MN WIC FORMULA RESOURCE MANUAL Product Name Packaging Nutrient Source Note: *Please refer to the “Formula Amounts Guide”for allowed quantities. Manufacturers frequently alter the ingredients in their formula products, which may affect the nutrient content. For the most current and accurate information, refer to the product label and/or contact the manufacturer. Minnesota WIC accepts no liability for content errors in this document or for the misuse of formula products. This institution is an equal opportunity provider. Note: As of 2/1/2019 this manual is undergoing revision. 1 MN WIC FORMULA RESOURCE MANUAL Product Name Packaging Nutrient Source Acerflex (Nutricia) 16 oz. (454 g) Protein (20% kcals) Resealable cans - Amino acids (without isoleucine, leucine USE: Isoleucine-, leucine-, valine-free medical formula used in the dietary management of and valine) maple syrup urine disease (MSUD) in children over 1 year of age. Pineapple flavor Fat (39% kcals) Must be consumed in conjunction with natural protein, fluid and other nutrients in quantities - Canola oil, hybrid safflower oil, prescribed by a physician or dietitian to meet protein and general nutrition requirements. fractionated coconut oil Fat, carbohydrate and low protein sources may be used to supply needed calories and to fulfill essential fatty acid requirements. Carbohydrate (41% kcal) - Corn syrup solids, sucrose Per 100 g powder: 395 kcals, 20 g protein equivalent, 17 g fat, 40.5 g CHO CAUTION: Use only under medical supervision. Not intended as a sole source of nutrition. Not for parenteral use. Store unopened can at room temperature. Do not store at extreme temperatures. Once opened, reseal can and store in a cool, dry place (not in refrigerator) and use within one month. Note: *Please refer to the “Formula Amounts Guide”for allowed quantities. Manufacturers frequently alter the ingredients in their formula products, which may affect the nutrient content. For the most current and accurate information, refer to the product label and/or contact the manufacturer. Minnesota WIC accepts no liability for content errors in this document or for the misuse of formula products. This institution is an equal opportunity provider. Note: As of 2/1/2019 this manual is undergoing revision. 2 MN WIC FORMULA RESOURCE MANUAL Product Name Packaging Nutrient Source Alfamino Infant (Nestle) 14.1 oz (400 g) cans Infants: 9 USE: Elemental Children / Women: 10 1) Severe malabsorption 6 cans / case 2) GI impairment 3) Food allergies, e.g., allergy to cow's milk, soy, and/or intact protein *Note: A protein hydrolysate (Extensive HA, Nutramigen, Alimentum, or Pregestimil) is recommended 1 Tbsp. = 8 g. powder before issuing unless medically contraindicated. 4) Medical condition requiring an elemental formula such as: short bowel syndrome, necrotizing enterocolitis, eosinophilic esophagitis, etc. 20cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based elemental. 43% of fat is MCT oil; Similar to Elecare DHA/ARA, Neocate DHA/ARA and PurAmino. Available in PWD. CAUTION: For use only under medical supervision. Not intended as the sole source of nutrition. Must be supplemented with protein to meet methionine requirements. Note: *Please refer to the “Formula Amounts Guide”for allowed quantities. Manufacturers frequently alter the ingredients in their formula products, which may affect the nutrient content. For the most current and accurate information, refer to the product label and/or contact the manufacturer. Minnesota WIC accepts no liability for content errors in this document or for the misuse of formula products. This institution is an equal opportunity provider. Note: As of 2/1/2019 this manual is undergoing revision. 3 MN WIC FORMULA RESOURCE MANUAL Product Name Packaging Nutrient Source Alfamino Junior (Nestle) USE: Elemental 1) Severe malabsorption 2) GI impairment 3) Severe food allergies, multiple protein intolerance 4) Medical condition requiring an elemental formula such as: short bowel syndrome, necrotizing enterocolitis, eosinophilic esophagitis, etc. Can only be issued to women and children. 30 cal/oz, hypoallergenic amino acid based elemental. 63% of fat is MCT oil; Similar to Elecare Jr, Neocate Jr . Baby’s Only Organic Infant Formulas (Nature’s Only) Naturesone BCAD 1 (Mead Johnson) 1 lb. (454 g) powder Protein (13% kcals) cans - Amino acids USE: Leucine-, isoleucine- and valine- free medical food powder for infants and toddlers 6 cans / case with Maple Syrup Urine Disease (MSUD) or other inborn errors of branched chain amino Fat (47% kcals) acid metabolism. - Palm olein, soy oil, coconut oil, high oleic sunflower oil Per 100 g powder: 500 kcals, 16.2 g protein equivalent, 26 g fat, 51g CHO Carbohydrate (40 % kcals) CAUTION: For use only under medical supervision. Appropriate amounts of isoleucine, - Corn syrup solids, sucrose, modified corn leucine and valine must be supplied by other foods. Careful monitoring of the diet is starch, maltodextrin needed. Note: *Please refer to the “Formula Amounts Guide”for allowed quantities. Manufacturers frequently alter the ingredients in their formula products, which may affect the nutrient content. For the most current and accurate information, refer to the product label and/or contact the manufacturer. Minnesota WIC accepts no liability for content errors in this document or for the misuse of formula products. This institution is an equal opportunity provider. Note: As of 2/1/2019 this manual is undergoing revision. 