Neocate Information For Healthcare Providers

 
 

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Product Information

Explore Neocate's advanced line of evidence-backed hypoallergenic products that safely nourish patients with food allergy-related conditions from birth through school age and beyond.

 
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Neocate<sup>®</sup> Syneo<sup>®</sup> Infant
Neocate® Syneo® Infant

Neocate® Syneo® Infant is the first and only hypoallergenic formula with prebiotics and probiotics, specifically designed for food-allergic infants.

  • Hypoallergenic1
  • Backed by 3 clinical studies, clinically shown to:
    • Effectively resolve food allergy symptoms2
    • Support growth and development1,2
    • Help balance the gut microbiota of food-allergic infants3
  • Based on 100% non-allergenic free amino acids
  • Nutritionally complete for infants 0-12 months
  • Only hypoallergenic formula with a clinically tested blend of prebiotics and probiotics, shown to balance the gut microbiota of food-allergic infants to be closer to that of breastfed infants*.3‡
    • Probiotic Bifidobacterium breve M-16V
    • Prebiotic blend of scFOS and lcFOS†

Neocate® Syneo® Infant is specially formulated for the dietary management of infants with cow milk allergy (CMA), multiple food allergies (MFA) and related GI and allergic conditions, including food protein-induced enterocolitis syndrome (FPIES), eosinophilic esophagitis (EoE) and gastroesophageal reflux (GER).

Good to Know

  • Added nucleotides & DHA/ARA
  • Dairy free
  • Made in a dairy protein-free facility
  • Soy oil free
  • No artificial colors, flavors, sweeteners
  • Halal
  • Kosher Pareve

Only Neocate Syneo Infant contains Syneo, a patented blend of prebiotics and probiotics, backed by years of research, and designed to help support a balanced gut microbiota in food-allergic infants. Until more data is available, Neocate Syneo Infant is not recommended for the following patients, for whom Neocate® Infant is still available, unless directed or supervised by a healthcare professional:

  • Infants with a post-pyloric feeding tube, which bypasses the stomach and empties into the small intestine.
  • Infants with a central venous catheter (CVC).
  • Infants with short bowel syndrome (SBS), unless a risk and benefit analysis is completed by a healthcare professional and the infant is monitored.
Neocate® Syneo® Infant is a specially formulated medical food and should only be used under medical supervision.
† short- and long-chain fructooligosaccharides
* Nutricia North America supports the use of breast milk wherever possible
 
Features & Characteristics

Main Features

  • Osmolality*: 360 mOsm/kg H2O
  • Free water*: 90.0%
  • Energy distribution:
    • Protein 11.4%
    • Carbohydrate 45.1%
    • Fat (MCT 33%/LCT 67%) 43.5%
  • Potential Renal Solute Load*: 176 mOsm/L
  • Displacement 0.71 mL/g

Additional Details

Calories per 400 gram can (kcal) 1900
Calories per gram (kcal) 4.75
Grams/scoop (level, unpacked) 4.7
Calories/scoop (kcal) 22.3
Water displaced/gram (mL) 0.71
Water displaced/scoop (mL) 3.34
Protein Equivalent/scoop (g) 0.63
Protein Equivalent, g/100 mL* 1.89
Standard Dilution 20 kcal/fl oz
(0.67 kcal/mL)
% Free Water* 90.0%
Osmolality at 20 kcal/fl oz,* mOsm/kg H2O 360
Osmolality at 22 kcal/fl oz, mOsm/kg H2O 390
Osmolality at 24 kcal/fl oz, mOsm/kg H2O 420
Osmolality at 26 kcal/fl oz, mOsm/kg H2O 460
Osmolality at 27 kcal/fl oz, mOsm/kg H2O 490
Osmolality at 28 kcal/fl oz, mOsm/kg H2O 500
Osmolality at 30 kcal/fl oz, mOsm/kg H2O 550
Potential Renal Solute Load,* mOsm/L 176
Volume prepared formula per can* 95 fl oz
2850 mL
Approximate scoops per can ~85
MCT:LCT ratio 33:67
n6:n3 ratio 9:1

*At Standard Dilution, 20 kcal/fl oz as listed above

Ordering & Reimbursement

Neocate® Syneo® Infant is available to healthcare professionals to sample. Contact your Nutricia sales representative to request samples to be sent free of charge to your practice.

Product Code Reimbursement Code HCPCS Code Product Packaging
127049 49735-0114-36 B4161 4 x 400 g (14.1 oz)

Neocate products are WIC* eligible in all States.

Reimbursement codes have been submitted by Nutricia North America to US data warehouses based on the format established by the data warehouses. These codes are not NDC numbers.

 

*WIC is a registered service mark of the U.S. Department of Agriculture for USDA's Special Supplemental Nutrition Program for Women, Infants and Children. WIC eligible means that a product has been approved at the Federal level and, therefore, may be included on a State agency's authorized food list if the State agency so chooses. Each WIC State agency determines its own allowed formula list. Contact your State WIC office to determine the availability of a specific WIC eligible Nutricia product in your area - http://www.fns.usda.gov/wic

Nutrition
NUTRIENTS PER 100 g PER 100 kcal (5 fl oz)*
Calories, kcal 475 100
Protein Equivalent, g 13.5 2.8
Carbohydrate, g 53.5 11.3
Soluble Fiber, g 4.5 0.95
Water, g - 135
Fat, g 23.0 4.8
Linoleic Acid, mg 3348 705

α-Linolenic Acid, mg

 396 83.4
DHA, mg 77.0 16.2
ARA, mg 77.0 16.2
Carbohydrate, g 53.5 11.3
Soluble Fiber, g 4.5 0.95

 

VITAMINS  
Vitamin A, IU (mcg RE) 1352 (406) 285 (85.5)
Vitamin D3, IU (mcg) 352 (8.8) 74.1 (1.9)
Vitamin E, IU (mg α-TE) 6.5 (4.4) 1.4 (0.93)
Vitamin K, mcg 42.5 9.0
Thiamin, mcg 540 110
Riboflavin, mcg 540 114
Vitamin B6, mcg 540 114
Vitamin B12, mcg 1.3 0.27
Niacin, mcg 4900 1032
Folic Acid, mcg 64.0 13.5
Pantothenic Acid, mcg 2900 611
Biotin, mcg 19.0 4.0
Vitamin C, mg 51.6 10.9
Choline, mg 95.4 20.1
Inositol, mg 108 22.7

 

MINERALS  
Calcium, mg (mEq) 549 (27.4) 116 (5.8)
Phosphorus, mg (mEq) 388 (25.0) 81.7 (5.3)
Magnesium, mg 50.0 10.5
Iron, mg 7.1 1.5
Zinc, mg 5.2 1.1
Manganese, mcg 190 40.0
Copper, mcg 400 84.2
Iodine, mcg 98.0 20.6
Molybdenum, mcg 11.0 2.3
Chromium, mcg 10.4 2.2
Selenium, mcg 14.2 3.0
Sodium, mg (mEq) 185 (8.0) 38.9 (1.7)
Potassium, mg (mEq) 515 (13.2) 108 (2.8)
Chloride, mg (mEq) 378 (10.7) 79.6 (2.2)

*5 fl oz provides 100 calories when prepared as directed

Ingredients

Corn Syrup Solids (51%), Refined Vegetable Oil (Medium Chain Triglycerides (8%), High Oleic Sunflower Oil (6%), Sunflower Oil (4%), Canola Oil (4%)), Fructooligosaccharides (Oligofructose (4%), Inulin (0.5%)), less than 2% of each of the following:Dipotassium Phosphate, Tricalcium Phosphate, Calcium Carbonate, Calcium Glycerophosphate, L-Arginine L-Aspartate, Calcium Phosphate Dibasic, L-Leucine, L-Lysine Acetate, Tripotassium Citrate, L-Glutamine, L-Proline, L-Valine, Citric Acid Esters of Mono- and Diglycerides (CITREM), Glycine, L-Isoleucine, L-Threonine, L-Phenylalanine, L-Tyrosine, L-Serine, L-Histidine, L-Alanine, Sodium Chloride, L-Cystine, L-Tryptophan, Magnesium Chloride, Choline Bitartrate, L-Methionine, Tricalcium Citrate, Magnesium L-Aspartate, M. alpina Oil*, C. cohnii Oil**, M-Inositol, L-Ascorbic Acid, Taurine, Ferrous Sulfate, Zinc Sulfate, L-Carnitine, Uridine 5’-Monophosphate Disodium Salt, Cytidine 5’-Monophosphate, Niacinamide, Inosine 5’-Monophosphate Disodium Salt, Adenosine 5’-Monophosphate, Calcium D-Pantothenate, Guanosine 5’-Monophosphate Disodium Salt, DL-alpha Tocopheryl Acetate, Bifidobacterium breve M-16V, Ascorbyl Palmitate, Manganese Sulfate, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Cupric Sulfate, Riboflavin, Vitamin A Acetate, DL-alpha Tocopherol, Potassium Iodide, Mixed Tocopherols, Folic Acid, Chromium Chloride, Phylloquinone, Sodium Selenite, Sodium Molybdate, D-Biotin, Vitamin D3, Cyanocobalamin.

*A source of Arachidonic Acid (ARA)
**A source of Docosahexaenoic Acid (DHA)

Preparation & Storage

Information for Healthcare Professionals:

  • Neocate® Syneo® Infant can be given orally or by feeding tube. Not for parenteral use.
  • Neocate Syneo Infant is not recommended for use in infants with a central venous catheter or post-pyloric feeding tube unless directed or supervised by a healthcare professional.
  • Tube feeding hang time: Nutricia recommends formula can be safely kept at room temperature for up to 4 hours, at which time unused formula should be discarded.
  • All scoops should be measured and unpacked. Use a scale that measures in grams for the most accurate results. Household measures are not recommended for measuring powdered Nutricia products.
Research & References

The first and only hypoallergenic infant formula to contain a unique synbiotic blend of prebiotics and probiotics, specifically designed to support food-allergic infants. Neocate® Syneo® Infant is specially formulated for the dietary management of infants with cow milk allergy, multiple food allergies, and related GI and allergic conditions, including food protein-induced enterocolitis syndrome (FPIES), eosinophilic esophagitis (EoE) and gastroesophageal reflux (GER). Clinically shown to address the gut dysbiosis seen in food-allergic infants, this innovative formula contains a probiotic originally found in the microbiota of a healthy infant and a prebiotic blend modeled after the oligosaccharides in human milk. Neocate Syneo Infant is backed by 3 clinical trials to be hypoallergenic, support growth, and to help balance the gut microbiota of food-allergic infants to be closer to that of healthy, breastfed infants.

For more on the formula

Growth in healthy infants & hypoallergenicity studies:1

Purposes: [1] To assess the hypoallergenicity of Neocate with synbiotics in IgE-mediated cow milk allergy, [2] To evaluate growth outcomes and formula tolerance in healthy infants fed Neocate with synbiotics. Methodology: [1] Thirty infants & children with IgE-mediated cow milk allergy used Neocate with synbiotics followed by a double-blind, placebo-controlled food challenge. [2] Healthy infants (0-15 days) were randomly assigned to receive a control amino acid-based formula or Neocate with synbiotics for 16 weeks. (n=115) Results/Conclusion: [1] This study demonstrated that Neocate with synbiotics is safe, well-tolerated and hypoallergenic according to American Academy of Pediatrics guidelines. [2] This study demonstrated that Neocate with synbiotics is safe, well tolerated and promotes normal growth when fed to healthy infants.

