Nutramigen® with Enflora LGG®* Toddler

For the dietary management of cow's milk allergy. * LGG is a registered trademark of Chr. Hansen A/S

Last Updated: Sunday, December 17, 2017 - 19:00

Description/Indication

Nutramigen with Enflora LGG Toddler is a 20 Cal/fl oz, iron-fortified, hypoallergenic infant formula for older infants and toddlers who are allergic to the intact proteins in cow’s milk or soy formulas. It is designed to help meet their growing nutritional needs. Nutramigen with Enflora LGG Toddler has extensively hydrolyzed casein protein to help avoid an immune system response by reducing the allergen exposure, and the probiotic branded LGG to help support the strength of the intestinal barrier and help support digestive health.

Product Features:

  • Hypoallergenic protein source (extensively hydrolyzed casein)
  • Contains the probiotic branded LGG:
    • LGG promotes a healthy GI and immune system by supporting a balanced immune response, colonizing the gut to support a healthy microflora and promoting normal gut barrier function
  • DHA and iron-building blocks of a toddler’s brain
  • Increased calcium and vitamins as compared to Nutramigen® with Enflora LGG® infant
  • Lactose-free
  • Has no sucrose as a carbohydrate source


† Studied in infants.

‡ When hereditary fructose intolerance is a concern.

  • Nutrients
    • (Normal Dilution)

      Per 100 Calories (5 fl oz)

      Per 100 mL

      Per 100 grams Powder (480 Cal)

      Protein, g

      2.5

      1.69

      12

      Fat, g

      4.3

      2.9

      21

      Linoleic acid, mg

      640

      430

      3100

      Carbohydrate, g

      12.8

      8.7

      61

      Water, g

      132

      89

      1.63

      Vitamins/Other Nutrients

      Vitamin A, IU

      300

      200

      1440

      Vitamin D, IU

      60

      41

      290

      Vitamin E, IU

      1.65

      1.12

      7.9

      Vitamin K, mcg

      13

      8.8

      62

      Thiamin (Vitamin B1, mcg

      110

      74

      530

      Riboflavin (Vitamin B2), mcg

      180

      122

      860

      Vitamin B6, mcg

      154

      104

      740

      Vitamin B12, mcg

      0.3

      0.2

      1.44

      Niacin, mcg

      1540

      1040

      7400

      Folic acid (Folacin), mcg

      16

      10.8

      77

      Pantothenic acid, mcg

      660

      450

      3200

      Biotin, mcg

      2.2

      1.49

      10.6

      Vitamin C (Ascorbic acid), mg

      19

      12.8

      91

      Choline, mg

      24

      16.2

      115

      Inositol, mg

      17

      11.5

      82

      Minerals

      Calcium, mg

      130

      88

      620

      Phosphorus, mg

      72

      49

      350

      Magnesium, mg

      10

      6.8

      48

      Iron, mg

      1.6

      1.08

      7.7

      Zinc, mg

      1.1

      0.74

      5.3

      Manganese, mcg

      50

      34

      240

      Copper, mcg

      75

      51

      360

      Iodine, mcg

      17.6

      11.9

      84

      Selenium, mcg

      2.5

      1.69

      12

      Sodium, mg

      37

      25

      178

      Potassium, mg

      122

      83

      590

      Chloride, mg

      80

      54

      380

      Product nutrient values and ingredients are subject to change. Please see product label for current information.

  • Nutrient Facts
    • Nutrient Density

      20 Calories/fl oz

      Protein (% Calories)

      10

      Fat (% Calories)

      39

      Carbohydrate (% Calories)

      51

      Potential Renal Solute Load (mOsm/100 Calories)1

      24

      Potential Renal Solute Load (mOsm/100 mL) 1

      15.9

      Osmolality (mOsm/kg water)

      300

      Osmolarity (mOsm/L)

      270

      Lactose-free

      Yes

  • Product Forms

      Nutramigen with Enflora LGG Toddler is available in powder.

