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Glytactin Restore Powder, Orange - REPLACES FC35202
Glytactin Restore Powder, Orange - REPLACES FC35202 FC35202A

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35202
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Glytactin Restore Powder, Orange - REPLACES FC35202
Temporarily Out Of Stock
Model#: FC35202A
Units per case: 60
$389.91


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Description
Glytactin Restore Powder, Orange, 70 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.
Model #:
FC35202A
HCPCS
B4155
Manufacturer

(09/15/2026)