Banded Products List

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS
PRODUCT
CAT 1
1.1
PREVIOUS GMS CLASSIFICATION
GMS NUMBER
NON - DISEASE SPECIFIC ENTERAL TUBE FEEDS

OVERALL DESCRIPTION: 1.0kcal/ ml and <5.0g protein/100ml 1.1.1 1.1.1 1.1.1 1.1.1 1.1.1 1.1.1 1.1.1 1.1.1 1.1.1 1.1.1 1.1.2 1.1.2 1.1.2 1.1.2 1.1.2 1.1.2 1.1.2 Standard Tube Feed with Fibre. Fresubin Original Fibre 500 ml. Pack Jevity 500 ml. Pack Nutrison Multi Fibre 500 ml. Pack Fresubin Original Fibre 1 L. Pack Jevity 1 L. Pack Nutrison Multi Fibre 1 L. Pack Fresubin 1500 Complete 1.5 L. Pack Jevity 1.5 L. Pack Nutrison Multi Fibre 1.5 L. Pack Standard Tube Feed without Fibre. Ensure 250 ml. Pack Fresubin Original 500 ml. Pack Nutrison Standard 500 ml. Pack Nutrison Soya 500 ml. Pack Osmolite 500 ml. Pack Fresubin Original 1 L. Pack Standard Tube Feed (Minimum 1kcal/ml.) Standard Tube Feed (Minimum 1kcal/ml.) Standard Tube Feed (Minimum 1kcal/ml.) Standard Tube Feed (Minimum 1kcal/ml.) Isotonic Tube Feed Standard Tube Feed (Minimum 1kcal/ml.) 81485 81647 82457 83033 82813 83437 Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed 82775 83402 81606 83424 81583 81614 81171 83461 83489
NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS
PRODUCT
1.1.2 1.1.2 1.1.2 1.1.2 1.1.2 1.1.2 1.1.3 1.1.3 1.1.3 1.1.3 1.1.3 1.1.3 1.1.4 1.1.4 1.1.4 1.1.4 1.1.4 1.1.4 1.1.4 Nutrison Standard 1 L. Pack Osmolite 1 L. Pack Nutrison Soya 1 L. Pack Fresubin Original 1.5 L. Pack Nutrison Standard 1.5 L. Pack Osmolite 1.5 L. Pack Standard Tube Formula for Children with Fibre. Nutrini Multi Fibre 200 ml. Pack Frebini Original Fibre 500 ml. Pack Nutrini Multi Fibre 500 ml. Pack Paediasure Fibre 500 ml. Pack Tentrini Multi Fibre 500 ml. Pack Standard Tube Formula for Children without Fibre. Nutrini 200 ml. Pack Paediasure 250 ml. Pack Frebini Original 500 ml. Pack Nutrini 500 ml. Pack Paediasure 500 ml. Pack Tentrini 500 ml. Pack

Standard Tube Feed (Minimum 1kcal/ml.) Isotonic Tube Feed Standard Tube Feed (Minimum 1kcal/ml.) Standard Tube Feed (Minimum 1kcal/ml.) Standard Tube Feed (Minimum 1kcal/ml.) Isotonic Tube Feed
GMS NUMBER
83909 82821 83034 81160 81129 83924
Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed
81199 81471 81217 81286 81875
Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed
83895 82562 81801 82662 82569 81852
PRODUCT
1.1.5 1.1.5 1.2
GMS NUMBER
Energy Enriched Formula for Infants: Suitable from birth to 18 months. Infatrini 500 ml. Pack Paediatric Special Feed 81103
OVERALL DESCRIPTION: Protein and Energy Rich Products 1.2.1 1.2.1 1.2.1 1.2.1 1.2.1 1.2.1 1.2.1 1.2.2 1.2.2 1.2.2 1.2.2 1.2.3 1.2.3 1.2.3 1.2.3 1.2.3 Standard Energy, Increased Protein Tube Feed with Fibre. Jevity Plus 500 ml. Pack Jevity Plus 1 L. Pack Jevity Plus 1.5 L. Pack Nutrison 1200 Complete Multi Fibre 500 ml. Pack Nutrison 1200 Complete Multi Fibre 1 L. Pack Nutrison 1200 Complete Multi Fibre 1.5 L. Pack Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed 83478 81581 81585 81177 81577 81397
Standard Energy, Increased Protein Tube Feed without Fibre. Osmolite Plus 500 ml. Pack Osmolite Plus 1 L. Pack Osmolite Plus 1.5 L. Pack Standard Energy, High Protein Tube Feed +/- Fibre. Nutrison Protein Plus 500 ml. Pack Fresubin 1000 Complete 1 L. Pack Fresubin 1200 Complete 1 L. Pack Fresubin 1800 Complete 1.5 L. Pack Standard Tube Feed (Minimum 1kcal/ml.) High Protein Fibre Rich Tube Feed High Protein Fibre Rich Tube Feed High Protein Fibre Rich Tube Feed 81602 81569 83040 83041 Standard Tube Feed (Minimum 1kcal/ml.) Standard Tube Feed (Minimum 1kcal/ml.) Standard Tube Feed (Minimum 1kcal/ml.) 81267 82837 83824
PRODUCT
1.2.3 1.2.3 1.2.3 1.2.3 1.2.4 1.2.4 1.2.4 1.2.4 1.2.4 1.2.4 1.2.4 1.2.4 1.2.4 1.2.4 1.2.5 1.2.5 1.2.5 1.2.5 1.2.5 Jevity Promote 1 L. Pack Nutrison 1000 Complete Multi Fibre 1 L. Pack Nutrison Protein Plus Multi Fibre 1 L. Pack Nutrison Protein Plus 1 L. Pack High Energy Increased Protein Tube Feed with Fibre. Fresubin Energy Fibre 500 ml. Pack Jevity 1.5 500 ml. Pack Nutrison Energy Multi Fibre 500 ml. Pack Fresubin Energy Fibre 1 L. Pack Jevity 1.5 1 L. Pack Nutrison Energy Multi Fibre 1 L. Pack Fresubin Energy Fibre 1.5 L. Pack Jevity 1.5 1.5 L. Pack Nutrison Energy Multi Fibre 1.5 L. Pack

