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A powdered, concentrated source of energy in the form of maltodextrin. Polycal is a medical food and is intended for use under medical supervision.
Directions for Preparation and Use:
Intake to be determined by a medical professional and is dependent on the age, body weight and medical condition of the patient. Polycal is not suitable as a sole source of nutrition.
Store unopened can in a cool, dry place. Once opened, replace container lid and store in a cool dry place (not in the refrigerator) and use contents within 1 month.
|Product Code||NDC format code*||HCPCS Code||Product Packaging||Calories Per Unit|
|89461||49735-0111-52||B4155||12 x 400 g (14.1 oz)||1536|
* Nutricia North America does not represent these codes to be National Drug Codes (NDCs). NDC-format codes are product codes adjusted according to standard industry practice to meet the format requirements of pharmacy and health insurance systems.
Polycal may be covered by private insurance, Medicaid, or WIC. Find out more at http://nutricia-na.com/NutriciaNavigator/ or call 1-800-365-7354, 8:30 AM-6:00 PM EST, Monday-Friday.
On this site, you will find information about the ketogenic diet & KetoCal, and resources available to make managing the ketogenic diet as easy as possible.
Access resources and information that can help you find cost assistance for KetoCal.