Read more on the studies 

Growth in infants with cow milk allergy study:2

Purpose: To evaluate growth outcomes and formula tolerance in infants with IgE- or non-IgE-mediated cow milk allergy fed Neocate with synbiotics. Methodology: Infants with CMA were randomly assigned to receive Neocate with synbiotics or a control formula (Neocate® Infant DHA/ARA) for 16 weeks. (n=110) Results/Conclusion: This study demonstrated that Neocate with synbiotics is safe and promotes normal growth in infants with cow milk allergy.

Read more on the study

Gut microbiota dysbiosis study:3

Purpose: To determine whether Neocate® Syneo® Infant will improve the developing gut microbiota in infant subjects with cow milk allergy relative to a standard amino acid-based formula and healthy, breastfed infants. Methodology: Infants with non-IgE-mediated cow milk allergy were randomized to receive a control amino acid-based formula or Neocate Syneo Infant for 8 weeks. A healthy breastfed reference group was also included. Results/Conclusion: This study demonstrated that Neocate Syneo Infant helps balance the gut microbiota of infants with cow milk allergy, bringing it closer to that seen in age-matched, healthy breastfed infants (figures available).

Read more on the study, including figures  

Research behind the Neocate portfolio of products:

Over 150 publications and counting support the use of Neocate for a wide variety of conditions and ages. Of those, there are more than 60 publications on the clinical use of Neocate formulas for the dietary management of cow milk allergy, multiple food allergies and related gastrointestinal and allergic conditions, including eosinophilic esophagitis, short bowel syndrome, and gastroesophageal reflux. There are also many case studies that discuss the successful use of Neocate in these and other conditions, research studies that demonstrate the safe use of Neocate by otherwise healthy infants, and preclinical studies on Neocate.

Healthcare professionals can review the science behind Neocate through the Nutricia Learning Center. It’s easy and free to register for access to the following:

REFERENCES:

  1. Harvey BM, Langford JE, Harthoorn LF, et al. Effects on growth and tolerance and hypoallergenicity of an amino acid–based formula with synbiotics. Pediatr Res. 2014;75:343-51.
  2. Burks AW, Harthoorn LF, van Ampting MTJ, et al. Synbiotics-supplemented amino acid-based formula supports adequate growth in cow's milk allergic infants. Pediatr Allergy Immunol. 2015;26:316-22.
  3. Candy DCA, Van Ampting MTJ, Oude Nijhuis MM, et al. A synbiotic-containing amino-acid-based formula improves gut microbiota in non-IgE-mediated allergic infants. Pediatr Res. 2018;83:677-86.

‡Infants after 8 weeks of management with standard amino acid-based formula (control) or amino acid-based formula with pre- and probiotics (test) compared to age-matched, healthy, breastfed infants. At 8 weeks, levels of both bifidobacteria and Eubacterium rectale + Clostridium coccoides group were measured as a percentage of total fecal bacteria. Test group median levels were different than control group (p<0.001), and were closer to breastfed infant levels vs. control group.3

Resources & Downloads

Healthcare professionals can access helpful information and resources online for Neocate® Syneo® Infant through the Nutricia Learning Center. It’s easy and free to register for access to the following:

For patient safety, Nutricia directs parents and caregivers requesting specialized information, such as mixing instructions at non-standard dilutions, to their healthcare teams. Neocate should always be used under medical supervision.

Neocate<sup>®</sup> Infant DHA/ARA
Neocate® Infant DHA/ARA

Neocate® Infant is a hypoallergenic amino acid-based formula,1 designed for food-allergic infants.

  • Hypoallergenic2 – effectively resolves food allergy symptoms3
    • Based on 100% non-allergenic free amino acids
  • Nutritionally complete for infants 0-12 months – supports normal growth and development2,3

Neocate® Infant is specially formulated for the dietary management of infants with cow milk allergy (CMA), multiple food allergies (MFA) and related GI and allergic conditions, including food protein-induced enterocolitis syndrome (FPIES), eosinophilic esophagitis (EoE), short bowel syndrome (SBS), malabsorption and gastroesophageal reflux (GER).

Reassuring to Know

  • Added nucleotides & DHA/ARA
  • Dairy free
  • Made in a dairy protein-free facility
  • Soy oil free
  • No artificial colors, flavors or sweeteners
  • Kosher Pareve
  • Halal
 
Features & Characteristics

Main Features:

  • Nucleotides, present in human milk 4.8 mg per 100 kcals
  • DHA at 0.35% fatty acids
  • DHA and ARA at 1:1 ratio
  • Osmolality (at 0.67 kcal/mL):340 mOsm/kg
  • Free water (at 0.67 kcal/mL): 90.3%
  • Energy distribution:
    • Protein 11.2%
    • Carbohydrate 43.1%
    • Fat (MCT 33% / LCT 67%) 45.7%
  • Potential Renal Solute Load:168 mOsm/L
  • Displacement 0.70 mL/g

Additional Details:

Calories per 400 gram can (kcal) 1932
Calories per gram (kcal) 4.83
Grams/scoop (level, unpacked) 4.6
Calories/scoop (kcal) 22.2
Water displaced/gram (mL) 0.70
Water displaced/scoop (mL) 3.22
Protein Equivalent/scoop (g) 0.62
Protein Equivalent, g/100 mL* 1.86
Standard Dilution 20 kcal/fl oz
(0.67 kcal/mL)
% Free Water* 90.3%
Osmolality at 20 kcal/fl oz,* mOsm/kg H2O 340
Osmolality at 22 kcal/fl oz, mOsm/kg H2O 380
Osmolality at 24 kcal/fl oz, mOsm/kg H2O 410
Osmolality at 26 kcal/fl oz, mOsm/kg H2O 450
Osmolality at 27 kcal/fl oz, mOsm/kg H2O 470
Osmolality at 28 kcal/fl oz, mOsm/kg H2O 490
Osmolality at 30 kcal/fl oz, mOsm/kg H2O 530
Potential Renal Solute Load,* mOsm/L 168
Volume prepared formula per can* ~97 fl oz
2900 mL
Approximate scoops per can ~87
MCT:LCT ratio 33:67
n6:n3 ratio 9:1

*At Standard Dilution, 20 kcal/fl oz, as listed above

Ordering & Reimbursement

Neocate® Infant DHA/ARA is available to healthcare professionals to sample. Contact your Nutricia sales representative to request samples to be sent free of charge to your practice.

Product Code Reimbursement Code HCPCS Code Product Packaging
125626 49735-0125-95 B4161 4 x 400 g (14.1 oz)

WIC*: Contact your state WIC office to determine availability

Reimbursement codes have been submitted by Nutricia North America to US data warehouses based on the format established by the data warehouses. These codes are not NDC numbers.
*WIC is a registered service mark of the U.S. Department of Agriculture for USDA's Special Supplemental Nutrition Program for Women, Infants and Children. WIC eligible means that a product has been approved at the Federal level and, therefore, may be included on a State agency's authorized food list if the State agency so chooses. Each WIC State agency determines its own allowed formula list. Contact your State WIC office to determine the availability of a specific WIC eligible Nutricia product in your area.
Nutrition
NUTRIENTS PER 100 g PER 100 kcal (5 fl oz)*
Calories 483 100
Protein Equivalent, g 13.5 2.8
Fat, g 24.5 5.1
Linoleic Acid, mg 3565 738
α-Linolenic Acid, mg 419 86.8
DHA 81.6 16.9
ARA 81.6 16.9
Carbohydrate, g 52.0 10.8

 

VITAMINS
Vitamin A, IU (mcg RE) 1352 (406) 280 (84.1)
Vitamin D3, IU (mcg) 352 (8.8) 72.9 (1.8)
Vitamin E, IU (mg α-TE) 6.8 (4.6) 1.4 (0.94)
Vitamin K, mcg 42.5 8.8
Thiamin, mcg 540 110
Riboflavin, mcg 540 110
Vitamin B6, mcg 540 112
Vitamin B12, mcg 1.3 0.27
Niacin, mcg 4900 1014
Folic Acid, mcg 64 13.3
Pantothenic Acid, mcg 2900 600
Biotin, mcg 19 3.9
Vitamin C, mg 51.6 10.7
Choline, mg 95.4 19.8
Inositol, mg 108 22.4

 

MINERALS
Calcium, mg (mEq) 561 (28.0) 116 (5.8)
Phosphorus, mg (mEq) 397 (25.6) 82.2 (5.3)
Magnesium, mg 51.0 10.6
Iron, mg 7.3 1.5
Zinc, mg 5.3 1.1
Manganese, mcg 200 41.4
Copper, mcg 410 84.9
Iodine, mcg 100 20.7
Molybdenum, mcg 11.3 2.3
Chromium, mcg 10.6 2.2
Selenium, mcg 14.5 3.0
Sodium, mg (mEq) 189 (8.2) 39.1 (1.7)
Potassium, mg (mEq) 525 (13.5) 109 (2.8)
Chloride, mg (mEq) 386 (10.9) 79.9 (2.3)

*5 fl oz provides 100 calories when prepared as directed

Ingredients

Corn Syrup Solids (54%), Refined Vegetable Oil (Medium Chain Triglycerides (8%), High Oleic Sunflower Oil (6%), Sunflower Oil (5%), Canola Oil (4%)), and less than 2% of each of the following: Calcium Phosphate Dibasic, Dipotassium Phosphate, Tricalcium Phosphate, Calcium Carbonate, Calcium Glycerophosphate, L-Arginine L-Aspartate, L-Leucine, Tripotassium Citrate, L-Lysine Acetate, L-Glutamine, L-Proline, Citric Acid Esters of Mono- and Diglycerides (CITREM), L-Valine, Glycine, L-Isoleucine, L-Threonine, L-Phenylalanine, L-Tyrosine, L-Serine, L-Histidine, L-Alanine, Sodium Chloride, L-Cystine, Magnesium Chloride, L-Tryptophan, Choline Bitartrate, L-Methionine, Tricalcium Citrate, Magnesium L-Aspartate, M. alpina Oil*, C. cohnii Oil**, M-Inositol, L-Ascorbic Acid, Taurine, Ferrous Sulfate, Zinc Sulfate, L-Carnitine, Uridine 5’-Monophosphate Disodium Salt, Cytidine 5’-Monophosphate, Niacinamide, Inosine 5’-Monophosphate Disodium Salt, Adenosine 5’-Monophosphate, Calcium D-Pantothenate, Guanosine 5’-Monophosphate Disodium Salt, DL-Alpha Tocopheryl Acetate, Ascorbyl Palmitate, Manganese Sulfate, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Cupric Sulfate, Riboflavin, Vitamin A Acetate, DL-Alpha-Tocopherol, Potassium Iodide, Mixed Tocopherols, Folic Acid, Chromium Chloride, Phylloquinone, Sodium Selenite, Sodium Molybdate, D-Biotin, Vitamin D3, Cyanocobalamin.

