Infant Formulas, Exempt Infant Formulas and Medical Foods Reconstituted Fluid Ounces Reconstituted Manufacturer Fluid Ounces (RFO) *IF = Infant Formula EXF = Exempt Infant Formula WEMF = WIC‐eligible Medical Foods Product Boost Nestle Boost Breeze Nestle Boost High Protein Nestle Boost Kid Essentials Nestle Boost Kid Essentials 1.5 Nestle Boost Kid Essentials 1.5 w/fiber
Nestle Boost Plus Nestle Compleat Pediatric Nestle EleCare for Infants (formerly EleCare DHA/ARA) Abbott EleCare Jr Vanilla Abbott Order from Nutrition Services Branch EleCare Jr Unflavored Abbott Order from Nutrition Services Branch Category* Size Type WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 8.25 oz. RTF 8.25 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 250 ml RTF 8.33 EXF 14.1 oz. PWDR 95 EXF 14.1 oz. PWDR 62 EXF 14.1 oz. PWDR 62 April 21, 2014: Infant Formulas, Exempt Infant Formulas and Medical Foods: RFO…Page 1 of 6 Reconstituted Manufacturer Fluid Ounces (RFO) *IF = Infant Formula EXF = Exempt Infant Formula WEMF = WIC‐eligible Medical Foods Product Enfamil EnfaCare Mead Johnson Enfamil EnfaCare Mead Johnson Category* Size Type EXF 12.8 oz. 32 oz. PWDR
RTF
82
32
EXF 2 oz. RTF 2 5 ml
0.71 gm. RTF
1
EXF PWDR 1 EXF 2 oz. RTF 2 EXF 2 oz. RTF 2 EXF 2 oz. RTF 2 EXF 2 oz. RTF 2 EXF 2 oz. RTF 2 EXF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 10 oz. RTF 10 WEMF 8 oz. RTF 8 IF 12.7 oz. 12.1 oz. 33.8 oz. PWDR
CONC
RTF
90
24.2
33.8
Order from Nutrition Services Branch Enfamil Human Milk Fortifier Mead Johnson Order from Nutrition Services Branch Enfamil 24 Mead Johnson Order from Nutrition Services Branch Enfamil Premature 20 (Iron Fortified)
Mead Johnson Order from Nutrition Services Branch Enfamil Premature 24 (Iron Fortified)
Mead Johnson Order from Nutrition Services Branch Enfamil Premature High Protein 24
Mead Johnson Order from Nutrition Services Branch Enfamil Premature 30 Mead Johnson Order from Nutrition Services Branch Enfaport Mead Johnson Ensure Abbott Ensure Clear Nutritional Beverage
Abbott Order from Nutrition Services Branch Ensure Plus Abbott Gerber Good Start Gentle Nestle April 21, 2014: Infant Formulas, Exempt Infant Formulas and Medical Foods: RFO…Page 2 of 6 Reconstituted Manufacturer Fluid Ounces (RFO) *IF = Infant Formula EXF = Exempt Infant Formula WEMF = WIC‐eligible Medical Foods Product Gerber Good Start Nourish Nestle Gerber Good Start Nourish Nestle Category* Size Type EXF 12.6 oz. PWDR 83 EXF 3 oz. RTF 3 EXF 3 oz. RTF 3 EXF 3 oz. RTF 3 EXF 3 oz. RTF 3 IF 12.4 oz. PWDR 90 IF 12.9 oz. 12.1 oz. 33.8 oz. PWDR
CONC
RTF
91
24.2
33.8
WEMF 8 oz. RTF 8 WEMF 11 oz. 8 oz.
