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PKU Lophlex LQ 125 mL Pouch, Juicy Orange
PKU Lophlex LQ 125 mL Pouch, Juicy Orange SB86051

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86021
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PKU Lophlex LQ 125 mL Pouch, Mixed Berry Blast
Model#: SB86021
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$15.83
86051
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PKU Lophlex LQ 125 mL Pouch, Juicy Orange
Temporarily Out Of Stock
Model#: SB86051
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$15.83
86055
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PKU Lophlex LQ 125 mL Pouch, Juicy Tropical
Temporarily Out Of Stock
Model#: SB86055
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$15.15


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Description
PKU Lophlex LQ 125 mL pouch, juicy orange ready to drink, 120 calories. A phenylalanine-free, ready-to-drink medical food containing amino acids, vitamins, trace elements and some minerals; for the dietary management of proven Phenylketonuria (PKU) in individuals 4 years and older including pregnant women and women of child-bearing age.
Model #:
SB86051
HCPCS
B4157
Manufacturer