* A Source of Arachidonic Acid (ARA)
** A Source of Docosahexaenoic Acid (DHA)

Preparation & Storage

Information for Healthcare Professionals:

  • Neocate® Infant DHA/ARA can be given orally or by feeding tube. Not for parenteral use.
  • Tube feeding hang time: Nutricia recommends formula can be safely kept at room temperature for up to 4 hours, at which time unused formula should be discarded.
  • All scoops should be measured and unpacked. Use a scale that measures in grams for the most accurate results. Household measures are not recommended for measuring powdered Nutricia products.
Research & References

Over 150 publications and counting support the use of Neocate for a wide variety of conditions and ages. Of those, there are more than 60 publications on the clinical use of Neocate formulas for the dietary management of cow milk allergy, multiple food allergies and related gastrointestinal and allergic conditions, including eosinophilic esophagitis, short bowel syndrome, and gastroesophageal reflux. There are also many case studies that discuss the successful use of Neocate in these and other conditions, research studies that demonstrate the safe use of Neocate by otherwise healthy infants, and preclinical studies on Neocate.

Healthcare professionals can review the science behind Neocate through the Nutricia Learning Center. It’s easy and free to register for access to the following:

REFERENCES:

  1. Sampson HA, James JM, Bernhisel-Broadbent J. Safety of an amino acid-derived infant formula in children allergic to cow milk. Pediatrics. 1992;90:463-5.
  2. Harvey BM, Langford JE, Harthoorn LF, et al. Effects on growth and tolerance and hypoallergenicity of an amino acid–based formula with synbiotics. Pediatr Res. 2014;75:343-51.
  3. Burks AW, Harthoorn LF, van Ampting MTJ, et al. Synbiotics-supplemented amino acid-based formula supports adequate growth in cow's milk allergic infants. Pediatr Allergy Immunol. 2015;26:316-22.
Resources & Downloads

Healthcare professionals can access helpful information and resources online for Neocate® Infant through the Nutricia Learning Center. It’s easy and free to register for access to the following:

For patient safety, Nutricia directs parents and caregivers requesting specialized information, such as mixing instructions at non-standard dilutions, to their healthcare teams. Neocate should always be used under medical supervision.

Neocate<sup>®</sup> Nutra
Neocate® Nutra

Neocate® Nutra is the first and only hypoallergenic, solid food specifically designed for food allergic infants and children over six months of age. When mixed with water, Neocate® Nutra forms a smooth, cereal style consistency and is ideal for adding texture and variety to meals.

  • Hypoallergenic – effectively resolves food allergy symptoms
  • Based on 100% non-allergenic free amino acids

Neocate® Nutra is specially formulated for the dietary management of infants with cow milk allergy (CMA), multiple food allergies (MFA) and related GI and allergic conditions, including eosinophilic esophagitis (EoE), short bowel syndrome (SBS), malabsorption and gastroesophageal reflux (GER).

Good to Know

  • Dairy free
  • Made in a dairy protein-free facility
  • Soy oil free
  • No artificial colors, flavors, sweeteners or preservatives

For oral use only; not intended for bottle or tube feeding.

 
Features & Characteristics

Main Features:

  • Energy distribution:
    • Protein 7%
    • Carbohydrate 57%
    • Fat (MCT 4% / LCT 96%) 36%

Additional Details:

Calories per 37 gram sample packet (kcal) 175
Calories per 400 gram can (kcal) 1888
Calories per gram (kcal) 4.72
Grams/scoop (level, unpacked) 4.63
Calories/scoop (kcal) 21.8
Water displaced/gram (mL) N/A
Water displaced/scoop (mL) N/A
Protein Equivalent/scoop (g) 0.38
Number of suggested servings (8 scoops - 37 g) per can 10 servings
Number of half servings (4 scoops - 18.5 g) per can 21 half servings
Approximate scoops per can ~86
MCT:LCT ratio 4:96
n6:n3 ratio 10:1
Ordering & Reimbursement

Neocate® Nutra is available to healthcare professionals to sample in single-serving packets. Contact your Nutricia sales representative to request samples to be sent free of charge to your practice.

Product Code Reimbursement Code HCPCS Code Product Packaging
66739 49735-016739 B4161 4 x 400 g (14.1 oz)

WIC*: Contact your state WIC office to determine availability

Reimbursement codes have been submitted by Nutricia North America to US data warehouses based on the format established by the data warehouses. These codes are not NDC numbers.
WIC is a registered service mark of the U.S. Department of Agriculture for USDA's Special Supplemental Nutrition Program for Women, Infants and Children. WIC eligible means that a product has been approved at the Federal level and, therefore, may be included on a State agency's authorized food list if the State agency so chooses. Each WIC State agency determines its own allowed formula list. Contact your State WIC office to determine the availability of a specific WIC eligible Nutricia product in your area.
Nutrition
NUTRIENTS PER 100 g PER SUGGESTED SERVING (37 g powder)*
Calories, kcal 472 175
Protein Equivalent, g 8.2 3.0
Fat, g 18.8 7.0
Linoleic Acid, mg 3222 1192
Carbohydrate, g 67.4 24.9

 

VITAMINS
Vitamin A, IU (mcg RE) 649 (195) 240 (72.2)
Vitamin D3, IU (mcg) 172 (4.3) 63.6 (1.6)
Vitamin E, IU (mg α-TE) 3.4 (2.3) 1.3 (0.84)
Vitamin K, mcg 18.5 6.8
Thiamin, mcg 250 90
Riboflavin, mcg 250 92.5
Vitamin B6, mcg 250 92.5
Vitamin B12, mcg 0.60 0.22
Niacin, mcg 1100 407
Folic Acid, mcg 27.5 10.2
Pantothenic Acid, mcg 1400 518
Biotin, mcg 9.1 3.4
Vitamin C, mg 23.0 8.5
Choline, mg 45.0 16.7
Inositol, mg 49.0 18.1

 

MINERALS
Calcium, mg (mEq) 668 (33.3) 247 (12.3)
Phosphorus, mg (mEq) 340 (21.9) 126 (8.1)
Magnesium, mg 21.0 7.8
Iron, mg 5.9 2.2
Zinc, mg 4.1 1.5
Manganese, mcg 310 115
Copper, mcg 310 115
Iodine, mcg 41.4 15.3
Molybdenum, mcg 8.8 3.3
Chromium, mcg 10.0 3.7
Selenium, mcg 11.3 4.2
Sodium, mg (mEq) 38.0 (1.7) 14.1 (0.61)
Potassium, mg (mEq) <20 (<0.51) <10 (<0.26)
Chloride, mg (mEq) 44 (1.2) 16.3 (0.46)

*37 g of powder provides one suggested serving when prepared as directed

Ingredients

Corn Syrup Solids (42%), Rice Starch (19%), Refined Vegetable Oil (18%) (Non-Hydrogenated Coconut (6%), High Oleic Sunflower (6%), Canola (3%), Sunflower (3%)), Sugar (9%), Calcium Phosphate Tribasic (2%), Contains 2% Or Less Than Each Of The Following: L-Arginine L-Aspartate, L-Leucine, L-Lysine Acetate, CAEM (An Emulsifier), L-Glutamine, L-Proline, L-Valine, Glycine, L-Isoleucine, L-Threonine, L-Phenylalanine, L-Tyrosine, L-Serine, L-Histidine, L-Alanine, L-Cystine, L-Tryptophan, L-Methionine, Choline Bitartrate, Magnesium L-Aspartate, Magnesium Acetate, M-Inositol, L-Ascorbic Acid, Ferrous Sulfate, Taurine, Zinc Sulfate, L-Carnitine, DL-Alpha Tocopheryl Acetate, Calcium D-Pantothenate, Niacinamide, Manganese Sulfate, Cupric Sulfate, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Acetate, Potassium Iodide, Chromium Chloride, Folic Acid, Sodium Selenite, Sodium Molybdate, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Preparation & Storage

Directions for Preparation and Use:

Total daily intakes for children and infants will vary depending on the age, body weight, and medical condition of the child.

  1. Wash hands thoroughly and clean the preparation area.
  2. Fill the scoop provided with Neocate® Nutra and level off. Do not press the powder into the scoop. Only use the scoop provided.
  3. Add the recommended number of scoops of Neocate® Nutra into a clean bowl.
  4. Gradually add the required amount of water while stirring with a clean spoon. Mix until thickened. To alter the consistency, add more or less water as required.

The suggested serving size is 8 scoops (37 g) of powder plus 2 fl oz of water to give a spoonable consistency. Other foods or formula must be consumed for a complete diet.

  AMOUNT OF NEOCATE® NUTRA POWDER AMOUNT OF WATER TO ADD FOR SPOONABLE CONSISTENCY
Suggested Serving 8 scoops or 37 g 2 fl oz
Half Serving 4 scoops or 18.5 g 1 fl oz

One can makes about 10 suggested servings or 21 half servings.

Neocate® Nutra should be prepared immediately prior to feeding. Any prepared product remaining should be discarded if not used within 1 hour. Neocate Nutra can be added to cooked dishes. Do not add to very hot foods. Do not warm prepared product.

Neocate® Nutra forms a smooth, spoonable consistency when mixed with water. Neocate Nutra is for oral use only and not intended to be used as a bottle or tube feed; not for parenteral use. Not suitable as a sole source of nutrition; Infants should also receive breast milk or hypoallergenic formula.

Storage:

Store unopened cans in a cool dry place. Once opened, reseal can. Store in a cool dry place (not a refrigerator) and use within one month.

Research & References

Over 150 publications and counting support the use of Neocate for a wide variety of conditions and ages. Of those, there are more than 60 publications on the clinical use of Neocate formulas for the dietary management of cow milk allergy, multiple food allergies and related gastrointestinal and allergic conditions, including eosinophilic esophagitis, short bowel syndrome, and gastroesophageal reflux. There are also many case studies that discuss the successful use of Neocate in these and other conditions, research studies that demonstrate the safe use of Neocate by otherwise healthy infants, and preclinical studies on Neocate.

Healthcare professionals can review the science behind Neocate through the Nutricia Learning Center. It’s easy and free to register for access to the following:

Resources & Downloads

Neocate® Nutra is the first and only hypoallergenic, solid food specifically designed for food allergic infants and children over six months of age. When mixed with water, Neocate® Nutra forms a smooth, cereal style consistency and is ideal for adding texture and variety to meals.

  • Hypoallergenic - effectively resolves food allergy symptoms
  • Based on 100% non-allergenic free amino acids

Neocate® Nutra is specially formulated for the dietary management of infants with cow milk allergy (CMA), multiple food allergies (MFA) and related GI and allergic conditions, including eosinophilic esophagitis (EoE), short bowel syndrome (SBS), malabsorption and gastroesophageal reflux (GER). 

