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Prod ID Product RFO Description Qualifying Conditions Staff Guidance Manufacturer/ Packaging 165 Boost (8 oz. RTF) 8.00 Increased Calorie Supplement: 31 cal/oz, lactose-free and nutritionally complete. 10g protein and 240 calories per container
Similar to Ensure.
Allergens By Nature: Milk, Soy
Women: Increased calorie needs with one or more of the following diagnoses: 1. Pregnancy with underweight BMI pre- pregnancy 2. Fetal growth restriction 3. Multi-fetal pregnancy 4. Underweight BMI during breastfeeding Children: Weight/length or BMI <10% and/or downward crossing of 2 major percentiles along with one or more of the following diagnoses: 1. Faltering weight or inadequate weight gain 2. Failure to Thrive (FTT) or malnutrition 3. Increased calorie needs 4. Tube feeding* 5. Oral motor feeding issues/aversions* 6. Developmental delays (sensory & motor)* 7. Prematurity (<37 weeks)/LBW *Authorization is not dependent on growth meeting parameters outlined above when diagnosis is present. See Note on page 24 for additional information. Limitations: Can only issue to children from 2 to 5 years old and women. Nestle 24 containers/case vanilla chocolate strawberry butter pecan 166 Boost Glucose Control (8 oz. RTF) 8.00 Increased Calorie Supplement: 24 cal/oz; nutritionally complete. 16g protein and 190 calories per container
Similar to Glucerna
Allergens by Nature: Milk, soy 1. Gestational Diabetes 2. Diabetes Mellitus Limitations: Can only issue to women. Nestle 24 containers/case chocolate vanilla 59 (CI) Boost Kid Essentials 1.0 (8 oz. RTF) 8.00 Increased Calorie Supplement: 30 cal/oz, lactose-free; nutritionally complete; for oral or tube feeding; contains MCT oil.
Similar to Pediasure
Allergens by Nature: Milk. Weight/length or BMI <10% and/or downward crossing of 2 major percentiles along with one or more of the following diagnoses: 1. Faltering weight or inadequate weight gain 2. Failure to Thrive (FTT) or malnutrition 3. Increased calorie needs 4. Tube feeding* 5. Oral motor feeding issues/aversions* 6. Developmental delays (sensory & motor)* 7. Prematurity (<37 weeks)/LBW *Authorization is not dependent on growth meeting parameters outlined above when diagnosis is present. See Note on page 24 for additional information. Limitations: Can only issue to children 12 months to 5 years. Nestle 24 containers/case vanilla chocolate strawberry