNSPSC Code | L-Proline |
| User | L-Arginine |
| User Group | Glycine |
| Volume | L-Tyrosine |
| L-Lysine Acetate | |
| L-Valine | |
| L-Aspartic Acid | |
| L-Isoleucine | |
| Dicalcium Phosphate | |
| L-Alanine | |
| L-Serine | |
| L-Threonine | |
| L-Histidine | |
| L-Lysine L-Aspartate | |
| Maltodextrin | |
| Magnesium Acetate | |
| L-Cystine | |
| Choline Bitartrate | |
| L-Tryptophan | |
| Sugar | |
| C. Cohnii Oil | |
| N-Acetyl-L-Methionine | |
| Microcrystalline Cellulose | |
| Natural Flavor | |
| L-Ascorbic Acid | |
| Taurine | |
| L-Methionine | |
| Guar Gum | |
| Sunflower Lecithin | |
| Xanthan Gum | |
| M-Inositol | |
| Potassium Sorbate | |
| Sucralose | |
| Ferrous Lactate | |
| Cellulose Gum | |
| Acesulfame Potassium | |
| L-Carnitine | |
| Sodium Benzoate | |
| Gum | |
| M-Inositol | |
| Potassium Sorbate | |
| Sucralose | |
| Ferrous Lactate | |
| Cellulose Gum | |
| Acesulfame Potassium | |
| L-Carnitine | |
| Sodium Benzoate | |
| Hydrochloride | |
| Pyridoxine Hydrochloride | |
| Vitamin A Palmitate | |
| Riboflavin | |
| Folic Acid | |
| Potassium Iodide | |
| Ascorbyl Palmitate | |
| Mixed Tocopherols | |
| Sodium Molybdate | |
| D-Biotin | |
| Sodium Selenite | |
| Chromium Chloride | |
| Phylloquinone | |
| Vitamin D3 | |
| Cyanocobalamin | |
| Phenylalanine-Free | |
| Powder | |
| SLI Medical Acceptable Dating: we will ship >= 90 days | |
| 14.3 Gram Serving Size | |
| 42231801 | |
| Ages 9 Years and Up | |
| Pediatric to Adult | |
| 14.3 Gram |
| Product Name | Oral Supplement PKU Lophlex® Orange Flavor Powder 14.3 Gram Individual Packet |
|---|---|
| SKU | 100687703 |
| Price | $183.29 |
| Weight | 5.25 |
| Featured Product | No |
| Manufacturer Sku | 49417 |
| UOM | CS |
| Manufacturer | Nutricia North America |
| Short Description | LOPHLEX, PDR ORG 14.3GM (30/CS) |