Neocate<sup>®</sup> Junior
Neocate® Junior

Neocate® Junior is a hypoallergenic formula specifically designed to address the growing nutritional needs of toddlers and older children. It is the first and only hypoallergenic formula with prebiotic fiber* to help support digestive health.1-4 More than 55% of children do not meet their recommended fiber needs.5,6 To meet a variety of taste preferences, it comes in five flavors: Vanilla, Strawberry, Chocolate, Tropical and Unflavored*.

  • Hypoallergenic – effectively resolves food allergy symptom
    • Based on 100% non-allergenic free amino acids
  • Nutritionally complete for toddlers, older children and teens
    • Neocate formulas for children 1 year and over have been shown in clinical trials to be effective in the dietary management of food allergies and to support normal growth7-9
  • Contains prebiotic fiber to help support total gut health*

Neocate® Junior is specially formulated for the dietary management of children with cow milk allergy (CMA), multiple food allergies (MFA) and related GI and allergic conditions, including eosinophilic esophagitis (EoE), food protein-induced enterocolitis syndrome (FPIES), gastroesophageal reflux (GER), short bowel syndrome (SBS), and malabsorption.

Good to Know

  • Dairy free
  • Made in a dairy protein-free facility
  • Soy oil free
  • No artificial colors
  • Halal
  • Kosher Pareve (except Strawberry)

*Neocate Junior is available in Unflavored with or without prebiotics

 
Features & Characteristics

Main Features

  • Standard dilution = 1 kcal/mL (30 kcal/fl oz)
  • Osmolality (mOsm/kg H2O) Dilution (1 kcal/mL):
    • Unflavored (without prebiotics) 600
    • Unflavored with Prebiotics 620
    • Vanilla 620
    • Strawberry 610
    • Chocolate 660
    • Tropical 670
  • Energy distribution (Unflavored without prebiotics)
    • Protein 12.4%
    • Carbohydrate 42.6%
    • Fat (MCT 35% / LCT 65%) 45%
  • Energy distribution (Vanilla, Strawberry, Unflavored with Prebiotics)
    • Protein 12.5%
    • Carbohydrate 43.6%
    • Fat (MCT 35% / LCT 65%) 43.9%
  • Energy distribution (Chocolate)
    • Protein 12.3%
    • Carbohydrate 44.7%
    • Fat (MCT 35% / LCT 65%) 43.0%
  • Energy distribution (Tropical)
    • Protein 12.6%
    • Carbohydrate 45.5%
    • Fat (MCT 35% / LCT 65%) 41.9%

Additional Details

  Neocate® Junior, Unflavored
(without Prebiotics)		 Neocate® Junior, Unflavored
with Prebiotics		 Neocate® Junior, Vanilla Neocate® Junior, Strawberry Neocate® Junior, Chocolate Neocate® Junior, Tropical
Calories per 400 gram can (kcal) 1916 1888 1888 1888 1840 1804
Calories per gram (kcal) 4.79 4.72 4.72 4.72 4.60 4.51
Grams/scoop (level, unpacked) 7.3 7.7 7.3 7.3 7.5 7.3
Calories/scoop (kcal) 35.0 36.3 34.5 34.5 34.5 32.9
Water displaced/gram (mL) 0.69 0.74 0.70 0.70 0.70 0.70
Water displaced/scoop (mL) 5.04 5.70 5.11 5.11 5.25 5.11
Protein Equivalent/scoop (g) 1.08 1.14 1.08 1.08 1.07 1.04
Protein Equivalent, g/100 mL* 3.09 3.14 3.14 3.14 3.09 3.15
Standard Dilution 30 kcal/fl oz
(1.0 kcal/mL)		 30 kcal/fl oz
(1.0 kcal/mL)		 30 kcal/fl oz
(1.0 kcal/mL)		 30 kcal/fl oz
(1.0 kcal/mL)		 30 kcal/fl oz
(1.0 kcal/mL)		 30 kcal/fl oz
(1.0 kcal/mL)
% Free Water* 85.6% 84.3% 85.2% 85.2% 84.8% 84.8%
Osmolality at 30 kcal/fl oz,* mOsm/kg H2O 600 620 620 610 660 670
Estimated osmolality at 45 kcal/fl oz,† mOsm/kg H2O 900 930 930 915 990 1005
Potential Renal Solute Load,* mOsm/L 296 284 284 284 284 290
Renal Solute Load,* mOsm/L 255 258 258 258 258 263
Volume per can* 63.9 fl oz
1915 mL		 62.9 fl oz
1890 mL		 62.9 fl oz
1890 mL		 62.9 fl oz
1890 mL		 61.3 fl oz
1845 mL		 60.1 fl oz
1805 mL
Approximate scoops per can* ~55 ~52 ~55 ~55 ~53 ~55
MCT:LCT ratio 35:65 35:65 35:65 35:65 35:65 35:65
n6:n3 ratio 10:1 10:1 10:1 10:1 10:1 10:1
NPC:N Ratio (kcal/g N) 177:1 174:1 174:1 174:1 178:1 174:1

 

Meets or exceeds 100% DRIs10,11 for protein + 25 key vitamins & minerals:

Ages 1-3 years 930 kcal
Ages 4-8 years 1370 kcal
Ages 9-13 years 1565 kcal
Ages 14-18 years 2550 kcal

*At Standard Dilution, as listed above
†Derived from osmolality at standard dilution: assumes direct linear relationship with formula concentration.

Ordering & Reimbursement

Neocate® Junior is available to healthcare professionals to sample. Contact your Nutricia sales representative to request samples to be sent free of charge to your practice.

  Product Code NDC-Format Code* / 
Reimbursement Code		 HCPCS Code Product Packaging
Unflavored (without prebiotics) 127048 49735-0117-90 B4161 or B4153 4 x 400 g (14.1 oz)
Unflavored with Prebiotics 134054 49735-012912 B4161 or B4153 4 x 400 g (14.1 oz)
Vanilla 133282 49735-010627 B4161 or B4153 4 x 400 g (14.1 oz)
Strawberry 133280 49735-016456 B4161 or B4153 4 x 400 g (14.1 oz)
Chocolate 133283 49735-012690 B4161 or B4153 4 x 400 g (14.1 oz)
Tropical 133048 49735-012124 B4161 or B4153 4 x 400 g (14.1 oz)

WIC†: Contact your state WIC office to determine availability

*Nutricia North America does not represent these codes to be National Drug Codes (NDCs). NDC-format codes are product codes adjusted according to standard industry practice to meet the format requirements of pharmacy and health insurance systems.
†WIC is a registered service mark of the U.S. Department of Agriculture for USDA's Special Supplemental Nutrition Program for Women, Infants and Children. WIC eligible means that a product has been approved at the Federal level and, therefore, may be included on a State agency's authorized food list if the State agency so chooses. Each WIC State agency determines its own allowed formula list. Contact your State WIC office to determine the availability of a specific WIC eligible Nutricia product in your area.
Nutrition

 

NUTRIENTS PER 100 mL* (100 kcal)
 Unflavored (without prebiotics) Vanilla, Strawberry, Unflavored with Prebiotics Chocolate Tropical
Calories, kcal 100 100 100 100
Protein Equivalent, g 3.1 3.1 3.1 3.1
Fat, g 5.0 4.9 4.8 4.7
Linoleic Acid, mg 818 794 780 758
Carbohydrate, g 10.7 10.9 11.2 11.4
Prebiotic Fiber, g 0 0.40 0.41 0.42
Vitamins 
Vitamin A, IU (mcg RE) 200 (60.0) 202 (60.8) 208 (62.4) 212 (63.6)
Vitamin D3, IU (mcg) 79.4 (2.0) 80.5 (2.0) 82.6 (2.1) 84.3 (2.1)
Vitamin E, IU (mg α-TE) 2.1 (1.4) 2.1 (1.4) 2.2 (1.5) 2.2 (1.5)
Vitamin K, mcg 4.0 4.1 4.2 4.3
Thiamin, mg 0.10 0.10 0.10 0.11
Riboflavin, mg 0.20 0.20 0.21 0.21
Vitamin B6, mg 0.10 0.10 0.10 0.11
Vitamin B12, mcg 0.40 0.40 0.41 0.42
Niacin, mg 0.90 0.91 0.93 0.95
Folic Acid, mcg 29.9 30.3 31.1 31.7
Pantothenic Acid, mg 0.40 0.40 0.41 0.42
Biotin, mcg 3.0 3.1 3.1 3.2
Vitamin C, mg 9.3 9.4 9.7 9.9
Choline, mg 29.9 30.3 31.1 31.7
Inositol, mg 21.9 22.2 22.8 23.3
Minerals 
Calcium, mg (mEq) 118 (5.9) 120 (6.0) 123 (6.2) 125 (6.3)
Phosphorus, mg (mEq) 79.8 (5.2) 80.9 (5.2) 83.0 (5.4) 84.7 (5.5)
Magnesium, mg 16.0 16.2 16.6 17.0
Iron, mg 1.5 1.6 1.6 1.6
Zinc, mg 0.98 1.0 1.0 1.0
Manganese, mg 0.13 0.13 0.13 0.14
Copper, mcg 111 112 115 118
Iodine, mcg 17.8 18.1 18.5 18.9
Molybdenum, mcg 4.5 4.6 4.7 4.8
Chromium, mcg 3.8 3.8 3.9 4.0
Selenium, mcg 4.0 4.1 4.2 4.3
Sodium, mg (mEq) 50.0 (2.2) 50.6 (2.2) 52.0 (2.3) 53.0 (2.3)
Potassium, mg (mEq) 136 (3.5) 138 (3.5) 142 (3.6) 145 (3.7)
Chloride, mg (mEq) 76.1 (2.1) 77.1 (2.2) 79.1 (2.2) 80.7 (2.3)
Osmolality*, mOsm/kg H2O 600 