High Protein Fibre Rich Tube Feed High Protein Fibre Rich Tube Feed High Protein Fibre Rich Tube Feed Standard Tube Feed (Minimum 1kcal/ml.)
GMS NUMBER
83028 83029 81463 81633
Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed Fibre Rich Tube Feed
82515 81351 81245 82521 81368 81380 81347 81373 81382
High Energy, Increased Protein Tube Feed without Fibre. Fresubin Energy 500 ml. Pack Nutrison Energy 500 ml. Pack Osmolite 1.5kcal 500 ml. Pack Fresubin Energy 1 L. Pack High Calorie Tube Feed (Minimum 1.5 kcal/ml.) High Calorie Tube Feed (Minimum 1.5 kcal/ml.) High Calorie Tube Feed (Minimum 1.5 kcal/ml.) High Calorie Tube Feed (Minimum 1.5 kcal/ml.) 82503 81158 83976 81641
PRODUCT
1.2.5 1.2.5 1.2.5 1.2.5 1.2.5 1.2.6 1.2.6 1.2.6 1.2.6 1.2.7 1.2.7 1.2.7 1.2.7 1.2.7 1.2.7 1.2.8 1.2.8 1.2.8 1.2.8 Nutrison Energy 1 L. Pack Osmolite 1.5kcal 1 L. Pack Fresubin Energy 1.5 L. Pack Nutrison Energy 1.5 L. Pack Osmolite 1.5kcal 1.5 L. Pack High Energy High Protein Tube Feed. Fresubin HP Energy 500 ml. Pack Nutrison Concentrated 500 ml. Pack Fresubin HP Energy 1 L. Pack High Energy Tube Formula for Children, with Fibre. Nutrini Energy Multi Fibre 200 ml. Pack Nutrini Energy Multi Fibre 500 ml. Pack Paediasure Plus Fibre 500 ml. Pack Frebini Energy Fibre 500 ml. Pack Tentrini Energy Multi Fibre 500 ml. Pack

High Calorie Tube Feed (Minimum 1.5 kcal/ml.) High Calorie Tube Feed (Minimum 1.5 kcal/ml.) High Calorie Tube Feed (Minimum 1.5 kcal/ml.) High Calorie Tube Feed (Minimum 1.5 kcal/ml.) High Calorie Tube Feed (Minimum 1.5 kcal/ml.)
GMS NUMBER
83887 84239 81407 81890 81502
High Calorie Tube Feed High Calorie/Moderate Protein/Low Electrolyte Feed High Calorie Tube Feed
83860 81240 81599
Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed
81814 81821 81495 81460 81888
High Energy Tube Formula for Children without Fibre. Nutrini Energy 200 ml. Pack Frebini Energy 500 ml. Pack Nutrini Energy 500 ml. Pack Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed 83222 81449 82611
PRODUCT
1.2.8 1.2.8 1.3 Paediasure Plus 500 ml. Pack Tentrini Energy 500 ml. Pack

Paediatric Special Feed Paediatric Special Feed
GMS NUMBER
81849 81862
OVERALL DESCRIPTION: Protein and Energy Reduced Products 1.3 1.3 Nutrini Low Energy Multifibre 200 ml. Pack Nutrini Low Energy Multifibre 500 ml. Pack Paediatric Special Feed Paediatric Special Feed 81031 81034
CAT 2
2.1
NON - DISEASE SPECIFIC ORAL NUTRITIONAL SUPPLEMENTS

OVERALL DESCRIPTION: 1.0kcal/ ml and <5.0g protein/100ml 2.1.1 2.1.1 2.1.2 2.1.2 2.1.3 2.1.3 2.1.3 Standard Sip Feeds for Children with Fibre. Paediasure Fibre 200 ml. Pack Standard Sip Feeds for Children without Fibre. Paediasure 200 ml. Pack Paediatric Special Feed 81259 Paediatric Special Feed 81277
Enriched Energy Formula (ONS): Suitable for Infants from birth to 18 months. Infatrini 200 ml. Pack SMA High Energy 250 ml. Pack Paediatric Special Feed Paediatric Special Feed 81458 81479
2.2
OVERALL DESCRIPTION: Protein and Energy Rich Products 2.2.1 2.2.1 2.2.1 2.2.1 Non-Milk Tasting Sip Feed. Ensure Plus Juce 200 ml. Pack Fortijuce 200 ml. Pack Fresubin Jucy 200 ml. Pack Energy Source: Carbohydrate & Protein (Non-Milk Tasting Sip) Energy Source: Carbohydrate & Protein (Non-Milk Tasting Sip) Energy Source: Carbohydrate & Protein (Non-Milk Tasting Sip) 83784 (FR) 83784 (FR) 83784 (FR)
PRODUCT
2.2.1 2.2.2 2.2.2 2.2.2 2.2.2 2.2.3 2.2.3 2.2.3 2.2.3 2.2.4 2.2.4 2.2.4 2.2.4 2.2.4 2.2.5 2.2.5 2.2.5 2.2.5 2.2.5 Polycal 200 ml. Pack Powered Milkshake Style ONS. Scandishake Mix 85 G. Sachet 6 Calshake 87 G. Sachet 7 Enshake 96.5 G. Sachet 6 Protein and/or Energy Rich Sip Feeds with Fibre. Ensure Plus Fibre 200 ml. Pack Fortisip Multi Fibre 200 ml. Pack Fresubin Energy Fibre 200 ml. Pack Protein and/or Energy Rich Sip Feeds without Fibre. Ensure Plus 200 ml. Pack Fortisip 200 ml. Pack Fortisip Yogurt Style 200 ml. Pack Fresubin Energy 200 ml. Pack Enhanced Protein Liquid. Cubitan 200ml. Pack Ensure Plus HP 200 ml. Pack Fortimel 200 ml. Pack Fresubin Protein Energy 200 ml. Pack

