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Official source

Prod ID Product RFO Description Qualifying Conditions Staff Guidance Manufacturer/ Packaging 105 (CI) Phenylade MTE Powder (16 oz. Powder) 175.00 Special Medical Conditions - Metabolic: phenylalanine-free, nutritionally incomplete; 313 kcal per 100 g powder.

Dilution: Add 13 g powder (approx 1 tbsp level and unpacked) to 5 fl oz of a flavored (protein-free) beverage or other PKU formula

Allergens by Nature: N/A Phenylketonuria (PKU) or hyperphenylalaninemia 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 238 (CI) PKU Explore 5 (0.44 oz. Powder) 1.40 Special Medical Conditions - Metabolic: phenylalanine-free; contains blend of essential and non-essential amino acids, carbohydrate, ARA, DHA, vitamins and minerals; nutritionally incomplete. Each 12.5 g (0.44 oz) packet provides 5 g protein equivalent.

Dilution: Each packet mixes with approximately 1 tablespoon of cold water; shake well and let stand for 2 minutes to allow smooth semi-solid consistency to form. Designed to form a spoonable consistency to support introduction of solids.

Allergens by Nature: fish (tuna); may contain: milk. Phenylketonuria (PKU) or hyperphenylalaninemia Limitations: Can only issue to infants and children 6 months to 5 years old.

Requirements: Metabolic formulas must be approved by District Nutrition Director or State WIC Office Vitaflo 30 packets/case unflavored 237 (CI) PKU Explore 10 (0.88 oz. Powder) 2.80 Special Medical Conditions - Metabolic: phenylalanine-free; contains blend of essential and non-essential amino acids, carbohydrate, ARA, DHA, vitamins and minerals; nutritionally incomplete. Each 25 g (0.88 oz) packet provides 10 g protein equivalent.

Dilution: Each packet mixes with approximately 1.5-2 tablespoon of cold water; shake well and let stand for 2 minutes to allow smooth semi-solid consistency to form. Designed to form a spoonable consistency to support introduction of solids. Add 1 packet to 3 fl oz water to prepare a low volume drink.

Allergens by Nature: fish (tuna); may contain: milk. Phenylketonuria (PKU) or hyperphenylalaninemia 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 Vitaflo 30 packets/case raspberry orange 239 (CI) PKU Sphere 15 (0.95 oz. Powder) 4.00 Special Medical Conditions - Metabolic: low phenylalanine formula; contains a blend of whey protein isolate (GMP), essential and non-essential amino acids, carbohydrate, fat (including DHA), vitamins and minerals; nutritionally incomplete. Each 27g (0.95oz) packet provides 15g protein equivalent.

Mix 1 packet with 4oz water.

Allergens by Nature: fish (tuna), Milk and Soy Phenylketonuria (PKU) or hyperphenylalaninemia 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 Vitaflo 30 packets/case vanilla red berry