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Independence Item # 796451NH
Independence Item # MI010026
blue cover
Chain/strap not required
HCPCS Code: E0143
Tyrex-1 Unflavored Powder, 14.1 oz. Can Quantity:Each item Independence Item # 796451NHTyrex 1 Amino Acid Modified Infant Formula with Iron, Unflavored Powder, 14. 1 ounce (400 g) Can. Nutrition support of infants and toddlers with tyrosinemia types I, II or III. Phenylalanine and tyrosine free. Use under medical supervision. Quantity: Each item DIMENSIONS: 4 X 4 X 4. 8 Weight: 1. 1333lb SKU: 67062 Independence Item # 5267062 Quantity: Case of 6 DIMENSIONS: 12. 5 X 8. 5 X 5 Weight: 6. 8lb SKU: 67062 Independence Item # 5267062
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