Limited Use Note(s)
SOYBEAN OIL & MEDIUM CHAIN TRIGLYCERIDES & OLIVE OIL & FISH OIL
6% & 6% & 5% & 3% w/v Inj Emuls-500mL Pk
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Reason For Use Code
Clinical Criteria
525
As part of a parenteral nutrition regimen for adult patients where oral or enteral nutrition is not possible, insufficient or contra-indicated.
LU Authorization Period: Indefinite.
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