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...International journal of pharmacy and health sciences an open access peer reviewed in the field abstract objectives estimation cost total parenteral nutrition tpn is a part pharmacoeconomic program at ministry moh saudi arabia this study we explored analysis services by using american model with local methods simulation was performed for all months neonate pediatric adult patients king salman hospital riyadh chosen as site it has beds physician or pharmacist prescribed to their reviews prepares nurse administers follows up doctor prepared through sterile standards automated compounding facilities costing derived from information database calculated based on variable expenses including personal material supply fixed costs included direct non salary overhead were estimated us dollar currency prices cont results number orders volume ml these neonatal respectively those average per day duration adults days active ingredient usd annual daily expenditures conclusion first essential basic ele...