Energy Source: Carbohydrate (Liquid Glucose Polymer)
GMS NUMBER
81066 (FR)
Energy Source: Carbohydrate, Fat & Protein Energy Source: Carbohydrate, Fat & Protein Energy Source: Carbohydrate, Fat & Protein
83206 81776 83023
Fibre Rich Sip Feed Fibre Rich Sip Feed Fibre Rich Sip Feed
81688 (FR) 81688 (FR) 81688 (FR)
High Calorie Sip Feed High Calorie Sip Feed High Calorie Sip Feed High Calorie Sip Feed
81165 (FR) 81165 (FR) 81165 (FR) 81165 (FR)
High Protein Sip Feed High Protein Sip Feed High Protein Sip Feed High Protein Sip Feed
82430 (FR) 82430 (FR) 82430 (FR) 82430 (FR)
PRODUCT
2.2.6 2.2.6 2.2.6 2.2.6 2.2.7 2.2.7 2.2.7 2.2.7 2.2.8 2.2.8 2.2.8 2.2.8 2.2.9 2.2.9 2.2.9 2.2.10 2.2.10 2.2.10 2.2.10 Semi-Solid. Fortisip Crme 125 G. Pack Fresubin Creme 125 G. Pack Ensure Plus Crme 125 G. Pack
GMS NUMBER
Nutritionally Fortified Supplements Nutritionally Fortified Supplements Nutritionally Fortified Supplements
81152 81146 83030
Protein and/or Energy Rich Sip Feeds for Children with Fibre. Paediasure Plus Fibre 200 ml. Pack Fortini Multi Fibre 200 ml. Pack Frebini Energy Fibre 200 ml. Pack Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed 81037 81798 81457
Protein and/or Energy Rich Sip Feeds for Children without Fibre. Paediasure Plus 200 ml. Pack Fortini 200ml Pack Frebini Energy 200 ml. Pack Protein Concentrate Powder. Protifar 225 G. Pack Vitapro 225 G. Pack Other Calogen 200 ml. Pack Calogen 500 ml. Pack Duocal Liquid 250 ml. Pack Energy Source: Fat Energy Source: Fat Energy Source: Carbohydrate & Fat 81079 81028 84816 Protein Concentrate Protein Concentrate 81739 (FR) 81739 (FR) Paediatric Special Feed Paediatric Special Feed Paediatric Special Feed 81837 81707 81436
PRODUCT
2.2.10 2.2.10 2.2.10 2.2.10 2.2.10 2.2.10 2.2.10 2.2.10 2.3 Duocal Super Soluble 400 G. Pack QuickCal 13 G. Sachet 25 Maxijul Super Soluble 200 G. Pack Maxisorb 30 G. Sachet 5 Pro-Cal 15 G. Sachet 25 Pro-Cal 510 G. Pack Pro-Cal Shot 250 ml. Pack Pro-Cal Shot 500 ml. Pack

Energy Source: Carbohydrate & Fat Energy Source: Carbohydrate & Fat Energy Source: Carbohydrate (Powder Glucose Polymer) Nutritionally Fortified Supplements Energy Source: Carbohydrate, Fat & Protein Energy Source: Carbohydrate, Fat & Protein Energy Source: Carbohydrate, Fat & Protein Energy Source: Carbohydrate, Fat & Protein
GMS NUMBER
84913 81622 81073 (FR) 82899 81539 81518 81076 81078
OVERALL DESCRIPTION: Protein and Energy Reduced Products 2.3 Fresubin Original 200 ml. Pack Standard Sip Feed 82341(FR)
CAT 3
3.1
NUTRITIONAL PRODUCTS FOR SPECIFIC CLINICAL CONDITIONS

OVERALL DESCRIPTION: Diabetes Specific Products 3.1.1 3.1.1 3.1.1 3.1.1 3.1.2 3.1.2 3.1.2 Diabetes Specific Sip Feed. Diasip 200 ml. Pack Diben 200 ml. Pack Glucerna SR 200 ml. Pack Diabetes Specific Tube Feed. Glucerna 250 ml. Pack Diben 500 ml. Pack Low Carbohydrate/Modified Fat/Fibre Enriched Tube Feed Low Carbohydrate/Modified Fat/Fibre Enriched Tube Feed 81430 81284 Low Carbohydrate/Modified Fat/Fibre Enriched Sip Feed Low Carbohydrate/Modified Fat/Fibre Enriched Sip Feed Low Carbohydrate/Modified Fat/Fibre Enriched Sip Feed 81194 (FR) 81194 (FR) 81194 (FR)
PRODUCT
3.1.2 3.1.2 3.1.2 3.2 Glucerna 500 ml. Pack Diason 1 L. Pack Diben 1 L. Pack

