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Prod ID Product RFO Description Qualifying Conditions Staff Guidance Manufacturer/ Packaging 51 (CI) Neocate Infant w/DHA/ARA (14.1 oz. Powder) 97.00 Elemental/Amino Acid: 20 cal/oz lactose, sucrose, and soy-free; hypoallergenic; 100% free amino acids; 33% of fat is MCT oil.

Mixing Instructions: Add 1 scoop of powder to 1 oz. water.

Similar to Alfamino, Elecare, Neocate Syneo, and PurAmino

Allergens by Nature: Coconut (MCT may come from coconut oil) 1. Cow’s milk protein allergy (CMPA) 2. Multiple food allergies 3. Eosinophilic GI disorders 4. Malabsorptive conditions 5. Short bowel syndrome (SBS) 6. Food protein-induced enterocolitis syndrome (FPIES) Limitations: Can only issue to infants and children through 23 months old.

Recommendations: A protein hydrolysate (Alimentum, generic hypoallergenic, Extensive HA, Nutramigen, Pepticate, or Pregestimil) is recommended before issuing unless medically contraindicated. Nutricia 4 cans/case 85 (CI) Neocate Junior (14.1 oz. Powder)

64.00 Elemental/Amino Acid: 30 cal/oz, hypoallergenic, nutritionally complete, 100% non- allergenic free amino-acids with prebiotic fiber but without probiotics; for oral or tube feeding; 35% of fat is MCT oil. Previously named Neocate Jr. with Prebiotics.

Mixing Instructions: Add 1 unpacked, level scoop (7.6 g) of powder to each 1 fl oz. of water.

Similar to Alfamino Jr., Elecare Jr., Puramino Jr.

Allergens by Nature: Coconut (MCT may come from coconut oil) 1. Cow’s milk protein allergy (CMPA) 2. Multiple food allergies 3. Eosinophilic GI disorders 4. Malabsorptive conditions 5. Short bowel syndrome (SBS) 6. Food protein-induced enterocolitis syndrome (FPIES) Limitations: Can only issue to children 12 months to 5 years old. Nutricia 4 cans/case vanilla strawberry chocolate

unflavored (without prebiotics) 155 (CI) Neocate Syneo Jr. (14 oz. Powder) 62.00 Elemental/Amino Acid: 30 cal/oz, hypoallergenic, nutritionally complete, 100% non- allergenic free amino-acids with prebiotic fiber and probiotics; for oral or tube feeding; 35% of fat is MCT oil.

Add 1 unpacked, level school of powder to 1 oz water. 1 scoop = 7.3 g for all flavors except chocolate (7.5 g/scoop)

Similar to Alfamino Jr., Elecare Jr., Puramino Jr.

Allergens by Nature: Coconut (MCT may come from coconut oil) 1. Cow’s milk protein allergy (CMPA) 2. Multiple food allergies 3. Eosinophilic GI disorders 4. Malabsorptive conditions 5. Short bowel syndrome (SBS) 6. Food protein-induced enterocolitis syndrome (FPIES) Limitations: Can only issue to children 12 months to 5 years old.

Nutricia 4 cans/case unflavored 76 (CI) Neocate Splash (8 oz. RTF) 8.00 Elemental/Amino Acid: 30 cal/oz, hypoallergenic, nutritionally complete, 100% non- allergenic free amino acids; 35% of fat is MCT oil. 1. Cow’s milk protein allergy (CMPA) 2. Multiple food allergies 3. Eosinophilic GI disorders 4. Malabsorptive conditions 5. Short bowel syndrome (SBS) 6. Food protein-induced enterocolitis syndrome (FPIES) Limitations: Can only issue to children 12 months to 5 years old. Nutricia 27 containers/case unflavored grape orange-pineapple tropical fruit vanilla