620-Unflavored
620-Vanilla
610-Strawberry

660

 670

*Standard dilution = 30 kcal/fl oz

Ingredients

Unflavored (without prebiotics):
Corn Syrup Solids, Refined Vegetable Oil (Medium Chain Triglycerides (Palm Kernel and/or Coconut Oil), High Oleic Sunflower Oil, Sunflower Oil, Canola Oil), L-Serine, and less than 2% of each of the following: L-Glutamine, Glycine, L-Alanine, L-Leucine, L-Lysine Acetate, L-Threonine, L-Tyrosine, Dipotassium Phosphate, Citric Acid Esters of Mono- and Diglycerides (CITREM), L-Valine, Tricalcium Phosphate, Maltodextrin, L-Isoleucine, Tripotassium Citrate, Trisodium Citrate, Calcium Carbonate, L-Proline, L-Cystine, L-Histidine, L-Phenylalanine, Choline Bitartrate, Magnesium Hydrogen Phosphate, L-Methionine, L-Arginine, Sodium Chloride, Calcium Chloride, L-Tryptophan, Magnesium Chloride, M-Inositol, L-Ascorbic Acid, Sunflower Lecithin, Taurine, Ferrous Sulfate, L-Carnitine, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Ascorbyl Palmitate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Riboflavin, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Vitamin A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Molybdate, Sodium Selenite, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Unflavored with Prebiotics:
Corn Syrup Solids, Refined Vegetable Oil (Medium Chain Triglycerides (Palm Kernel and/or Coconut Oil), High Oleic Sunflower Oil, Sunflower Oil, Canola Oil), L-Serine, and less than 2% of each of the following: L-Glutamine, Glycine, L-Alanine, L-Leucine, L-Lysine Acetate, L-Threonine, L-Tyrosine, Dipotassium Phosphate, Fructooligosaccharides, Inulin, L-Valine, Citric Acid Esters of Mono- and Diglycerides (CITREM), Tricalcium Phosphate, Maltodextrin, L-Isoleucine, Tripotassium Citrate, Trisodium Citrate, Calcium Carbonate, L-Proline, L-Cystine, L-Histidine, L-Phenylalanine, Choline Bitartrate, Magnesium Hydrogen Phosphate, L-Methionine, L-Arginine, Sodium Chloride, Calcium Chloride, L-Tryptophan, Magnesium Chloride, M-Inositol, L-Ascorbic Acid, Sunflower Lecithin, Taurine, Ferrous Sulfate, L-Carnitine, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Ascorbyl Palmitate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Riboflavin, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Vitamin A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Molybdate, Sodium Selenite, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Vanilla:
Corn Syrup Solids, Refined Vegetable Oil (Medium Chain Triglycerides (Palm Kernel and/or Coconut Oil), High Oleic Sunflower Oil, Sunflower Oil, Canola Oil), L-Serine, and less than 2% of each of the following: L-Glutamine, Glycine, L-Alanine, L-Leucine, L-Lysine Acetate, L-Threonine, Artificial Flavor, L-Tyrosine, Dipotassium Phosphate, Fructooligosaccharides, Inulin, L-Valine, Citric Acid Esters of Mono- and Diglycerides (CITREM), Tricalcium Phosphate, Maltodextrin, L-Isoleucine, Tripotassium Citrate, Trisodium Citrate, Calcium Carbonate, L-Proline, L-Cystine, L-Histidine, L-Phenylalanine, Choline Bitartrate, Magnesium Hydrogen Phosphate, L-Methionine, L-Arginine, Sodium Chloride, Calcium Chloride, L-Tryptophan, Magnesium Chloride, M-Inositol, L-Ascorbic Acid, Sunflower Lecithin, Sucralose, Taurine, Ferrous Sulfate, L-Carnitine, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Ascorbyl Palmitate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Riboflavin, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Vitamin A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Molybdate, Sodium Selenite, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Strawberry:
Corn Syrup Solids, Refined Vegetable Oil (Medium Chain Triglycerides (Palm Kernel and/or Coconut Oil), High Oleic Sunflower Oil, Sunflower Oil, Canola Oil), L-Serine, and less than 2% of each of the following: L-Glutamine, Glycine, L-Alanine, L-Leucine, L-Lysine Acetate, L-Threonine, Artificial Flavor, L-Tyrosine, Dipotassium Phosphate, Fructooligosaccharides, Inulin, L-Valine, Citric Acid Esters of Mono- and Diglycerides (CITREM), Tricalcium Phosphate, Maltodextrin, L-Isoleucine, Tripotassium Citrate, Trisodium Citrate, Calcium Carbonate, L-Proline, L-Cystine, L-Histidine, L-Phenylalanine, Choline Bitartrate, Magnesium Hydrogen Phosphate, L-Methionine, L-Arginine, Sodium Chloride, Calcium Chloride, L-Tryptophan, Magnesium Chloride, M-Inositol, L-Ascorbic Acid, Citric Acid, Sunflower Lecithin, Sucralose, Taurine, Ferrous Sulfate, L-Carnitine, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Ascorbyl Palmitate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Riboflavin, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Vitamin A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Molybdate, Sodium Selenite, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Chocolate:
Corn Syrup Solids, Refined Vegetable Oil (Medium Chain Triglycerides (Palm Kernel and/or Coconut Oil), High Oleic Sunflower Oil, Sunflower Oil, Canola Oil),  Artificial Flavors, L-Serine, and less than 2% of each of the following: L-Glutamine, Glycine, L-Alanine, L-Leucine, L-Lysine Acetate, L-Threonine, L-Tyrosine, Dipotassium Phosphate, Fructooligosaccharides, Inulin, L-Valine, Citric Acid Esters of Mono- and Diglycerides (CITREM), Tricalcium Phosphate, Maltodextrin, L-Isoleucine, Tripotassium Citrate, Trisodium Citrate, Calcium Carbonate, L-Proline, L-Cystine, L-Histidine, L-Phenylalanine, Choline Bitartrate, Magnesium Hydrogen Phosphate, L-Methionine, L-Arginine, Sodium Chloride, Calcium Chloride, L-Tryptophan, Magnesium Chloride, M-Inositol, L-Ascorbic Acid, Sunflower Lecithin, Sucralose, Taurine, Ferrous Sulfate, L-Carnitine, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Niacinamide, Ascorbyl Palmitate, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Riboflavin, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Vitamin A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Molybdate, Sodium Selenite, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Tropical:
Corn Syrup Solids, Refined Vegetable Oil (Medium Chain Triglycerides (Palm Kernel and/or Coconut Oil), High Oleic Sunflower Oil, Sunflower Oil, Canola Oil),  Artificial Flavor, L-Serine, Citric Acid, and less than 2% of each of the following: L-Glutamine, Glycine, L-Alanine, L-Leucine, L-Lysine Acetate, L-Threonine, L-Tyrosine, Dipotassium Phosphate, Fructooligosaccharides, Inulin, L-Valine, Citric Acid Esters of Mono- and Diglycerides (CITREM), Tricalcium Phosphate, Maltodextrin, L-Isoleucine, Tripotassium Citrate, Trisodium Citrate, Calcium Carbonate, L-Proline, L-Cystine, L-Histidine, L-Phenylalanine, Choline Bitartrate, Magnesium Hydrogen Phosphate, L-Methionine, L-Arginine, Sodium Chloride, Calcium Chloride, L-Tryptophan, Magnesium Chloride, M-Inositol, L-Ascorbic Acid, Sunflower Lecithin, Taurine, Acesulfame Potassium, Ferrous Sulfate, L-Carnitine, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Niacinamide, Ascorbyl Palmitate, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Riboflavin, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Vitamin A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Molybdate, Sodium Selenite, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Preparation & Storage

Directions for Preparation and Use:

For use only under medical supervision. Suitable for use as a sole source of nutrition, for children over one year of age. Suggested intake to be determined by a healthcare professional and is dependent on the age, body weight and medical condition of the patient. For oral and tube feeding only; not for parenteral use.

For oral or tube feeding:

  1. Measure the required amount of warm or cool water into a container.
  2. Add the prescribed amount of Neocate® Junior to the water.
  3. Stir, or cover and shake, until the powder has dissolved.

If taken orally, Neocate® Junior is best served chilled. Once feeding begins, use within 1 hour or discard.

The recommended standard dilution is 30 kcal/fl oz. This can be achieved by mixing 1 unpacked, level scoop of powder to each fluid ounce of water, as in the following table:

NEOCATE® JUNIOR FLAVOR Amount of water Amount of NEOCATE® JUNIOR POWDER to add Final Volume
Unflavored (without prebiotics)
(1 scoop = 7.3 g)		 4 fl oz 4 scoops or 29.2 g 4.7 fl oz
7 fl oz 7 scoops or 51.1 g 8.2 fl oz
21 fl oz 21 scoops or 153 g 24.6 fl oz
Unflavored with Prebiotics
(1 scoop = 7.7 g)

 4 fl oz 4 scoops or 30.8 g 4.7 fl oz
7 fl oz 7 scoops or 53.9 g 8.3 fl oz
21 fl oz 21 scoops or 162 g 24.9 fl oz
Vanilla
Strawberry
(1 scoop = 7.3 g)		 4 fl oz 4 scoops or 29.2 g 4.7 fl oz
7 fl oz 7 scoops or 51.1 g 8.2 fl oz
21 fl oz 21 scoops or 153 g 24.6 fl oz
Chocolate
(1 scoop = 7.5 g)

 4 fl oz 4 scoops or 30.0 g 4.7 fl oz
7 fl oz 7 scoops or 52.5 g 8.3 fl oz
21 fl oz 21 scoops or 158 g 24.9 fl oz
Tropical
(1 scoop = 7.3 g)		 4 fl oz 4 scoops or 29.2 g 4.7 fl oz
7 fl oz 7 scoops or 51.1 g 8.2 fl oz
21 fl oz 21 scoops or 153 g 24.6 fl oz

One can Unflavored (without prebiotics) makes approx. 64 fl oz; Vanilla, Strawberry, or Unflavored with Prebiotics approx. 63 fl oz; Chocolate approx. 61 fl oz; Tropical approx. 60 fl oz.

Do not boil formula. Do not use a microwave oven to prepare or warm formula.

Storage: Formula prepared in advance should be stored in a refrigerator at 35-40°F (2-4°C) and used within 24 hours of preparation. Shake or stir Neocate® Junior immediately before 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 a refrigerator) and use within one month of opening.

Research & References

Over 175 publications and counting support the use of Neocate in a wide variety of conditions and ages. Of those, there are more than 60 publications on the clinical use of Neocate formulas for the dietary management of cow milk allergy, multiple food allergies and related gastrointestinal and allergic conditions, including eosinophilic esophagitis, short bowel syndrome, and gastroesophageal reflux. There are also many case studies that discuss the successful use of Neocate in these and other conditions, and preclinical studies on Neocate.

Healthcare professionals can review the science behind Neocate through the Nutricia Learning Center. It’s easy and free to register for access to the following:

REFERENCES:

  1. Elia M, Engfer MB, Green CJ, et al. Systematic review and meta-analysis: the clinical and physiological effects of fibre-containing enteral formulae. Aliment Pharmacol Ther. 2008;27:120-45.
  2. Cummings JH. Prebiotics and the gut barrier to infection. J Pediatr Gastroenterol Nutr. 2004;39:S555.
  3. Brownawell AM, Caers W, Gibson GR, et al. Prebiotics and the health benefits of fiber: current regulatory status, future research, and goals. J Nutr. 2012;142:962-74.
  4. Bosscher D, Van Loo J, Franck A. Inulin and oligofructose as prebiotics in the prevention of intestinal infections and diseases. Nutr Res Rev. 2006;19:216-26.
  5. Butte NF, Fox MK, Briefel RR, et al. Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes. J Am Diet Assoc. 2010;110:S27-37.
  6. Hampl JS, Betts NM, Benes BA. The 'age+5' rule: comparisons of dietary fiber intake among 4- to 10-year-old children. J Am Diet Assoc. 1998;98:1418-23.
  7. Isolauri E, Sampson HA. Use of an amino acid based formula in the management of cow’s milk allergy and multiple food protein intolerance in children. J Allergy Clin Immunol. 2004;113:S154(518).
  8. Berni Canani R, Nocerino R, Frediani T, et al. Amino acid-based formula in cow's milk allergy: long-term effects on body growth and protein metabolism. J Pediatr Gastroenterol Nutr. 2017;64:632-8.
  9. Sorensen K, Fry C, Allford A, et al. Longitudinal study shows improved nutrient intakes and growth with an amino acid formula for children ≥1y with cow's milk allergy and related conditions. Poster presented at EAACI Annual Congress. Jun 17-21; Helsinki, Finland. Poster at EAACI Annual Congress. 2017.
  10. Food and Nutrition Board, Institute of Medicine; Otten JJ, Hellwig JP, Meyers LD, Eds. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Institute of Medicine (IOM) of the National Academies, Washington, DC: National Academies Press; 2006.
  11. Institute of Medicine (US) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium; Ross AC, Taylor CL, Yaktine AL, et al, Eds. Dietary reference intakes for calcium and vitamin D. Institute of Medicine (IOM) of the National Academies, Washington, DC: National Academies Press; 2011.
Resources & Downloads

Healthcare professionals can access helpful information and resources online for Neocate® Junior through the Nutricia Learning Center. It’s easy and free to register for access to the following:

For patient safety, Nutricia directs parents and caregivers requesting specialized information, such as mixing instructions at non-standard dilutions, to their healthcare teams. Neocate should always be used under medical supervision.