Low Carbohydrate/Modified Fat/Fibre Enriched Tube Feed Low Carbohydrate/Modified Fat/Fibre Enriched Tube Feed Low Carbohydrate/Modified Fat/Fibre Enriched Tube Feed
GMS NUMBER
81355 81118 81293
OVERALL DESCRIPTION: Cancer Specific (EPA enriched) Products 3.2.1 3.2 3.2 3.2 3.2.2 3.2 3.2 Cancer Specific (EPA enriched) Sip Feed. Forticare 125 ml. Pack Supportan Drink 200 ml. Pack ProSure 240 ml. Pack Cancer Specific (EPA enriched) Tube Feed. ProSure 500 ml. Pack Supportan 500 ml. Pack EPA and DHA Enriched Feed EPA and DHA Enriched Feed 81156 81089 EPA and DHA Enriched Feed EPA and DHA Enriched Feed EPA and DHA Enriched Feed 81081 81082 81552
3.3
OVERALL DESCRIPTION: Milk Substitute 3.3 3.3 3.3 3.3 3.3 3.3 3.3 Enfamil O-Lac 400 G. Pack SMA LF 430 G. Pack Galactomin 17 400 G. Pack Galactomin 19 400 G. Pack Kindergen 400 G. Pack ProSobee 400 G. Pack Wysoy 430 G. Pack Low Lactose Milk Substitute Low Lactose Milk Substitute Low Lactose Milk Substitute Low Lactose Milk Substitute Low Protein/Low Mineral Feed Soya Milk Substitute Soya Milk Substitute 82390 82511 81515 81531 81694 83075 83083
10
PRODUCT
3.3 3.3 3.4 Loprofin PKU Milk 200 ml. Pack Snopro Drink 200 ml. Pack

Milk Substitute - Low Protein Milk Substitute - Low Protein
GMS NUMBER
81175 83771
OVERALL DESCRIPTION: Other 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 Elemental 028 Extra Flavours 250 ml. Pack Elemental 028 Extra Plain/Flavours 100 G. Pack Emsogen Plain/Flavour 100 G. Pack Neocate Active 63 G. Sachet 14 Neocate Active 63 G. Sachet 15 Neocate Advance 100 G. Sachet 10 Neocate Advance 50 G. Sachet 15 Neocate LCP 400 G. Pack Neocate Plain/Flavour 400 G. Pack Nutramigen 1 Powder 400 G. Pack Nutramigen 2 Powder 400 G. Pack Aptamil Pepti 1 450 G. Pack Aptamil Pepti 2 450 G. Pack Nutrini Pepti 500 ml. Pack Pepdite 1+ 400 G. Pack Pepdite 400 G. Pack Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed 81377 84921 84972 81133 83022 83247 81132 81137 82694 81281 81084 84034 85006 83021 82279 82260
11
PRODUCT
3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 Peptamen 1 L. Pack Peptamen 500 ml. Pack Peptamen Flavoured 200 ml. Pack Peptamen Junior 400 G. Pack Pepti Junior 450 G. Pack Peptisorb 1 L. Pack Peptisorb 500 ml. Pack Perative 1 L. Pack Perative 500 ml. Pack Pregestimil Powder 400 G. Pack Survimed OPD 500 ml. Pack MCT Duocal 400 G. Pack Modulen IBD 400 G. Pack Respifor 125 ml. Pack Lipistart 400 G. Pack Liquigen 250 ml. Pack MCT Oil 500 ml. Pack Renamil 1 Kg. Pack Suplena 237 ml. Pack

Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Elemental & Peptide Based Feed Energy Source: Carbohydrate & Fat - MCT Energy Source: Carbohydrate, Fat & Protein Energy Source: Carbohydrate, Fat & Protein Energy Source: Fat Energy Source: Fat - MCT (MCT Emulsion) Energy Source: Fat - MCT (MCT Oil) High Calorie/Low Protein Feed High Calorie/Low Protein Feed
GMS NUMBER
81022 81020 84519 81026 82570 81401 81455 83032 81319 81339 83852 84964 81144 81092 81080 82976 (FR) 81134 (FR) 81425 85022
12
PRODUCT
3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 3.4 Nepro 200 ml. Pack Nepro 237 ml. Pack Nepro 500 ml. Pack Renilon 7.5 125 ml. Pack Pulmocare 250 ml. Pack Pulmocare 500 ml. Pack Locasol 400 G. Pack Caprilon 420 G. Pack MCT Pepdite 1+ 400 G. Pack MCT Pepdite 400 G. Pack Monogen 400 G. Pack Nutrison MCT 1 L. Pack Alicalm 400 G. Pack Ketocal 300 G. Pack Generaid 200 G. Pack Generaid Plus 400 G. Pack

