LOW PROTEIN PRICE LIST & ORDER FORM as of May 2017
(Prices are subject to change without notice) * = Price Change
Low Protein Product Name
Pastas:
Aproten Ditalini
Aproten Fusilli (Spirals)
Aproten Penne
Aproten Spaghetti
Dietary Specialties Spaghetti-Os
Dietary Specialties Spanish Rice
Dietary Specialties Imitation Rice
Loprofin Animal Pasta
Loprofin Fusilli (Spirals)
Loprofin Penne Pasta
Loprofin Spaghetti
Promin Alphabet Tri-Color OR Regular Alphabets (Circle One)
Promin Couscous
Promin Imitation Rice
Promin Elbow (Macaroni)
Promin Tri-Color Spirals OR Regular Spirals (Circle One)
Mevalia Penne
Mevalia Spaghetti
Mevalia Fusilli
Mevalia Ditali
Unit
Unit Price
17.6oz bag
17.6oz box
17.6oz bag
17.6oz bag
2.4oz pkg
2.4oz pkg
17.6oz bag
500g box
500g box
500g box
500g box
500 g bag
500 g bag
500 g bag
500 g bag
500g bag
17.7oz pkg
17.7oz pkg
17.7oz pkg
17.7oz pkg
$12.00
$12.00
$12.00
$12.00
$3.50
$3.50
$12.00
$11.00
$11.00
$11.00
$11.00
$12.00
$12.00
$12.00
$12.00
$12.00
$12.00
$12.00
$12.00
$12.00
Pasta-To-Go:
Country Sunrise-Spaghetti Marinara
Country Sunrise-Macaroni n' Cheese/Creamy Stroganoff
Country Sunrise-Veggie Ramen Bowl/Chinese Noodle Bowl
77g bowl
86g bowl
67g bowl
Country Sunrise-Cheesy Broccoli Potato Soup Mixes
Country Sunrise- Italian Vegetable Pasta
Country Sunrise- Vegetable ABC Soup Mixes
1-4 single bags
1-4 single bags
1-4 single bags
$7.00
$7.00
$7.00
$11.00
$11.00
$11.00
Baking Products:
Taste Connections (TC) Bread Mix
TC Brownie Mix
TC Multi-Baking Mix
TC Versa Mix
TC Wheat Starch
Dietary Specialties Chocolate Cake Mix
Dietary Specialties Vanilla Cake Mix
Loprofin Baking Mix
Wel-Plan Baking Mix
Maddy's Homestyle Banana Muffin Mix
Maddy’s Homestyle Blueberry Muffin Mix
Maddy's Homestyle Cinnamon Chip Muffin Mix
Maddy's Homestyle Fudge Brownie Mix
Maddy’s Homestyle Sugar Cookie Mix
Maddy’s Homestyle Yellow Cake Mix
PKU Persp Country Sunrise Imitation Scrambled egg/Omelet Mix
TC "Bacon" Bits
5 lb bag
3 lb bag
5 lb bag
5 lb bag
5 lb bag
1 box
1 box
500gm box
14 oz box
432g can
432g can
432g can
400g can
408g can
411g can
1.25 lb bag
200g bag
$28.00
$20.00
$28.00
$30.00
$20.00
$5.50
$5.50
$7.50
$9.50
$8.00
$8.00
$8.00
$7.00
$6.00
$8.00
$11.00
$6.00
Cereal & Crackers:
Loprofin Breakfast Cereal- Loops
Loprofin Crackers
Nutricia -Milupa lp Flakes
Nutricia- Milupa lp Fruity Pear Cereal Mix (Hot Cereal)
Nutricia- Milupa lp Fruity Apple-Banana Cereal Mix (Hot Cereal)
13oz box
150 gm box
375g box
300g
300g
$11.50
$7.00
$8.50
$11.50
$11.50
5oz Jar
5oz Jar
7oz Jar
5.3oz Jar
12oz Jar
16 oz jar
1oz box
1oz box
21oz
23.3oz
$12.00
$12.00
$12.00
$10.00
$6.00
$12.00
$3.00
$3.00
$12.00
$12.00
3 oz bag
1 oz bag
1 oz bag
$5.00
$1.75
$1.75
Spreads & Sauces:
CBF Shake ‘N Cheeze
CBF Alfredo Sauce Mix
CBF Chicken Consommé Mix
Dietary Specialties Cheese Flavored Sauce Mix
Walden Farms Peanut Spread/Chocolate/Cinnamon Raisin
Dietary Specialties Peanut Spread
GWashington Rich Brown Seasoning and Broth
