PKU express®
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
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
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 |
PKU express15 Unflavored |
30 x 25g packets |
50600-0532-06 |
B4162 & B4157 |
|
53220 |
PKU express15 Orange |
30 x 25g packets |
50600-0532-20 |
B4162 & B4157 |
|
53305 |
PKU express15 Lemon |
30 x 25g packets |
50600-0533-05 |
B4162 & B4157 |
|
53336 |
PKU express15 Tropical |
30 x 25g packets |
50600-0533-36 |
B4162 & B4157 |
|
51639 |
PKU express20 Unflavored |
30 x 34g packets |
50600-0516-39 |
B4162 & B4157 |