High Calorie/Moderate Protein/Low Electrolyte Feed High Calorie/Moderate Protein/Low Electrolyte Feed High Calorie/Moderate Protein/Low Electrolyte Feed High Calorie/Moderate Protein/Low Electrolyte Feed High Fat Feed High Fat Feed Low Calcium Milk Substitute MCT - Based Feed MCT - Based Feed MCT - Based Feed MCT - Based Feed MCT - Based Feed Paediatric Special Feed Paediatric Special Feed Protein with Branched Chain Amino Acid Protein with Branched Chain Amino Acid
GMS NUMBER
81091 84980 81185 81106 82686 81093 82252 82473 82309 82295 82525 81148 81107 81474 81763 81784
CAT 4
NUTRITIONAL PRODUCTS DESIGNED FOR THE SPECIFIC MANAGEMENT OF INHERITED METABOLIC DISORDERS
OVERALL DESCRIPTION: Inherited Metabolic Disorders
13
PRODUCT
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4
GMS NUMBER
81025 83009 81108 81002 81033 81005 81038 81006 83010 81722 81003 83011 81040 81769 81015 81011 83014 81012 82102
Add-ins (60 Pdr. Sachets/60 Vits Tabs.) Complete Pack Inborn Errors of Metabolism Add-ins 18.2 G. Sachet 60 Aminogran Food Supplement 500 G. Pack Aminogran PKU 150 Tablet Pack Arginine Amino Acid Supplement 4 G. Sachet 30 Cholesterol Module 450 G. Pack Cystine Amino Acid Supplement 4 G. Sachet 30 Dialamine 200 G. Pack Dialamine 400 G. Pack Duobar 45 G. Bar 8 Easiphen 250 ml. Pack EEA Supplement 12.5 G. Sachet 50 EEA Supplement 25 G. Sachet 30 Energyvit 400 G. Pack FlavourPAC 4 G. Sachet 120 FlavourPAC 4 G. Sachet 30 GA Gel 20 G. Sachet 30 GA1 Anamix Infant 400 G. Pack HCU Anamix Infant 400 G. Pack Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism
14
PRODUCT
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 HCU Cooler 130 ml. Foil Pouch 30 HCU Express 25 G. Sachet 30 HCU LV 27.8 G. Sachet 30 HCU-gel 20 G. Sachet 30 Isoleucine Amino Acid Supplement 4 G. Sachet 30 KeyOmega 4 G. Sachet 30 Leucine Amino Acid Supplement 4 G. Sachet 30 Lophlex 27.8 G. Sachet 30 Loprofin LP Crunch 41 G. Bar 8 Metabolic Mineral Mixture 100 G. Pack MMA/PA Anamix Infant 400 G. Pack MMA/PA Express 25 G. Sachet 30 MMA/PA gel 20 G. Sachet 30 Modjul Flavour System 100 G. Pack Modjul Flavour System 5 G. Sachet 20 MSUD Aid 111 500 G. Pack MSUD Anamix Infant 400 G. Pack MSUD Anamix Junior 29 G. Sachet 30 MSUD Express 25 G. Sachet 30

Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism
GMS NUMBER
83015 81024 81001 81021 81036 83008 83016 81004 81008 81023 81009 81042 81053 81183 81189 81900 82027 81044 81068
15
PRODUCT
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 MSUD Express Cooler 130 ml. Foil Pouch 30 MSUD Maxamaid 500 G. Pack MSUD Maxamum 500 G. Pack Phlexy-10 200 Capsule Pack Phlexy-10 42 G. Bar 20 Phlexy-10 75 Tablet Pack Phlexy-10 Drink Mix 20 G. Sachet 30 Phlexy-Vits 180 Tablet Pack Phlexy-Vits 7 G. Sachet 30 PK Aid 4 500 G. Pack PKU Anamix Infant 400 G. Pack PKU Anamix Junior 29 G. Sachet 30 PKU Cooler 10 87 ml. Foil Pouch 30 PKU Cooler 15 130 ml. Foil Pouch 30 PKU Cooler 20 174 ml. Foil Pouch 30 PKU Lophlex Junior 19 G. Sachet 30 PKU Lophlex LQ 10 62.5 ml. Foil Pouch 60 PKU Lophlex LQ 20 125 ml. Foil Pouch 30 PKU start 500 ml. Pack

GMS NUMBER
81045 82732 82063 81741 81787 81046 82325 81071 82327 83182 81104 81039 81047 81048 81050 81017 83017 81007 81052
16
PRODUCT
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 PKU-express 25 G. Sachet 30 PKU-gel 20 G. Sachet 30 Seravit Paed. 200 G. Pack TYR Cooler 130 ml. Foil Pouch 30 TYR Express 25 G. Sachet 30 TYR Gel 20 G. Sachet 30 Tyrosine Amino Acid Supplement 4 G. Sachet 30 Valine Amino Acid Supplement 4 G. Sachet 30 Vita-Bite 25 G. Bar 7 XLYS, Low TRY Maxamaid 500 G. Pack XLYS, Low TRY Maxamum 500 G. Pack XLYS, TRY Glutaridon 500 G. Pack XMET Homidon 500 G. Pack XMET Maxamaid 500 G. Pack XMET Maxamum 500 G. Pack XMTVI Asadon 200 G. Pack XMTVI Maxamaid 500 G. Pack XMTVI Maxamum 500 G. Pack XP Analog 400 G. Pack

GMS NUMBER
81064 81070 83190 83048 81054 81056 81057 81085 81735 81049 81077 81090 81110 83091 82186 81010 81013 81014 81058
17
PRODUCT
4 4 4 4 XP Maxamaid Concentrate 500 G. Pack XP Maxamaid Plain/Flavour 500 G. Pack XP Maxamum Plain/Flavour 50 G. Sachet 30 XP Maxamum Plain/Flavour 500 G. Pack

Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism Inborn Errors of Metabolism
GMS NUMBER
81135 85065 81159 85030
CAT 5
STAPLE FOOD PRODUCTS DESIGNED TO OPTIMISE NUTRITIONAL STATUS AS PART OF THE CLINICAL MANAGEMENT OF FORMALLY DIAGNOSED CHRONIC DISEASE STATES
5.1
OVERALL DESCRIPTION: Gluten Modified Foods 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 Barkat GF Baking Powder 100 G. Pack Ultra GF Bread Rolls Brown/White 240 G. Pack Glutafin Select GF Fibre/White Bread Rolls 280G. Pack Glutafin Select GF Part Baked Fibre/White Bread Rolls 280G. Pack Giusto GF Bread Rolls 320 G. (4 Rolls) Pack Kelkin GF Bread Rolls Brown/White 320 G. Pack Ultra GF Bread Rolls High Fibre 320 G. Pack Giusto GF Bread 400 G. Pack Glutafin Select GF Loaf 400 G. Pack Glutafin GF Part Baked Loaf 400 G. Pack Baking Powder/Bread/etc. - GF (Baking Pdr. GF) Baking Powder/Bread/etc. - GF (Bread Rolls GF) Baking Powder/Bread/etc. - GF (Bread Rolls GF) Baking Powder/Bread/etc. - GF (Bread Rolls GF) 81130 (FR) 83141(FR) 81334 (FR) 81334 (FR)
Baking Powder/Bread/etc. - GF (Bread Rolls GF) Baking Powder/Bread/etc. - GF (Bread Rolls GF) Baking Powder/Bread/etc. - GF (Bread Rolls High Fibre GF) Baking Powder/Bread/etc. - GF (Bread White GF) Baking Powder/Bread/etc. - GF (Bread White GF) Baking Powder/Bread/etc. - GF (Bread White GF)
83133 (FR) 83133 (FR) 83158 (FR) 81019 (FR) 81019 (FR) 81019 (FR)
18
PRODUCT
5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 Glutafin GF Part Baked Fibre/White Bread Rolls 400G. Pack Glutafin GF Part Baked Fibre Loaf 400 G. Pack Glutafin Select GF Fibre Loaf 400 G. Pack Glutafin Select GF High Fibre 400 G. Pack Juvela GF Loaf 400 G. Pack Juvela GF Fibre Loaf 400 G. Pack Juvela GF Fibre & White Bread Rolls 425 G. Pack Kelkin GF Bread White 400 G. Pack Kelkin GF Bread Fibre 400 G. Pack Mulligan's Bread White Gluten Free 400 G. Pack Ultra GF Bread High Fibre 400 G. Pack Ultra GF Baguettes White 400 G. Pack Mulligan's Bread Brown Gluten Free 400 G. Pack Glutafin Select GF Fibre Mix 500 G. Pack Juvela GF Fibre Mix 500 G. Pack Tritamyl Bread Mix Brown Gluten Free 1 Kg. Pack

Baking Powder/Bread/etc. - GF (Bread Rolls GF)
GMS NUMBER
81399 (FR)
Baking Powder/Bread/etc. - GF (Bread Fibre GF) Baking Powder/Bread/etc. - GF (Bread Fibre GF) Baking Powder/Bread/etc. - GF (Bread High Fibre GF) Baking Powder/Bread/etc. - GF (Bread White GF) Baking Powder/Bread/etc. - GF (Bread Fibre GF) Baking Powder/Bread/etc. - GF (Bread Rolls GF) Baking Powder/Bread/etc. - GF (Bread White GF) Baking Powder/Bread/etc. - GF (Bread Fibre GF) Baking Powder/Bread/etc. - GF (Bread White GF) Baking Powder/Bread/etc. - GF (Bread Fibre GF) Baking Powder/Bread/etc. - GF (Baguettes White GF) Baking Powder/Bread/etc. - GF (Bread High Fibre GF) Baking Powder/Bread/etc. - GF (Bread Mix Brown GF) Baking Powder/Bread/etc. - GF (Bread Mix Brown GF) Baking Powder/Bread/etc. - GF (Bread Mix Brown GF)
81000 (FR) 81000 (FR) 83355 (FR) 81019 (FR) 81000 (FR) 81416 (FR) 81019 (FR) 81000 (FR) 81019 (FR) 83355 (FR) 83109 (FR) 83355 (FR) 81027 (FR) 81027 (FR) 83117 (FR)
19
PRODUCT
5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 5.1 Tritamyl Bread Mix White Gluten Free 1 Kg. Pack Tritamyl Flour White Gluten Free 1 Kg. Pack Tritamyl Flour White Gluten Free 2 Kg. Pack Tritamyl Bread Mix White Gluten Free 2 Kg. Pack Barkat GF Cornflakes 250 G. Pack Giusto GF Corn Flakes 250 G. Pack Giusto GF Rice Krispies 250 G. Pack Glutafin GF Cornflakes 250 G. Pack Glutano GF Cornflakes 250 G. Pack Barkat GF Porridge 500 G. Pack Kelkin GF Muesli 500 G. Kelkin GF Porridge 500 G.

