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Product Description
Glytactin Restore Powder, Orange, 73 Calories Each. For the dietary management of phenylketonuria (PKU). Dispensed by prescription. Glytactin RESTORE Powder- Orange is a medical food for patients with PKU, ages one year and older. Each packet contains 5 grams of Glytactin protein and when added to water makes a great tasting fruit-flavored rehydration drink.
Other Details
HCPCS:
B4155
Prescription Required:
RX Only
Special Order:
Y
UOM:
Case
UOM to Each:
60