4 MN WIC FORMULA RESOURCE MANUAL Product Name Packaging Nutrient Source BCAD 2 (Mead Johnson) 1 lb. (454 g ) powder Protein (24% kcals) cans - Amino acids USE: Leucine-, isoleucine- and valine- free medical food for children and adults with 6 cans / case Maple Syrup Urine Disease (MSUD) or other inborn errors of branched chain amino acid Fat (19% kcals) metabolism. Can be modified with - Soy oil flavor enhancers Per 100 g powder: 410 kcals, 24 g protein equivalent, 8.5 g fat, 57 g CHO Carbohydrate (57 % kcals) - Corn syrup solids, sucrose, modified corn CAUTION: For use only under medical supervision. Appropriate amounts of isoleucine, starch leucine and valine must be supplied by other foods. Careful monitoring of the diet is needed. Nutritionally inadequate. Benecalorie (Nestle) 1.5 oz. cups, 24 / case Protein (9 % kcals) - Calcium Caseinate USE: Modular intended to be added to food or beverage. Low-volume calorie and protein supplement. Indications for use include: Protein calorie malnutrition, elevated caloric Fat (91 % kcals) needs, inadequate food intake, fluid restricted diets, pulmonary disease, burns, HIV/AIDS, - High oleic sunflower oil, mono & anorexia, eating disorders, and cancer. diglycerides Lactose-, gluten-, and cholesterol-free, low residue, kosher. Carbohydrate (0% kcals) Per 1.5 oz. container: 330 kcals, 7 g Protein, 0 g Carbohydrate, 33 g Fat. - None CAUTION: Use under medical supervision. Not to be used as sole source of nutrition. Shake vigorously prior to opening. Benefiber (Nestle) 7.2 oz. (205 g) powder Protein (0% kcals) resealable canister - None USE: Soluble dietary fiber that can be added to a wide variety of foods and beverages, 4 / case and tube feedings. Used for bowel management programs. It does not impact the flavor, Fat (0% kcals) color, texture, or aroma of the products to which it is added. - None Per 1 Tbsp: 3 g dietary fiber, 16 kcals, 4 g CHO, 0 g fat, 15 mg sodium, 15 mg potassium. Yield: 51 servings per Carbohydrate (100% kcals) Gluten-free, kosher. Recommendations: start by the addition of 1 Tbsp. into the diet and canister. 1 Tbsp. = 4 g. - Partially hydrolyzed guar gum increase by 1 Tbsp. every third day until the desired level of fiber is reached. Recommended mixing: 1 Tbsp. of product to 2- CAUTION: Use under medical supervision. Maximum intake not to exceed 6 ½ Tbsp. or 4 fl oz. of water for tube 20 g of product per day. Gradual inclusion into the diet and adequate intake of fluids is feedings. recommended. Note: *Please refer to the “Formula Amounts Guide”for allowed quantities. Manufacturers frequently alter the ingredients in their formula products, which may affect the nutrient content. For the most current and accurate information, refer to the product label and/or contact the manufacturer. Minnesota WIC accepts no liability for content errors in this document or for the misuse of formula products. This institution is an equal opportunity provider. Note: As of 2/1/2019 this manual is undergoing revision. 5 MN WIC FORMULA RESOURCE MANUAL Product Name Packaging Nutrient Source Beneprotein (Nestle) 8 oz. powder cans Protein (100% kcals) (formerly Resource Beneprotein) 6 cans / case - Whey protein isolate (milk) - THIS PRODUCT IS ONLY APPROPRIATE FOR USE IN INDIVIDUALS GREATER THAN 3 Yield: 134 oz. per can. Fat (0% kcals) YEARS OLD. - None USE: 100 % high quality whey protein designed to be mixed with foods and beverages. Carbohydrate (0% kcals) For persons with protein calorie malnutrition, high protein diets, elevated protein requirements for renal (dialysis) or wound management). Can be administered through a feeding tube as a flush. Per 1 scoop (7 g): 25 kcals, 0 g CHO, 6 g Protein CAUTION: Not for parenteral use. Not for persons with galactosemia. Boost (Nestle) 8 oz. RTU Protein (20% kcals) Available at retail - Milk protein concentrate USE: Nutrition supplement. stores in 6-packs. Fat (16% kcals) 30 kcals/oz. Per 8 oz.: 240 kcals, 10 g Protein, 41 g Carbohydrate, 4 g Fat - Canola oil, high oleic sunflower oil, corn oil Similar to Ensure. Flavors: Chocolate, Strawberry, Vanilla Carbohydrate (67% kcals) CAUTION: Use only under medical supervision. Refrigerate after opening. Not - Corn syrup solids, sucrose recommended for tube feeding due to high osmolality. Boost Kid Essentials or PediaSure are better options for children under 10 years of age. Boost Glucose Control (Nestle) 8 fl. oz. (237 mL) Vanilla flavor: ready-to-use brik pak Protein (23% kcals) USE: Complete liquid formula with fiber specifically formulated for persons with Type I and 27 / case - Sodium and calcium caseinates, soy Type II diabetes.