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Glytactin Restore Powder, Berry - REPLACES FC35201
Glytactin Restore Powder, Berry - REPLACES FC35201 FC35201A

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35201
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Glytactin Restore Powder, Berry - REPLACES FC35201
Temporarily Out Of Stock
Model#: FC35201A
Units per case: 60
$362.83


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Description
Glytactin Restore Powder, Berry, 70 Calories Each. For the dietary management of phenylketonuria (PKU). Dispensed by prescription. Glytactin RESTORE Powder- Berry 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.
Model #:
FC35201A
HCPCS
B4155
Manufacturer

(07/07/2026)