A ready-to-drink phenylalanine free formula for use in the dietary management of Phenylketonuria (PKU).

PKU cooler is suitable from 3 years of age.

FOR USE UNDER MEDICAL SUPERVISION.

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Features

  • A blend of essential and non-essential amino acids, carbohydrate, vitamins, minerals, and docosahexaenoic acid (DHA)
  • Portable ready-to-drink formula available in 3 difference pouch sizes providing 10 g, 15 g, and 20 g protein equivalent

PKU cooler20

per 174 ml (1 pouch)

  • 130

    Calories

  • 20 g

    Protein Equivalent

  • 8.9 g

    Carbohydrate

  • 5.9 g

    Sugars

  • 1.6 g

    Total Fat

Ordering & Reimbursement Information

Product

Packaging

Product Number

Reimbursement Code

HCPCS Code

PKU cooler10 Orange

30 x 87ml

 

54852

 

 

50600-0548-52

 

B4162

 

PKU cooler10

Purple

30 x 87ml

 

54876

 

 

50600-0548-76

 

B4162

 

PKU cooler10

Red

30 x 87ml

 

51318

 

 

50600-0513-18

 

B4162 & B4157

PKU cooler10

White

30 x 87ml

 

54999

 

 

50600-0549-99

 

B4162 & B4157

PKU cooler15

Orange

30 x 130ml

 

 

54500

 

 

50600-0545-00

 

B4162 & B4157

PKU cooler15

Purple

30 x 130ml

 

54562

 

 

50600-0545-62

 

B4162 & B4157

PKU cooler15

Red

30 x 130ml

51998

 

50600-0519-98

 

B4162 & B4157

PKU cooler15

White

30 x 130ml

54975

 

50600-0549-75

 

B4162 & B4157

PKU cooler20

Orange

30 x 174ml

54814

 

50600-0548-14

 

B4162 & B4157

PKU cooler20

Purple

30 x 174ml

54838

 

50600-0548-38

 

B4162 & B4157

PKU cooler20

Red

30 x 174ml

52001

 

50600-0520-01

 

B4162 & B4157

PKU cooler20

White

30 x 174ml

55019

 

50600-0550-19

 

B4162 & B4157

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