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

PKU express 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 and minerals
  • Convenient and lifestyle friendly packaging
  • Each packet mixes with approximately 3 fl oz of water or permitted beverage to prepare a low volume drink
  • Provides flavor and format variety
  • Available in 15 g and 20 g protein equivalent packets

PKU express20 Unflavored

per 34 g (1 packet)

  • 101

    Calories

  • 20 g

    Protein Equivalent

     

     

     

  • 4.7 g

    Carbohydrate

  • 0 g

    Total Fat

Ordering & Reimbursement Information

Product Number

Description

Packaging

Reimbursement Code

HCPCS Code

53206

 

51639

PKU express15 Unflavored

PKU express20 Unflavored

30 x 25g packets

30 x 34g packets

50600-0532-06

 

50600-0516-39

B4162 & B4157

B4162 & B4157

53220

 

51769

PKU express15 Orange

PKU express20 Orange

30 x 25g packets

30 x 34g packets

50600-0532-20

 

50600-0517-69

B4162 & B4157

B4162 & B4157

53305

 

51776

PKU express15 Lemon

PKU express20 Lemon

30 x 25g packets

30 x 34g packets

50600-0533-05

 

50600-0517-76

B4162 & B4157

B4162 & B4157

53336

 

51783

PKU express15 Tropical

PKU express20 Tropical

30 x 25g packets

30 x 34g packets

50600-0533-36

 

50600-0517-83

B4162 & B4157

B4162 & B4157