GLYTACTIN® Restore™ Lite
A Glycomacropeptide (GMP) based powdered medical food with select electrolytes, vitamins and minerals for the dietary management of a person with Phenylketonuria.
Glytactin Restore Lite Powder is indicated for the dietary management of a person with Phenylketonuria (PKU) over 1 year of age. Must be used under medical supervision only.
Available flavor:
Orange
Flavor
Flavor
Nutritional Information
Per 0.67 oz (19 g) packet.
Protein
Equivalent
10 g
Equivalent
10 g
Calories
60
60
Phe
18 mg
18 mg
Full Product Details:
Orange Packet
Ordering Information
| SKU | PRODUCT | REIMBURSEMENT CODE | HCPCS | PACKAGING | KCAL/PKT |
|---|---|---|---|---|---|
| 35211 | Orange Flavor | 24359-0352-07 | B4155 | 30 x 0.67 oz (19 g) packets | 60 |
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