| KetoCal Ordering Information |
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United States:
KetoCal 4:1 Liquid – Vanilla and KetoCal 4:1 and 3:1 powders can be ordered directly from Nutricia directly by calling 1-866-KETOCAL (538-6225). In order to purchase KetoCal, the patient’s healthcare provider must complete a Sample Authorization Request and Consent Form and fax to Nutricia at 1-301-795-2292.
Samples of KetoCal can be requested only by your healthcare provider at 1-866-KETOCAL (538-6225). |
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| KetoCal® 3:1 Ordering Information |
Product Code |
Reimbursement Code |
Price |
Packaging |
16672 |
49735-0166-72 |
$174.00 |
6 x 300 g (11 oz) |
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| KetoCal® 4:1 Ordering Information |
Product Code |
Reimbursement Code |
Price |
Packaging |
16670 |
49735-0166-70 |
$134.00 |
6 x 300 g (11 oz) |
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| KetoCal® 4:1 Liquid - Vanilla Ordering Information |
Product Code |
Reimbursement Code |
Price |
Packaging |
118796 - Vanilla |
49735-0187-96 |
$134.00 |
27 x 237 mL (8 fl oz) |
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| KetoCal® 4:1 Liquid - Unflavored Ordering Information |
Product Code |
Reimbursement Code |
Price |
Packaging |
53054 |
49735-013054 |
$134.00 |
27 x 237 mL (8 fl oz) |
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| Liquigen® - Unflavored Ordering Information |
Product Code |
Reimbursement Code |
Price |
Packaging |
| 71957 |
49735-011957 |
$114.00 |
3 x 4 x 250 mL (case) |
71957-3 |
49735-019573 |
$38.00 |
4 x 250 mL (unit) |
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Canada:
KetoCal 4:1 Liquid – Vanilla and KetoCal 4:1 powder (Canada formulation), can be ordered directly from Nutricia by calling the Canadian office at 1-877-636-2283. In order to purchase KetoCal 4:1 Liquid – Vanilla or KetoCal 4:1 powder, the patient’s healthcare provider must complete a Sample Authorization Request and Consent Form and fax to the Canadian office at 1-514-745-6625.
Samples of KetoCal can be requested only by your healthcare provider at 1-514-745-6625. |
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| KetoCal 4:1 - Canadian Formulation Ordering Information |
Product Code |
Packaging |
16671 |
6 x 300 g (11 oz) |
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| KetoCal 4:1 - Liquid Ordering Information |
Product Code |
Packaging |
118796 - Vanilla |
27 x 237 mL (8 fl oz) |
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