PWDR
RTF
70
8
WEMF 11 oz. PWDR 69.9 EXF 14 oz. PWDR 84 WEMF 14.1 oz. PWDR 64 WEMF 14.1 oz. PWDR 60 WEMF 237 ml RTF 7.9 Order from Nutrition Services Branch Gerber Good Start Premature 20
Nestle Order from Nutrition Services Branch Gerber Good Start Premature 24
Nestle Order from Nutrition Services Branch Gerber Good Start Premature 24 High Protein
Nestle Order from Nutrition Services Branch Gerber Good Start Soothe Nestle Gerber Good Start Soy Nestle Glucerna Abbott KetoCal 4:1 Nutricia KetoCal 3:1 Nutricia Neocate Infant DHA & ARA Nutricia Neocate Junior (unflavored) Nutricia Neocate Junior (flavored) Nutricia Neocate Splash (formerly EO28 Splash)
Nutricia April 21, 2014: Infant Formulas, Exempt Infant Formulas and Medical Foods: RFO…Page 3 of 6 Reconstituted Manufacturer Fluid Ounces (RFO) *IF = Infant Formula EXF = Exempt Infant Formula WEMF = WIC‐eligible Medical Foods Product Neocate Junior with Prebiotics
Nutricia Nepro Abbott Nutramigen Mead Johnson Nutramigen with Enflora LGG Mead Johnson Nutren Junior Nestle Nutren Junior Fiber Nestle Osmolite 1.0 Abbott PediaSure Abbott PediaSure with Fiber Abbott PediaSure 1.5 Cal Abbott PediaSure 1.5 Cal with Fiber Abbott PediaSure Enteral 1.0 Abbott PediaSure Enteral 1.0 Fiber Abbott PediaSure Peptide 1.0 Cal (flavored)
Abbott Order from Nutrition Services Branch PediaSure Peptide 1.0 Cal (unflavored)
Abbott Order from Nutrition Services Branch Category* Size Type WEMF 14.1 oz. PWDR 64 WEMF 8 oz. RTF 8 13 oz. CONC 26 32 oz. RTF 32 EXF 12.6 oz. PWDR 87 WEMF 8.45 oz. RTF 8.45 WEMF 8.45 oz. RTF 8.45 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 WEMF 8 oz. RTF 8 EXF April 21, 2014: Infant Formulas, Exempt Infant Formulas and Medical Foods: RFO…Page 4 of 6 Reconstituted Manufacturer Fluid Ounces (RFO) *IF = Infant Formula EXF = Exempt Infant Formula WEMF = WIC‐eligible Medical Foods Product PediaSure Peptide 1.5 Cal (flavored)
Abbott Order from Nutrition Services Branch Peptamen Junior Nestle Order from Nutrition Services Branch Peptamen Junior with Fiber Nestle Order from Nutrition Services Branch Peptamen Junior 1.5 Nestle Order from Nutrition Services Branch Peptamen Junior with Prebio Nestle Order from Nutrition Services Branch Portagen Mead Johnson Category* Size Type WEMF 8 oz. RTF 8 WEMF 8.45 oz. RTF 8.45 WEMF 8.45 oz. RTF 8.45 WEMF 8.45 oz. RTF 8.45 WEMF 8.45 oz. RTF 8.45 WEMF 16 oz. PWDR 70 EXF 16 oz. PWDR 112 EXF 2 oz. RTF 2 EXF 2 oz. RTF 2 EXF 14.1 oz. PWDR 102 EXF 14.1 oz. PWDR 98 WEMF 32 oz. RTF 32 EXF 13 oz. CONC 25.6 Contact NSB if prescribed for an infant Pregestimil Mead Johnson Pregestimil 20 Cal Mead Johnson Order from Nutrition Services Branch Pregestimil 24 Cal Mead Johnson Order from Nutrition Services Branch ProPhree Abbott Order from Nutrition Services Branch PurAmino Mead Johnson Resource 2.0 Nestle Ross Carbohydrate Free (RCF) Abbott April 21, 2014: Infant Formulas, Exempt Infant Formulas and Medical Foods: RFO…Page 5 of 6 Reconstituted Manufacturer Fluid Ounces (RFO) *IF = Infant Formula EXF = Exempt Infant Formula WEMF = WIC‐eligible Medical Foods Product Similac Expert Care Alimentum Abbott Similac Expert Care for Diarrhea Abbott Similac Expert Care NeoSure Abbott Similac Expert Care NeoSure Abbott Order from Nutrition Services Branch Similac Human Milk Fortifier Abbott Order from Nutrition Services Branch Similac PM 60/40 Abbott Similac Special Care 20 w/Iron Abbott Order from Nutrition Services Branch Similac Special Care 24 w/Iron Abbott Order from Nutrition Services Branch Similac Special Care 24 High Protein w/Iron
Abbott Order from Nutrition Services Branch Similac Special Care 30 w/Iron Abbott Order from Nutrition Services Branch Suplena with Carb Steady Abbott Vivonex Pediatric Nestle Order from Nutrition Services Branch Category* Size Type 16 oz. 32 oz. 32 oz. 8 oz.
13.1 oz. 32 oz. PWDR
RTF
RTF
RTF
PWDR
RTF
115
32
32
8
87
32
2 oz. RTF 2 .90 gm. PWDR 1 5 ml. RTF 1 EXF 14.1 oz. PWDR 102 EXF 2 oz. RTF 2 EXF 2 oz. RTF 2 EXF 2 oz. RTF 2 EXF 2 oz. RTF 2 WEMF 8 oz. RTF 8 WEMF 1.7 oz. PWDR 8.33 EXF EXF EXF EXF EXF April 21, 2014: Infant Formulas, Exempt Infant Formulas and Medical Foods: RFO…Page 6 of 6