Neocate<sup>®</sup> Splash
Neocate® Splash

Neocate® Splash is the first and only ready-to-feed hypoallergenic formula specifically designed to address the growing nutritional and lifestyle needs of toddlers, older children and teens. Neocate Splash has a similar nutritional composition to Neocate Junior and is ideal for oral and tube feeding. To meet a variety of taste preferences, it comes in five flavors: Vanilla, Orange-Pineapple, Grape, Tropical Fruit, and Unflavored.

  • Hypoallergenic- effectively resolves food allergy symptoms
    • Based on 100% non-allergenic free amino acids
  • Nutritionally complete for toddlers, older children, and teens
    • Neocate formulas for children 1 year and over have been shown in clinical trials to be effective in the dietary management of food allergies and to support normal growth1-3
  • Convenient ready-to-feed 8 fl oz drink boxes

Neocate® Splash is specially formulated for the dietary management of children with cow milk allergy (CMA), multiple food allergies (MFA), and related GI and allergic conditions, including eosinophilic esophagitis (EoE), food protein-induced enterocolitis syndrome (FPIES), short bowel syndrome (SBS), malabsorption and gastroesophageal reflux (GER).

Good to Know

  • Dairy free
  • Soy oil free
  • Gluten free
  • No artificial colors
 
Features & Characteristics

Main Features

  • Energy distribution:
    • Protein 12%
    • Carbohydrate 42%
    • Fat (MCT 35%/LCT 65%) 46%

Additional Details

Volume per drink box
 8 fl oz
237 mL
Calories per drink box (kcal) 237
Density, g/mL 1.06
Protein Equivalent, g/100 mL 3.0
Standard Dilution 30 kcal/fl oz
(1.0 kcal/mL)
% Free Water* 84.6%
Osmolality, mOsm/kg H20 Unflavored - 670
Grape - 740
Orange-Pineapple - 790
Tropical Fruit - 790
Vanilla - 710
Potential Renal Solute Load,* mOsm/L 275
Renal Solute Load,* mOsm/L 249
MCT:LCT ratio 35:65
n6:n3 ratio 5:1
NPC:N Ratio (kcal/g N) 184:1

 

Meets or exceeds 100% DRIs4,5 for protein + 25 key vitamins & minerals: 
Ages 1-3 years 930 mL
Ages 4-8 years 1370 mL
Ages 9-13 years 1565 mL
Ages 14-18 years 2550 mL

 

Ordering & Reimbursement

Neocate® Splash is available to healthcare professionals to sample. Contact your Nutricia sales representative to request samples to be sent free of charge to your practice.

  Product Code Reimbursement Code HCPCS Code Product Packaging
Unflavored 111394 49735-0144-51 B4161 or B4153 27 x 237 mL (8 fl oz)
Grape 122435 49735-0124-35 B4161 or B4153 27 x 237 mL (8 fl oz)
Orange-Pineapple 122436 49735-0124-36 B4161 or B4153 27 x 237 mL (8 fl oz)
Tropical Fruit 122437 49735-0124-37 B4161 or B4153 27 x 237 mL (8 fl oz)
Vanilla 176678 49735-0100-59 B4161 or B4153 27 x 237 mL (8 fl oz)

WIC*: Contact your state WIC office to determine availability

Reimbursement codes have been submitted by Nutricia North America to US data warehouses based on the format established by the data warehouses. These codes are not NDC numbers.
*WIC is a registered service mark of the U.S. Department of Agriculture for USDA's Special Supplemental Nutrition Program for Women, Infants and Children. WIC eligible means that a product has been approved at the Federal level and, therefore, may be included on a State agency's authorized food list if the State agency so chooses. Each WIC State agency determines its own allowed formula list. Contact your State WIC office to determine the availability of a specific WIC eligible Nutricia product in your area.
Nutrition
Nutrients PER 100 mL PER DRINK BOX (8 fl oz / 237 mL)
Calories, kcal 100 237
Protein Equivalent, g 3.0 7.1
Fat, g 5.1 12.1
Linoleic Acid, mg 690 291
Carbohydrate, g 10.5 24.9

 

Vitamins  
Vitamin A, IU (mcg RE) 200 (60.0) 474 (142)
Vitamin D3, IU (mcg) 80.0 (2.0) 190 (4.7)
Vitamin E, IU (mg α-TE) 2.1 (1.4) 5.0 (3.3)
Vitamin K, mcg 4.0 9.5
Thiamin, mg 0.13 0.31
Riboflavin, mg 0.20 0.47
Vitamin B6, mg 0.10 0.24
Vitamin B12, mcg 0.40 0.95
Niacin, mg 0.90 2.1
Folic Acid, mcg 29.9 70.9
Pantothenic Acid, mg 0.40 0.95
Biotin, mcg 3.0 7.1
Vitamin C, mg 9.3 22.0
Choline, mg 29.9 70.9
Inositol, mg 22.0 52.1

 

Minerals  
Calcium, mg (mEq) 118 (5.9) 280 (14.0)
Phosphorus, mg (mEq) 80.0 (5.2) 190 (12.3)
Magnesium, mg 16.0 37.9
Iron, mg 1.5 3.6
Zinc, mg 0.98 2.3
Manganese, mg 0.13 0.31
Copper, mcg 100 237
Iodine, mcg 17.8 42.2
Molybdenum, mcg 4.5 10.7
Chromium, mcg 3.8 9.0
Selenium, mcg 4.0 9.5
Sodium, mg (Vanilla) 50.0 (60.0) 119 (142)
Potassium, mg (mEq) 137 (3.5) 325 (8.3)
Chloride, mg (mEq) 76.0 (2.1) 180 (5.1)

 

Osmolality (standard dilution), mOsm/kg H2O   670 - Unflavored
740 - Grape
790 - Orange-Pineapple
790 - Tropical Fruit
710 - Vanilla
Ingredients

Unflavored:
Water (85%), Maltodextrin (6%), Sugar (5%), Refined Vegetable Oils (High Oleic Sunflower Oil (2.3%), Medium Chain Triglycerides (Modified Palm Kernel and/or Coconut Oil) (1.8%), Canola Oil (0.6%)), and less than 2% of each of the following: Calcium Glycerophosphate, L-Arginine, L-Lysine L-Aspartate, Microcrystalline Cellulose, L-Leucine, L-Phenylalanine, Tripotassium Citrate, L-Proline, Diacetyl Tartaric Acid Esters of Mono- and Diglycerides, Mono- and Diglycerides, Trisodium Citrate, L-Valine, Glycine, L-Isoleucine, N-Acetyl-L-Methionine, L-Threonine, L-Histidine, L-Serine, L-Ascorbic Acid, L-Alanine, Malic Acid, Potassium Chloride, Magnesium Acetate, Choline Bitartrate, L-Tryptophan, Calcium Chloride, L-Tyrosine, Cellulose Gum, M-Inositol, L-Cystine, Taurine, Ferrous Sulfate, L-Carnitine, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Riboflavin, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Vitamin A Palmitate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Molybdate, Sodium Selenite, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Orange-Pineapple and Grape flavors:
Water, Maltodextrin, Sugar, Refined Vegetable Oils (High Oleic Sunflower Oil, Medium Chain Triglycerides (Modified Palm Kernel And/Or Coconut Oil), Canola Oil), and less than 2% of each of the following: Artificial Flavors, Calcium Glycerophosphate, Malic Acid, L-Arginine, L-Lysine L-Aspartate, Microcrystalline Cellulose, L-Leucine, Tripotassium Citrate, L-Phenylalanine, Diacetyl Tartaric Acid Esters Of Mono- and Diglycerides, Mono- and Diglycerides, Trisodium Citrate, L-Proline, L-Valine, Glycine, L-Isoleucine, N-Acetyl-L-Methionine, L-Threonine, L-Histidine, L-Serine, L-Alanine, Potassium Chloride, Magnesium Acetate, Choline Bitartrate, L-Tryptophan, Calcium Chloride, L-Tyrosine, Cellulose Gum, L-Ascorbic Acid, M-Inositol, L-Cystine, Sucralose, Ferrous Lactate, Taurine, L-Carnitine, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Sodium Selenite, Cupric Sulfate, Riboflavin, Chromium Chloride, Thiamin Chloride Hydrochloride, Vitamin A Palmitate, Pyridoxine Hydrochloride, Folic Acid, Potassium Iodide, Sodium Molybdate, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Tropical Fruit:
Water, Maltodextrin, Sugar, Refined Vegetable Oils (High Oleic Sunflower Oil, Medium Chain Triglycerides (Modified Palm Kernel And/Or Coconut Oil), Canola Oil), and less than 2% of each of the following: Artificial Flavor, Malic Acid, Calcium Glycerophosphate, L-Arginine, L-Lysine L-Aspartate, Microcrystalline Cellulose, L-Leucine, Tripotassium Citrate, L-Phenylalanine, Diacetyl Tartaric Acid Esters Of Mono- and Diglycerides, Mono- and Diglycerides, Trisodium Citrate, L-Proline, L-Valine, Glycine, L-Isoleucine, N-Acetyl-L-Methionine, L-Threonine, L-Histidine, L-Serine, L-Alanine, Potassium Chloride, Magnesium Acetate, Choline Bitartrate, L-Tryptophan, Calcium Chloride, L-Tyrosine, Cellulose Gum, L-Ascorbic Acid, M-Inositol, L-Cystine, Acesulfame Potassium, Ferrous Lactate, Taurine, L-Carnitine, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Sodium Selenite, Cupric Sulfate, Riboflavin, Chromium Chloride, Thiamin Chloride Hydrochloride, Vitamin A Palmitate, Pyridoxine Hydrochloride, Folic Acid, Potassium Iodide, Sodium Molybdate, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Vanilla:
Water, Maltodextrin, Sugar, Refined Vegetable Oils (High Oleic Sunflower Oil, Medium Chain Triglycerides (Modified Palm Kernel And/Or Coconut Oil), Canola Oil), And Less Than 2% Of Each Of The Following: Artificial Flavor, Calcium Glycerophosphate, Malic Acid, L-Arginine, L-Lysine- L-Aspartate, Microcrystalline Cellulose, L-Leucine, Tripotassium Citrate, L-Phenylalanine, Diacetyl Tartaric Acid Esters Of Mono- And Diglycerides, Mono- And Diglycerides, Trisodium Citrate, L-Proline, L-Valine, Glycine, L-Isoleucine, N-Acetyl-L-Methionine, L-Threonine, L-Histidine, L-Serine, L-Alanine, Potassium Chloride, Magnesium Acetate, Choline Bitartrate, L-Tryptophan, Calcium Chloride, L-Tyrosine, Cellulose Gum, L-Ascorbic Acid, M-Inositol, L-Cystine, Sucralose, Ferrous Lactate, Taurine, L-Carnitine, Zinc Sulfate, Dl-Alpha Tocopheryl Acetate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Sodium Selenite, Cupric Sulfate, Riboflavin, Chromium Chloride, Thiamin Chloride Hydrochloride, Vitamin A Palmitate, Pyridoxine Hydrochloride, Folic Acid, Potassium Iodide, Sodium Molybdate, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Preparation & Storage

Directions for Preparation and Use:

The amount of Neocate to take should be determined by a healthcare professional and is dependent on the age, body weight and medical condition of the patient. Neocate® Splash provides complete or supplemental nutritional support for children over 1 year of age. Use under medical supervision. For oral and tube feeding only; not for parenteral use.

