- GMP-based powdered medical food for the dietary management of PKU (ages 1+)
- 20 g protein equivalent, 110 kcal, 20 mg phenylalanine per packet; mixes with 4 oz (120 mL) water
- Contains DHA and probiotic Bacillus coagulans GBI-30 6086; nutritionally complete with vitamins & minerals
- SKU:
- 1182481
- Calories Per Serving:
- 110 Calories
- Container Type:
- Individual Packet
- Ingredients:
- Glycomacropeptide, Larginine, Lleucine, Ltyrosine, sunflower oil, soy lecithin, glycine, Llysine acetate, contains less than 2% of Lhistidine, Ltryptophan, docosahexaenoic acid (DHA), maltodextrin, food starch modified, inulin, guar gum, xanthan gum,
- QTY Per Sell:
- 1
- Serving Size:
- 1.2 oz. Serving Size
- User:
- Ages 1 Year and Up
- Volume:
- 1.2 oz.
- Administration Method:
- Oral
- Preparation:
- Powder
- Key Features:
- Low-phenylalanine GMP-based formula
- Includes DHA and probiotic
- Nutritionally complete with vitamins & minerals
- Technical Specifications:
- 20 g protein equivalent per packet
- 110 kcal per packet
- 20 mg phenylalanine per packet
- Mixing / Preparation:
- Mix with 120 mL (4 oz) water per packet; ready-to-drink after mixing
- Probiotic & DHA:
- Contains Bacillus coagulans GBI-30 6086 and DHA (docosahexaenoic acid)
- Packaging Details:
- 30 individual sachets per box
- Codes and Identifiers:
- Manufacturer Item#: 35313; McKesson#: 1182481; HCPCS: B4157
- Country of Origin:
- United States
- Manufacturer Links:
- Ajinomoto Cambrooke product pages (Glytactin product family)
- Regulatory / Reimbursement:
- Dispensed by prescription; HCPCS B4157 used for some reimbursement
- Packaging Weight (case):
- Case of 30 ~3 lb (approx.)
- Storage Instructions:
- Store in a cool, dry place; use as directed by dietitian/physician
- Clinical Notes:
- For dietary management of PKU; protein equivalent must be prescribed and supervised by clinician
- Allergen Information:
- Contains milk and soy
- Summary:
- 23 custom properties
- SKU:
- 1182481
- Calories Per Serving:
- 110 Calories
- Container Type:
- Individual Packet
- Ingredients:
- Glycomacropeptide, Larginine, Lleucine, Ltyrosine, sunflower oil, soy lecithin, glycine, Llysine acetate, contains less than 2% of Lhistidine, Ltryptophan, docosahexaenoic acid (DHA), maltodextrin, food starch modified, inulin, guar gum, xanthan gum,
- QTY Per Sell:
- 1
- Serving Size:
- 1.2 oz. Serving Size
- User:
- Ages 1 Year and Up
- Volume:
- 1.2 oz.
- Administration Method:
- Oral
- Preparation:
- Powder
- ic__sync_id:
- 6
- ic__id:
- 10699
- Key Features:
- Low-phenylalanine GMP-based formula
- Includes DHA and probiotic
- Nutritionally complete with vitamins & minerals
- Technical Specifications:
- 20 g protein equivalent per packet
- 110 kcal per packet
- 20 mg phenylalanine per packet
- Mixing / Preparation:
- Mix with 120 mL (4 oz) water per packet; ready-to-drink after mixing
- Probiotic & DHA:
- Contains Bacillus coagulans GBI-30 6086 and DHA (docosahexaenoic acid)
- Packaging Details:
- 30 individual sachets per box
- Codes and Identifiers:
- Manufacturer Item#: 35313; McKesson#: 1182481; HCPCS: B4157
- Country of Origin:
- United States
- Manufacturer Links:
- Ajinomoto Cambrooke product pages (Glytactin product family)
- Regulatory / Reimbursement:
- Dispensed by prescription; HCPCS B4157 used for some reimbursement
- Packaging Weight (case):
- Case of 30 ~3 lb (approx.)
- Storage Instructions:
- Store in a cool, dry place; use as directed by dietitian/physician
- Clinical Notes:
- For dietary management of PKU; protein equivalent must be prescribed and supervised by clinician
- Allergen Information:
- Contains milk and soy
- Summary:
- 23 custom properties
