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...Abstract objectives the estimation of cost total parenteral nutrition tpn is a part pharmacoeconomic program at ministry health moh saudi arabia in this study we explored analysis services by using american model with local methods simulation was performed for all months neonate pediatric and 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 results number orders volume ml these neonatal respectively those average per day duration adults days active ingredient usd annual daily expenditures conclusion first an essential basic element related healthcare...