DIN/PIN/NPN Detail |
|
| 40:00 ELECTROLYTIC, CALORIC AND WATER BALANCE | |
| 40:20:00 CALORIC AGENTS | LU Criteria Text |
SMOFLipid 20% (SOYBEAN OIL & MEDIUM CHAIN TRIGLYCERIDES & OLIVE OIL & FISH OIL)6% & 6% & 5% & 3% w/v Inj Emuls-250mL Pk
DIN/PIN/NPN:02396963
| Interchangeables: | NO |
| Manufacturer: | Fresenius Kabi Canada Ltd. |
| Formulary Listing Date: | 2018-03-29 |
| Drug Benefit Price or Unit Price: | 27.5000 |
| Amount MOH Pays: | 27.5000 |
| Coverage Status: |
|