Shake well before use. If taken orally, Neocate® Splash is best served chilled. Once the drink box is opened, formula can be stored in a refrigerator and kept no longer than 24 hours from the time of opening. Discard formula left in drink box, cup or bottle 1 hour after feeding starts. Do not freeze, boil, or use a microwave to warm Neocate Splash.

Storage:

Store unopened product in a cool, dry place. Once opened, Neocate® Splash should be stored in a refrigerator and kept no longer than 24 hours.

Research & References

Over 150 publications and counting support the use of Neocate for a wide variety of conditions and ages. Of those, there are more than 60 publications on the clinical use of Neocate formulas for the dietary management of cow milk allergy, multiple food allergies and related gastrointestinal and allergic conditions, including eosinophilic esophagitis, short bowel syndrome, and gastroesophageal reflux. There are also many case studies that discuss the successful use of Neocate in these and other conditions, and preclinical studies on Neocate.

Healthcare professionals can review the science behind Neocate through the Nutricia Learning Center. It’s easy and free to register for access to the following:

REFERENCES:

  1. Isolauri E, Sampson HA. Use of an amino acid based formula in the management of cow’s milk allergy and multiple food protein intolerance in children. J Allergy Clin Immunol. 2004;113:S154(518).
  2. Berni Canani R, Nocerino R, Frediani T, et al. Amino acid-based formula in cow's milk allergy: long-term effects on body growth and protein metabolism. J Pediatr Gastroenterol Nutr. 2017;64:632-8.
  3. Sorensen K, Fry C, Allford A, et al. Longitudinal study shows improved nutrient intakes and growth with an amino acid formula for children ≥1y with cow's milk allergy and related conditions. Poster presented at EAACI Annual Congress. Jun 17-21; Helsinki, Finland. Poster at EAACI Annual Congress. 2017.
  4. Food and Nutrition Board, Institute of Medicine; Otten JJ, Hellwig JP, Meyers LD, Eds. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Institute of Medicine (IOM) of the National Academies, Washington, DC: National Academies Press; 2006.
  5. Institute of Medicine (US) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium; Ross AC, Taylor CL, Yaktine AL, et al, Eds. Dietary reference intakes for calcium and vitamin D. Institute of Medicine (IOM) of the National Academies, Washington, DC: National Academies Press; 2011.
Resources & Downloads

Healthcare professionals can access helpful information and resources online for Neocate® Splash through the Nutricia Learning Center. It’s easy and free to register for access to the following:

For patient safety, Nutricia directs parents and caregivers requesting specialized information, such as mixing instructions at non-standard dilutions, to their healthcare teams. Neocate should always be used under medical supervision.

Duocal<sup>®</sup>
Duocal®

A powdered medical food providing fat and carbohydrate for increased caloric intake. Super soluble without altering the taste or texture of foods and beverages

Duocal® offers ideal support for children who need extra calories that can support vibrant health and catch-up growth.

  • Calorically dense – 1 scoop (5 g)provides 25 kcal
  • Mixes easily in liquids and soft foods

Duocal® is specially formulated for the dietary management of conditions where a high-energy, low-fluid, low-electrolytes diet is indicated, protein-restricted diets, disorders of protein and amino acid metabolism, malabsorptive states, modular diets, and catabolic states (e.g. burns, trauma, post-operative stress).

It contains a unique dual energy source of carbohydrate and fat (no protein, vitamins or minerals). Duocal® is flavorless and is suitable for oral and tube feeding.

Good to Know

  • Milk protein-free
  • Made in a dairy protein-free facility
  • No protein added
  • No artificial colors, flavors, sweeteners or preservatives
  • Kosher Pareve

Duocal is not nutritionally complete. Not suitable for use as a sole source of nutrition. It is to be added to foods or formulas in order to add extra calories into the diet. Not for parenteral use.

Duocal® is a specially formulated medical food and should only be used under medical supervision.
 
Features & Characteristics
Calories per 400 gram can (kcal) 1968
Calories per gram (kcal) 4.92
Displacement, mL/g 0.77
Osmolality (1:3 dilution), mOsm/kg H2O 310
Milliosmoles contributed by 1 gram of Duocal® added to a solution 0.93
PRSL, mOsm/g < 0.017
Percent total energy from carbohydrate 59%
Percent total energy from fat 41%
MCT:LCT ratio 50:50
Ordering & Reimbursement

Duocal® is available to healthcare professionals to sample. Contact your Nutricia sales representative to request samples to be sent free of charge to your practice.

Product Code Reimbursement Code HCPCS Code Product Packaging
49828 49735-0182-62 B4155 6 x 400 g (14.1 oz)

WIC*: Contact your state WIC office to determine availability

Reimbursement codes have been submitted by Nutricia North America to US data warehouses based on the format established by the data warehouses. These codes are not NDC numbers.
*WIC is a registered service mark of the U.S. Department of Agriculture for USDA's Special Supplemental Nutrition Program for Women, Infants and Children. WIC eligible means that a product has been approved at the Federal level and, therefore, may be included on a State agency's authorized food list if the State agency so chooses. Each WIC State agency determines its own allowed formula list. Contact your State WIC office to determine the availability of a specific WIC eligible Nutricia product in your area.
Nutrition
NUTRIENTS PER 100 G
Calories, kcal 492
Protein, g 0
Fat, g 22.3
Saturated, g 13.8
Monounsaturated, g 2.5
Polyunsaturated, g 4.8
Carbohydrate, g 72.7

 

MINERALS
Sodium, mg ≤ 20.0
Potassium, mg ≤ 5.0
Chloride, mg ≤ 20.0
Calcium, mg ≤ 5.0
Phosphorus, mg ≤ 5.0
Ingredients

Corn Syrup Solids, Refined Vegetable Oils (Corn, Non-Hydrogenated Coconut, Modified Coconut and/or Palm Kernel Oil (Medium Chain Triglycerides)), Mono- and Diglycerides, Diacetyl Tartaric Acid Esters of Mono- and Diglycerides.

Preparation & Storage

Directions for Preparation and Use:

The amount of Duocal® to take should be determined by a healthcare professional and is dependent on the age, body weight and medical condition. Duocal provides extra energy for children over 1 year of age. Use under medical supervision. For oral and tube feeding only; not for parenteral use. Duocal® intake should be distributed throughout the day, beginning with approximately 1 scoop per ½ cup of food or beverage and progressing as high as 4 scoops per ½ cup of food or beverage, under the guidance of a healthcare professional.

For oral or tube feeding:

  1. Measure the prescribed amount of Duocal®.
  2. Add powder to the required volume of liquid and/or soft food and stir continuously until the powder has dissolved.
  3. Unused foods mixed with Duocal® should be refrigerated and used within 24 hours. Shake or stir immediately before serving.

Duocal® is simple to use, is completely soluble and mixes easily in liquids and moist foods.

Storage:

Store unopened can at room temperature. Once opened, reseal can and store in a cool, dry place (not in refrigerator) and use within one month.

Research & References

Over 20 publications suggest or mention the use of Duocal® products in clinical settings by children and adults with increased energy needs.

Resources & Downloads

Healthcare professionals can access helpful information and resources online for Duocal® through the Nutricia Learning Center. It’s easy and free to register for access to the following:

  • Duocal® Calculator - Includes: 
    • Concentration charts for adding Duocal® to enteral formula
    • Duocal mixing calculator - for adding Duocal® to enteral formula
    • Household measures calculator

For patient safety, Nutricia directs parents and caregivers requesting specialized information, such as custom mixing instructions or household measures, to their healthcare teams.

Phlexy-Vits
Phlexy-Vits

A concentrated, powdered vitamin, mineral and trace element preparation designed to help meet the micronutrient requirements of older children (11 years and older) and adults. One 7 g packet supplies the majority of vitamins and minerals needed to meet the DRI of individuals 11 years and older.

Phlexy-Vits is specially formulated for the dietary management of conditions with restrictive therapeutic diets.

Good to Know

  • Made in a dairy protein-free facility
  • No artificial colors, flavors, sweeteners

Use under medical supervision. Not suitable for use as a sole source of nutrition. Not for parenteral use.

Phlexy-Vits is a specially formulated medical food and should only be used under medical supervision.
 
Features & Characteristics
Calories per 7 gram packet (kcal) 0.2
Osmolality (1:6 dilution, mixed to 50 mL), mOsm/kg H2O 733
Milliosmoles contributed by 1 packet (7 g) of Phlexy-Vits® added to a solution 31.5
Milliosmoles contributed by 1 gram of Phlexy-Vits® added to a solution 4.5
Ordering & Reimbursement
Product Code Reimbursement Code HCPCS Code Product Packaging
49133 49735-0106-85 A9270 30 x 7 g
Reimbursement codes have been submitted by Nutricia North America to US data warehouses based on the format established by the data warehouses. These codes are not NDC numbers.
Nutrition
NUTRIENTS PER 7 g PACKET
Calories, kcal 0.20
Protein, g 0.02
Fat, g None
Carbohydrate, g 0.04

 

VITAMINS PER 7 g PACKET
Vitamin A, IU (mcg RE) 2664 (800)
Vitamin D, IU (mcg) 400 (10)
Vitamin E, IU (mg α-TE) 13.5 (9)
Vitamin K, mcg 70.0
Thiamin, mg 1.2
Riboflavin, mg 1.4
Vitamin B6, mg 1.6
Vitamin B12, mcg 5.0
Niacin, mg 20.0
Folic Acid, mcg 700
Pantothenic Acid, mg 5.0
Biotin, mcg 150
Vitamin C, mg 50.0

 

MINERALS PER 7 g PACKET
Calcium, mg 1000
Phosphorus, mg 775
Magnesium, mg 300
Iron, mg 15.1
Zinc, mg 11.1
Manganese, mg 1.5
Copper, mcg 1505
Iodine, mcg 150
Molybdenum, mcg 70.0
Chromium, mcg 30.0
Selenium, mcg 75.0
Sodium, mg 8.8
Potassium, mg <1.4
Chloride, mg <0.35
Ingredients

Calcium Phosphate Dibasic, Magnesium Acetate, Guar Gum, L-Ascorbic Acid, Ferrous Sulfate, Dextrose, Zinc Sulfate, Nicotinamide, DL-Alpha Tocopheryl Acetate, Copper Gluconate, Calcium D-Pantothenate, Manganese Sulfate, Pyridoxine Hydrochloride, Thiamin Mononitrate, Riboflavin, Vitamin A Acetate, Folic Acid, Potassium Iodide, Sodium Molybdate, Sodium Selenite, D-Biotin, Chromium Chloride, Phylloquinone, Vitamin D3, Cyanocobalamin.