Baking Powder/Bread/etc. - GF (Bread Mix White GF) Baking Powder/Bread/etc. - GF (Flour White GF) Baking Powder/Bread/etc. - GF (Flour White GF) Baking Powder/Bread/etc. - GF (Bread Mix White GF) Baking Powder/Bread/etc. - GF (Cereal GF) Baking Powder/Bread/etc. - GF (Cereal GF) Baking Powder/Bread/etc. - GF (Cereal GF) Baking Powder/Bread/etc. - GF (Cereal GF) Baking Powder/Bread/etc. - GF (Cereal GF) Baking Powder/Bread/etc. - GF (Cereal GF) Baking Powder/Bread/etc. - GF (Cereal GF) Baking Powder/Bread/etc. - GF (Cereal GF) Baking Powder/Bread/etc. - GF (Pasta GF) Baking Powder/Bread/etc. - GF (Pasta GF) Baking Powder/Bread/etc. - GF (Pasta GF) Baking Powder/Bread/etc. - GF (Pasta GF)
GMS NUMBER
83125 (FR) 83166 (FR) 81043 (FR) 81035 (FR) 81438 (FR) 81438 (FR) 81438 (FR) 81438 (FR) 81438 (FR) 81528 (FR) 81127 (FR) 81528 (FR) 81450 (FR) 81450 (FR) 81450 (FR) 81497 (FR)
Glutafin GF Pasta 250 G. Pack (Lasagne/Tagliatelli Nests) Glutano GF Pasta 250 G. Pack (Animal Shapes/Spaghetti/Spirals/Tagliatelli) Ultra GF Pasta 250 G. Pack (Fusilli/Penne/Spaghetti/Tagliatelli) Giusto G-Mix Pasta 500 G. Pack (Fusilli/Penne/Spaghetti)
20
PRODUCT
5.1 5.1 5.1 5.1 5.2 Glutafin GF Pasta 500 G. Pack (Macaroni/Pasta Shells/Pasta Spirals/Spaghetti) Glutano GF Pasta 500G. Pack (Macaroni) Juvela GF Pasta Range 500 G. Pack (Fusilli/Macaroni/Spaghetti) Ultra GF Pizza Bases 400 G. Pack

Baking Powder/Bread/etc. - GF (Pasta GF) Baking Powder/Bread/etc. - GF (Pasta GF) Baking Powder/Bread/etc. - GF (Pasta GF)
GMS NUMBER
81497 (FR) 81497 (FR) 81497 (FR)
Baking Powder/Bread/etc. - GF (Pizza Bases GF)
83386 (FR)
OVERALL DESCRIPTION: Low Protein Foods 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 Loprofin LP Cookies 100 G. Pack Loprofin LP Wafers 100 G. Pack Juvela LP Cookies 125 G. Pack Loprofin LP Biscuits 125 G. Pack Aminex LP Cookies 150 G. Pack Loprofin LP Biscuits 150 G. Pack Loprofin LP Crackers 150 G. Pack PK Foods LP Cookies 150 G. Pack Ultra PKU Low Protein Biscuits 200 G. Pack Ultra PKU Low Protein Cookies 250 G. Pack Aproten LP Crispbread 260 G. Pack Ultra PKU Low Protein Bread Rolls 240 G. Pack Biscuits - LP (Cookies LP) Biscuits - LP (Wafers LP) Biscuits - LP (Cookies LP) Biscuits - LP (Biscuits LP) Biscuits - LP (Cookies LP) Biscuits - LP (Biscuits LP) Biscuits - LP (Crackers LP) Biscuits - LP (Cookies LP) Biscuits - LP (Biscuits LP) Biscuits - LP (Cookies LP) Biscuits - LP (Crispbread LP) Bread/Bread Mix/Cereal/etc. - LP (Bread Rolls LP) 82368 (FR) 81221(FR) 81083 (FR) 82406 (FR) 81855 (FR) 81213 (FR) 81205 (FR) 81855 (FR) 83266 (FR) 83278 (FR) 81879 (FR) 83281(FR) 21
PRODUCT
5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 Loprofin LP Bread Rolls White 260 G. Pack Juvela LP Rolls 350 G. Pack Juvela LP Loaf 400 G. Pack Loprofin LP Sliced Bread 400 G. Pack Rite-Diet LP White Bread with Fibre 400 G. Pack Ultra PKU Low Protein Bread 400 G. Pack Ultra PKU Low Protein Pizza Bases 400 G. Pack Fate LP Mix 500 G. Pack Juvela LP Mix 500 G. Pack Loprofin LP Bread/Cake Mix 500 G. Pack Ultra PKU Low Protein Flour Mix 500 G. Pack PK Foods LP Mix 750 G. Pack Rite-Diet LP Bread/Cake Mix 500 G. Pack Loprofin LP Egg White Replacer 100 G. Pack Loprofin LP Egg Replacer 500 G. Pack PK Foods LP Egg Replacer 350 G. Pack Loprofin LP Cereal 375 G. Pack

