B4159 | Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit | |
Added on: Saturday, January 01, 2005 | ||
Status changed on: Saturday, January 01, 2005 | ||
BETOS Classification : Enteral and parenteral | ||
Medicare coverage status:Special coverage instructions apply |