KetoCal Ordering Information

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).

 
KetoCal® 3:1 Ordering Information

Product Code

Reimbursement Code

Price

Packaging

16672

49735-0166-72

$174.00

6 x 300 g (11 oz)

 
KetoCal® 4:1 Ordering Information

Product Code

Reimbursement Code

Price

Packaging

16670

49735-0166-70

$134.00

6 x 300 g (11 oz)

 
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)

 
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)

 
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)

 

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.

 
 
KetoCal 4:1 - Canadian Formulation Ordering Information

Product Code

Packaging

16671

6 x 300 g (11 oz)

KetoCal 4:1 - Liquid Ordering Information

Product Code

Packaging

118796 - Vanilla

27 x 237 mL (8 fl oz)


 

 

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