Preparation & Storage

Directions for Preparation and Use:

The amount of Phelxy-Vits to take should be determined by a healthcare professional and is dependent on the age, body weight and medical condition of the patient. Phlexy-Vits provides supplemental nutritional support for older children (from approximately 11 years) and adults, and is not intended as the sole source of nutrition. Must only be given under strict medical supervision. For oral and tube feeding only; not for parenteral use. Not recommended for infants and young children.

  1. Mix one packet of Phlexy-Vits to a smooth paste with a small amount of water, lemonade, fruit juice or other beverage (approx. 1.5 fl oz or 45 mL).
  2. Dilute with additional liquid to a final volume of 5 fl oz (150 mL). The amount of liquid used will vary according to taste.

Natural discoloration of this product can occur after reconstitution. For best results, consume immediately. 

Storage:

Store in a cool, dry place. Once opened, a packet should be stored in an airtight container and used within 2-3 days.

Resources & Downloads

Healthcare professionals can access helpful information and resources online for Phlexy-Vits® through the Nutricia Learning Center. It’s easy and free to register for access to the following:

For patient safety, Nutricia directs parents and caregivers requesting specialized information, such as household measures, to their healthcare teams.

Essential Amino Acid Mix
Essential Amino Acid Mix

Essential Amino Acid Mix is an unflavored, powdered mixture of essential amino acids, including cystine and histidine. A medical food.

  • Balanced mixture of essential amino acids

Essential Amino Acid Mix is specially formulated for use by individuals over the age of 1 year as a protein source when essential amino acids are required rather than whole protein, peptides, or a complete mixture of amino acids in the dietary management of:

  • Conditions in which a nutritionally complete formula is not suitable
  • Conditions in which a modular dietary approach is needed.

Good to Know

  • Made in a dairy protein-free facility
  • No artificial colors, flavors, sweeteners

Essential Amino Acid Mix is a specially formulated medical food and should only be used under medical supervision.

 
Features & Characteristics
Calories per 200 gram can (kcal) 632
Calories per gram (kcal) 3.16
Approximate Displacement, mL/g 0.75
Osmolality (5% w/v), mOsm/kg H2O 360
Milliosmoles contributed by 1 gram of Essential Amino Acid Mix added to a solution 7.2
Protein Equivalent per 5 g powder, g 4
Protein Equivalent per 100 g powder, g 79
Ordering & Reimbursement
Product Code Reimbursement Code HCPCS Code Product Packaging
53342 49735-0114-90 B4155 6 x 200 g (7 oz)

WIC*: Contact your state WIC office to determine availability

Reimbursement codes have been submitted by Nutricia North America to US data warehouses based on the format established by the data warehouses. These codes are not NDC numbers.
WIC is a registered service mark of the U.S. Department of Agriculture for USDA's Special Supplemental Nutrition Program for Women, Infants and Children. WIC eligible means that a product has been approved at the Federal level and, therefore, may be included on a State agency's authorized food list if the State agency so chooses. Each WIC State agency determines its own allowed formula list. Contact your State WIC office to determine the availability of a specific WIC eligible Nutricia product in your area.
Nutrition
Nutrients Per 100 g
Calories 316
Protein Equivalent, g 79
Fat, g None
Carbohydrate, g None

 

Amino Acids, g Per 100 g
L-Cystine 3.78
L-Histidine 3.78
L-Isoleucine 10.4
L-Leucine 16.17
L-Lysine 13.25
L-Methionine 3.78
L-Phenylalanine 5.67
L-Threonine 11.35
L-Tryptophan 2.36
L-Tyrosine 9.46
L-Valine 14.56
Ingredients

L-Lysine Acetate, L-Leucine, L-Valine, L-Threonine, L-Isoleucine, L-Tyrosine, L-Phenylalanine, L-Histidine, L-Cystine, L-Methionine, L-Tryptophan.

Preparation & Storage

Directions for Preparation and Use:

Dosage should be determined by a healthcare professional and is dependent on the age, body weight, and medical condition of the patient. Not for parenteral use. Not suitable for use as a sole source of nutrition - must be given in conjunction with other sources of nutrition to supply the fluid and general nutrition requirements of the patient in quantities as prescribed by a clinician or dietitian.

Essential Amino Acid Mix may be taken as a drink or paste, and is best served as a chilled drink, mixed with water, fruit juices or other formulas.

  • The recommended mixing concentration is 5% w/v (e.g. 5 g of powder to 100 mL of water).
  • Essential Amino Acid Mix should be weighed on a scale that reads in grams.
  • Make a paste of the required amount of powder with a small volume of chilled water or other liquid.
  • Fill up to the desired final volume.
  • The daily intake of Essential Amino Acid Mix should be divided into equal portions and distributed throughout the day.

For best results, consume immediately. Essential Amino Acid Mix may also be added to soft foods, such as applesauce.

Storage:

Store in a cool, dry place. Once opened, use within one month. Always replace the container lid after use. Once reconstituted, the prepared feeding should be stored in a refrigerator and must not be kept longer than 24 hours from the time of preparation. Stir or shake immediately before serving.

Resources & Downloads

Healthcare professionals can access helpful information and resources online for Essential Amino Acid Mix through the Nutricia Learning Center. It’s easy and free to register for access to the following:

For patient safety, Nutricia directs parents and caregivers requesting specialized information, such as household measures, to their healthcare teams.

Complete Amino Acid Mix
Complete Amino Acid Mix

Complete Amino Acid Mix is an unflavored, powdered mix of essential and non-essential amino acids. Complete Amino Acid Mix is specially formulated for use by individuals over the age of 1 year as a protein source when amino acids are required rather than whole protein or peptides in the dietary management of:

  • Conditions in which a nutritionally complete feed is not suitable or a modular diet approach is required
  • Conditions where an oligoallergenic diet is indicated (e.g. eosinphilic esophagitis or individuals with intolerance to milk protein or other whole protein)
  • Intractable malabsorption
  • Feeding difficulties in post-operative conditions
  • Chronic intestinal diseases (e.g. Crohn’s disease)
  • Short bowel syndrome following intestinal resection

Good to Know

  • Made in a dairy protein-free facility
  • No artificial colors, flavors, sweeteners

Complete Amino Acid Mix is a specially formulated medical food and should only be used under medical supervision.

 
Features & Characteristics
Calories per 200 gram can (kcal) 656
Calories per gram (kcal) 3.28
Approximate Displacement, mL/g 0.75
Osmolality (5% w/v), mOsm/kg H2O 360
Milliosmoles contributed by 1 gram of Complete Amino Acid Mix added to a solution 7.2
Protein Equivalent per 5 g powder, g 4
Protein Equivalent per 100 g powder, g 82
Ordering & Reimbursement
Product Code Reimbursement Code HCPCS Code Product Packaging
53341 49735-013341 B4155 6 x 200 g (7 oz)

WIC*: Contact your state WIC office to determine availability

Reimbursement codes have been submitted by Nutricia North America to US data warehouses based on the format established by the data warehouses. These codes are not NDC numbers.
WIC is a registered service mark of the U.S. Department of Agriculture for USDA's Special Supplemental Nutrition Program for Women, Infants and Children. WIC eligible means that a product has been approved at the Federal level and, therefore, may be included on a State agency's authorized food list if the State agency so chooses. Each WIC State agency determines its own allowed formula list. Contact your State WIC office to determine the availability of a specific WIC eligible Nutricia product in your area
Nutrition
Nutrients Per 100 g
Calories 328
Protein Equivalent, g 82 g
Fat, g None
Carbohydrate, g None

 

Amino Acids
L-Alanine 3.5 g
L-Arginine 7.66 g
L-Aspartic Acid 6.39 g
L-Cystine 2.4 g
L-Glutamic Acid 8.17 g
Glycine 6.0 g
L-Histidine 4.38 g
L-Isoleucine 5.95 g
L-Leucine 10.22 g
L-Lysine 7.55 g
L-Methionine 1.65 g
L-Phenylalanine 4.5 g
L-Proline 7.0 g
L-Serine 4.29 g
L-Threonine 5.0 g
L-Tryptophan 2.0 g
L-Tyrosine 4.3 g
L-Valine 6.5 g
L-Glutamine 0.7 g

 

Ingredients

L-Lysine L-Glutamate, L-Leucine, L-Arginine, L-Proline, L-Valine, L-Aspartic Acid, Glycine, L-Isoleucine, L-Threonine, L-Phenylalanine, L-Histidine, L-Serine, L-Tyrosine, L-Alanine, L-Cystine, L-Tryptophan, L-Methionine, L-Glutamine, L-Glutamic Acid.

Preparation & Storage

Directions for Preparation and Use:

Dosage should be determined by a healthcare professional and is dependent on the age, body weight, and medical condition of the patient. Not for parenteral use. Not suitable for use as a sole source of nutrition - must be given in conjunction with other sources of nutrition to supply the fluid and general nutrition requirements of the patient in quantities as prescribed by a clinician or dietitian.

Complete Amino Acid Mix may be taken as a drink or paste, and is best served as a chilled drink, mixed with water, fruit juices or other formulas.

  • The recommended mixing concentration is 5% w/v (e.g. 5 g of powder to 100 mL of water).
  • Complete Amino Acid Mix should be weighed on a scale that reads in grams.
  • Make a paste of the required amount of powder with a small volume of chilled water or other liquid.
  • Fill up to the desired final volume.
  • The daily intake of Complete Amino Acid Mix should be divided into equal portions and distributed throughout the day.

For best results, consume immediately. Complete Amino Acid Mix may also be added to soft foods, such as applesauce.

Storage:

Store in a cool, dry place. Once opened, use within one month. Always replace the container lid after use. Once reconstituted, the prepared feeding should be stored in a refrigerator and must not be kept longer than 24 hours from the time of preparation. Stir or shake immediately before serving.

Resources & Downloads

Healthcare professionals can access helpful information and resources online for Complete Amino Acid Mix through the Nutricia Learning Center. It’s easy and free to register for access to the following:

For patient safety, Nutricia directs parents and caregivers requesting specialized information, such as household measures, to their healthcare teams.

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