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Prod ID Product RFO Description Qualifying Conditions Staff Guidance Manufacturer/ Packaging 72 (CI) Enfamil 24 (2 oz. RTU) 2.00 Increased Calorie Infant Formula: 24 cal/fl oz formulation for full-term infants who require increased caloric density; 80:20 whey-to-casein ratio patterned after early breast milk.
Allergens by Nature: Milk and Soy 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 infants and children through 23 months old. Mead Johnson 48 bottles/case 68 (PWD)
70 (RTU) Enfamil NeuroPro Enfacare (13.6 oz. Powder)
(CI) Enfamil NeuroPro Enfacare (2 oz. RTU) 87.00
2.00 Special Medical Conditions – Premature: 22 cal/oz, high protein, vitamin, and mineral milk-based, for preterm and/or low birth weight infants; 20% of fat is MCT oil.
Mix 2 fl oz water with 1 unpacked level scoop (9.8 g)
Similar to Similac Neosure.
Allergens by Nature: Milk and Soy 1. Prematurity (<37 weeks), regardless of birthweight 2. Low or very low birth weight (LBW/VLBW) ≤ 5lb 8oz Limitations: Can only issue powder to infants and children through 23 months old. Ready to Use (RTU) may only be issued through 12 months of age.
Recommendations: At 6 months chronological age staff should assess the infant's readiness to eat solids.
Staff may only issue Enfamil NeuroPro Enfacare RTU when it meets criteria outlined in Chapter 5 of the WIC Procedure Manual (5.3). Mead Johnson Powder: 6 cans/case
RTU: 48 bottles/case 149 (CI) Enfaport (6 oz. RTU) 6.00 Special Medical Conditions - Chylothorax or Metabolic: 30 cal/oz, lactose-free, milk- based; Nutritionally complete; 83% of fat as MCT. Designed for infants.
Allergens by Nature: Milk and Soy 1. Chylothorax 2. Long chain 3-hydroxyacyl-CoA dehydrogenase deficiency (LCHAD) 3. Condition that impairs digestion/absorption e.g., decreased pancreatic lipase, decreased bile salts, defective mucosal fat absorption, and/or defective lymphatic anomalies Limitations: Can only issue to infants and children 0 months to 5 years old. Mead Johnson 24 bottles/case