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BOOST LIQUID,NUTRITIONAL SUPPLEMENT

Generic Name: BOOST LIQUID
Brand Names: BOOST BREEZE
Drug Class: ENTERAL NUTRITION
Formulary Status: PA-F
Copay Tier: N/A
Last Updated: 2017-02-27

Clinical Criteria Summary

Inclusion Criteria

VA / VA Community Care provider or Registered Dietitian
Patient requires a fat-restricted, fat-malabsorptive, or clear liquid diet

Source Documents

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