GWashington Golden Seasoning and Broth
Vance’s DariFree - Original
Vance’s DariFree - Chocolate
Snacks:
Wai Lana Chips: BBQ, Pizza, Sea Salt/Vinegar, Thai Curry w/Lime (Circle One)
Wai Lana Chips: BBQ and Herb/Garlic (Circle One)
Wise Onion Rings
Pizza Shells:
Ener-G Pizza Shells 6”
Ener-G Pizza Shells 10"- Available upon request; allow increased delivery time
Pack of 3
Pack of 2
*
*
$12.00
$14.00
Quantity
Total $
LOW PROTEIN PRICE LIST & ORDER FORM as of May 2017
(Prices are subject to change without notice) * = Price Change
Sweets:
Unit
Unit Price
DS Chocolate Chip Cookies
6 oz box
$6.00
Nutricia Milupa lp Apple-Cinnamon Bar -Seasonal only
75 g
$5.50
Nutricia Milupa lp Fruits of the Forest Bar -Seasonal only
75 g
$5.50
Maddy's Chocolate Covered Raisins
1.5 lb-can
$15.00
Maddy's White Chocolate Bars
1 bar
$3.00
Maddy's Treats - Seasonal only
Mevalia Fruit Bars
1 box
$12.00
Refrigerated/Frozen Food Products – CANNOT BE SHIPPED
CBF Cheese Slices -AMERICAN
CBF Cheese Slices -SWISS
CBF Homestyle Bread
CBF Mozzarella Cheese Shreds
CBF Cheddar Cheese Shreds
Richs Whipped Topping
2 pack
2 pack
1.5 lb loaf
2 lb bag
2 lb bag
1 qt
$15.00
$15.00
$15.00
$15.00
$15.00
$5.00
Breads
Mevalia Hearty White Bread
Mevalia Ciabatta Rolls
14.1oz loaf
9.2oz pkg
$12.00
$9.50
Other Products Available
Mile High Low Protein Cookbook - Print Version (Please call)
Mile High Low Protein Cookbook - CD version (Please call)
Everybody Has Something
Penny the Penguin- NEW
Penny the Penguin in Spanish - NEW
Setting Up Your Low Protein Kitchen- NEW
Binder
CD
Book
Book
Book
Book
$20.00
$12.00
$15.00
$15.00
$15.00
$15.00
Return Address and Contact Information:
Name _____________________________________________
Street Address ______________________________________
City _____________________ State _______ ZIP _________
Daytime Telephone
(_________) _____________________________
We cannot insure any packages.
Please make sure your mailing address is accurate.
We are unable to replace any undeliverable packages.
Note: We cannot mail to a PO Box.
Payment must be included
There is a minimum order of $35.00
**Shipping & Handling:
$35.00 -$50.00= $5.00
$50.01-$100.00= $10.00
$100.01-$200.00=$20.00
Over $200.01= $25.00
To place an order please call (303)724-2366 or (303) 724-2338
or fax us at (720)777-7322
Store Telephone #: 720-777-9811
www.childrenscolorado.org
Quantity
Total $$
Subtotal (front)
Subtotal (back)
Gift Certificate
**Shipping and Handling
Non IMD patient charge ($10.00)
GRAND TOTAL
Send Completed form and Payment (check or Money Order) to:
Children’s Hospital Colorado,IMD Clinic
13123 E. 16th Avenue, B153
Aurora, CO 80045 Attn. Nutritionist
PLEASE MAKE CHECKS PAYABLE TO: UCDHSC
We Do NOT Accept Credit Cards
Hours of Operation:
Mondays
Wednesdays
Thursdays
10:00 am to 12:00 pm
1:30 pm to 3:30 pm
10:00 am to 12:00 pm
The Low Protein Store is located in:
Children’s Hospital Colorado
Outpatient Pavilion, 2nd Floor, Room #B2102