      When using this information, please note the following:

      Coding systems and reimbursement allowable rates vary by payer:

      • Medicare Part B uses HCPCS (Healthcare Common Procedure Coding System) to group products
      • Medicaid systems vary by state; some use HCPCS while others use NDC format code or systems of their own—contact your state provider for more information
      • Private health insurance and managed care companies may use HCPCS, NDC format code or their own system—contact your provider for more information

    • Product: Nutramigen® with Enflora LGG®* Toddler
      Item #: 154801
      Description: Powder
      Unit Size: 12.6 oz can
      Calories/Unit: 1720
      Product Yield/Unit (fl oz): 86
      Case: 6 cans per case
      HCPCS Code: B4161
      NDC Format Code: 00087-5107-34
  • Composition
    • Ingredients: Corn syrup solids (54%), vegetable oil (palm olein, coconut, soy and high oleic sunflower oils) (21%), casein hydrolysate* (milk) (14%), modified corn starch (6%) and less than 2%: Mortierella alpina oil, Crypthecodinium cohnii oil, Lactobacillus rhamnosus GG (LGG), calcium phosphate, potassium citrate, calcium citrate, potassium chloride, calcium hydroxide, magnesium oxide, sodium citrate, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, sodium iodide, sodium selenite, ascorbic acid, niacinamide, calcium pantothenate, vitamin B6 hydrochloride, riboflavin, vitamin D3, thiamin hydrochloride, folic acid, vitamin K1, biotin, vitamin B12, choline chloride, inositol, vitamin E acetate, vitamin A palmitate, L-cystine, L-tyrosine, L-tryptophan, taurine, L-carnitine.

      * Modified to be better tolerated in milk-allergic babies.

      † A source of arachidonic acid (ARA).

      ‡ A source of docosahexaenoic acid (DHA).

  • Potential Allergens
    • Nutramigen with Enflora LGG Toddler contains milk and soy. Nutramigen with Enflora LGG Toddler is hypoallergenic. Allergic reactions to extensively hydrolyzed casein formulas are not commonly reported.

  • Amino Acid Composition
    • ESSENTIAL AMINO ACIDS
      mg/100 Calmg/100 g Pwd
      Histidine75360
      Isoleucine145700
      Leucine2501180
      Lysine2101010
      Methionine65310
      Cysteine60290
      Phenylalanine123590
      Tyrosine80380
      Threonine115550
      Tryptophan46220
      Valine180860
      NONESSENTIAL AMINO ACIDS
      mg/100 Calmg/100 g Pwd
      Arginine100480
      Alanine85410
      Aspartic Acid190910
      Glutamic Acid5802800
      Glycine53250
      Proline2601260
      Serine145700
      Tyrosine80380
      Threonine115550
      Tryptophan46220
      Valine180860
  • Preparation of Feedings
    • Powder

      The baby’s health depends on carefully following the instructions below. Use only as directed by a medical professional. Proper hygiene, preparation, dilution, use and storage are important when preparing infant formula. Powdered infant formulas are not sterile and should not be fed to premature infants or infants who might have immune problems unless directed and supervised by a doctor. Discuss with parents which formula is appropriate for the baby.

      Discuss with parents whether they need to use cooled, boiled water for mixing and whether they need to boil clean utensils, bottles and nipples in water before use.

      WARNING: Do not use a microwave oven to warm formula. Serious burns may result.

      Refer to the product label for the most accurate information.

      Failure to follow these instructions could result in severe harm. Once prepared, infant formula can spoil quickly. Either feed immediately or cover and store in refrigerator at 35–40°F (2–4°C) for no longer than 24 hours. Do not use prepared formula if it is unrefrigerated for more than a total of 2 hours. Do not freeze prepared formula. After feeding begins, use formula within 1 hour or discard.

      1. Wash hands thoroughly with soap and water before preparing formula.
      2. Pour the desired amount of water into the bottle. Add powder.
      3. Cap bottle and SHAKE WELL.

      Use the charts below for correct amounts of water and powder. Use scoop in can to measure powder. Store DRY scoop in it's original can.

      Nutramigen with Enflora LGG Toddler

      To Make

      Water

      Powder

      Weight

      6 fl oz bottle

      6 fl oz

      3 PACKED level scoops

      27.9 g

      8 fl oz bottle

      8 fl oz

      4 PACKED level scoops

      37.2 g

      * LGG® is a registered trademark of Chr. Hansen A/S.

      † Each scoop adds about 0.2 fl oz to the amount of prepared formula.

  • References
      1. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.
  • Consumer Reviews
  • Letter of Medical Necessity for Nutramigen® with Enflora™ LGG®*

    Insurance companies are not required to cover exempt infant formula or medical foods, but some do. This letter establishes a medical need for the product and might help get your patients insurance company to reimburse them for the product.