Ordering & Reimbursement Information
|
Product Number
|
Description
|
Packaging
|
Reimbursement Code
|
HCPCS Code
|
|
24651
|
PKU explore5 Unflavored
|
30 x 12.5g packets
|
50600-0246-51
|
B4157 & B4162
|
|
24675
|
PKU explore10 Raspberry
|
30 x 25g packets
|
50600-0246-75
|
B4157 & B4162
|
|
24668
|
PKU explore10 Orange
|
30 x 25g packets
|
50600-0246-68
|
B4157 & B4162
|