Bread/Bread Mix/Cereal/etc. - LP (Bread Rolls White LP ) Bread/Bread Mix/Cereal/etc. - LP (Bread Rolls White LP) Bread/Bread Mix/Cereal/etc. - LP (Bread White LP/GF) Bread/Bread Mix/Cereal/etc. - LP (Bread White LP) Bread/Bread Mix/Cereal/etc. - LP (Bread with Fibre LP ) Bread/Bread Mix/Cereal/etc. - LP (Bread White LP/GF) Bread/Bread Mix/Cereal/etc. - LP (Pizza Bases LP) Bread/Bread Mix/Cereal/etc. - LP (Bread/Cake Mix LP) Bread/Bread Mix/Cereal/etc. - LP (Bread/Cake Mix LP) Bread/Bread Mix/Cereal/etc. - LP (Bread/Cake Mix LP) Bread/Bread Mix/Cereal/etc. - LP (Flour White LP) Bread/Bread Mix/Cereal/etc. - LP (Bread/Cake Mix LP) Bread/Bread Mix/Cereal/etc. - LP (Bread/Cake Mix LP) Bread/Bread Mix/Cereal/etc. - LP (Egg White Replacer LP) Bread/Bread Mix/Cereal/etc. - LP (Egg Replacer LP ) Bread/Bread Mix/Cereal/etc. - LP (Egg Replacer LP ) Bread/Bread Mix/Cereal/etc. - LP (Cereal LP)
GMS NUMBER
81292 (FR) 81826 (FR) 81256 (FR) 81256 (FR) 81280 (FR) 81256 (FR) 83174 (FR) 81299 (FR) 81299 (FR) 81299 (FR) 81302 (FR) 81096 (FR) 81299 (FR) 81684 (FR) 81672 (FR) 81102 (FR) 81098 (FR)
22
PRODUCT
5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 Loprofin LP Dessert Mixes 150 G. Pack Promin LP Dessert 38.5 G. Sachet 6 Loprofin LP Snack Pot 47 G. Pack Promin LP Hot Breakfast G. Sachet 6 Promin LP Burger Mix 62 G. Sachet 2 Promin LP Pasta Elbows in LP Sauce 66G. Sachet 4 Promin LP Rice Pudding Mix 69 G. Sachet 4 Promin LP Pasta Shells in LP Sauce 72G. Sachet 4 Promin LP Pasta Spirals in LP Sauce 72 G. Sachet 4 Promin LP Pasta Lasagne Sheets 200 G. Pack Loprofin LP Lasagne 250 G. Pack Loprofin LP Macaroni 250 G. Pack Loprofin LP Puntoni 250 G. Pack Loprofin LP Tagliatelle Nests 250 G. Pack Loprofin LP Vermicelli 250 G. Pack PK Foods Pasta Spirals 250 G. Pack Milupa LP - Pasta Tomato 420 G. Pack 57

Desserts - Low Protein Desserts - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein
GMS NUMBER
83045 83037 81499 81018 81072 81243 81074 81274 83036 81062 81113 81063 81067 81069 81060 81088 83046
23
PRODUCT
5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.2 Loprofin LP Animal Pasta 500 G. Pack Loprofin LP Gnocchetti Sardi G. Pack Loprofin LP Macaroni G. Pack Loprofin LP Pasta Shells 500 G. Pack Loprofin LP Pasta Spirals G. Pack Loprofin LP Spaghetti Long 500 G. Pack Loprofin Rice 500 G. Pack Promin LP Pasta 500 G. Pack Promin LP Pasta Imitation Rice 500 G. Pack Promin LP Pasta Meal G. Pack Promin LP Tri-Colour Pasta 500 G. Pack Promin LP/GF Pasta Cous Cous 500 G. Pack Loprofin LP Cracker Spread 25 G. Pack Taranis LP Spread 230 G. Pack 500 500 500 500

Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Pasta - Low Protein Spreads - Low Protein Spreads - Low Protein
GMS NUMBER
83018 81061 83007 81065 83019 83020 81016 81120 83330 82724 81322 81201 83043 83038
CAT 6
NUTRITIONAL PRODUCTS DESIGNED TO ENHANCE THE SAFETY AND / OR ACCEPABILITY OF FOODS OR FEEDS WHICH ARE PRESCRIBABLE IN ANY OF THE ABOVE CATEGORIES
6.1
OVERALL DESCRIPTION: Thickeners
24
PRODUCT
6.1 6.1 6.1 6.1 6.1 6.1 6.1 6.1 6.1 6.1 6.1 6.2 Resource Thicken Up 4.5 G. Sachet 75 Nutilis Powder 12 G. Sachet 20 Thick & Easy 9 G. Sachet 100 Instant Carobel 135 G. Pack Nutilis Powder 300 G. Pack Resource Thicken Up 225 G. Pack Thick & Easy 225 G. Pack Clinutren Thickener 300 G. Pack Vitaquick 300 G. Pack Thixo-D 375 G. Pack Nutilis Powder 670 G. Pack

Thickening Agents Thickening Agents Thickening Agents Thickening Agents Thickening Agents Thickening Agents Thickening Agents Thickening Agents Thickening Agents Thickening Agents Thickening Agents
GMS NUMBER
81512 81109 81936 82236 82249 83955 82848 81927 83191 83060 83039
OVERALL DESCRIPTION: Flavourings 6.2 Nestle Nutrition Flavour Mix 60 G. Pack Flavouring 81029
25

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PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

NON - DISEASE SPECIFIC ENTERAL TUBE FEEDS

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

81199 81471 81217 81286 81875

83895 82562 81801 82662 82569 81852

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

82515 81351 81245 82521 81368 81380 81347 81373 81382

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

83860 81240 81599

81814 81821 81495 81460 81888

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

NON - DISEASE SPECIFIC ORAL NUTRITIONAL SUPPLEMENTS

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

83206 81776 83023

81688 (FR) 81688 (FR) 81688 (FR)

81165 (FR) 81165 (FR) 81165 (FR) 81165 (FR)

82430 (FR) 82430 (FR) 82430 (FR) 82430 (FR)

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

Nutritionally Fortified Supplements Nutritionally Fortified Supplements Nutritionally Fortified Supplements

81152 81146 83030

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

NUTRITIONAL PRODUCTS FOR SPECIFIC CLINICAL CONDITIONS

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

OVERALL DESCRIPTION: Inherited Metabolic Disorders

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS

PREVIOUS GMS CLASSIFICATION

NOTE: REFER TO PHARMACEUTICAL CODE BOOK FOR CODING INSTRUCTIONS

PROPRIETARY NAME INDEX - CLINICAL NUTRITIONAL PRODUCTS