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Prod ID Product RFO Description Qualifying Conditions Staff Guidance Manufacturer/ Packaging 162 (CI) Glutarex-2 (14.1 oz. Powder) 55.00 Special Medical Conditions - Metabolic: Lysine- and tryptophan-free, with DHA/ARA, nutritionally incomplete; lactose-free.
1 Tbsp powder = 8 g; preparation and dilution only as directed by a physician
RFO is calculated based on mixing to 30cal/oz
Allergens by Nature: Coconut and Soy Glutaric aciduria type I (GA-1) Limitations: Can only issue to children 12 months to 5 years old and women.
Requirements: Metabolic formulas must be approved by District Nutrition Director or State WIC Office Abbott 6 cans/case unflavored 217 (CI) HCU Anamix Early Years (14.1 oz. Powder) 80.00 Special Medical Conditions - Metabolic: methionine and cysteine-free with iron, DHA/ARA and prebiotic fiber blend; nutritionally incomplete. Provides 13.5 g of protein equivalent per 100 g of powder.
Mixing Instructions: To make a standard dilution (21 kcal/fl oz), add 1 unpacked level scoop (5 g) of powder to each fluid ounce of water.
Allergens by Nature: Milk, Coconut and Soy 1. Vitamin B6 non-responsive homocystinuria 2. Hypermethioninemia Limitations: Can only issue to infants and children.
Requirements: Metabolic formulas must be approved by District Nutrition Director or State WIC Office Nutricia 6 cans/case unflavored 227 (CI) HCU Anamix Next (14.1 oz. Powder) 78.00 Special Medical Conditions - Metabolic: methionine-free, contains DHA and prebiotic fiber blend; nutritionally incomplete.
Dilution: 18 g (approx. 2 scoops) with 3.5 fl oz for final 3.9 fl oz (0.6 kcal/mL)
Allergens by Nature: Coconut and Soy 1. Vitamin B6 non-responsive homocystinuria 2. Hypermethioninemia Limitations: Can only issue to children 12 months to 5 years old and women.
Requirements: Metabolic formulas must be approved by District Nutrition Director or State WIC Office Nutricia 6 cans/case unflavored 228 (CI) HCU Maxamum (16 oz. Powder) 84.00 Special Medical Conditions - Metabolic: methionine and fat-free, nutritionally incomplete; 40 g protein equivalents/100 g powder.
Dilution: add 38 g (approx. ¼ cup) of powder to 6 - 8 fl oz of water.
Allergens by Nature: Soy 1. Vitamin B6 non-responsive homocystinuria 2. Hypermethioninemia Limitations: Can only issue to children 12 months to 5 years old and women.
Requirements: Metabolic formulas must be approved by District Nutrition Director or State WIC Office Nutricia 6 cans/case orange 177 (CI) I-Valex-1 (14.1 oz. Powder) 96.00 Special Medical Conditions - Metabolic: leucine-free, Lactose-free, with L-carnitine and DHA/ARA; nutritionally incomplete.
1 Tbsp powder = 8 g; preparation and dilution only as directed by a physician
RFO is calculated based on mixing to 20cal/oz
Allergens by Nature: Coconut and Soy 1. Isovaleric acidemia 2. Other proven disorders of leucine metabolism Limitations: Can only issue to infants and children.
Requirements: Metabolic formulas must be approved by District Nutrition Director or State WIC Office Abbott 6 cans/case unflavored