Description/Indication
Nutramigen is an iron-fortified, hypoallergenic infant formula designed for infants who are allergic to the intact proteins in cow’s milk and soy formulas. Nutramigen has extensively hydrolyzed protein and is proven effective for managing colic due to cow's milk allergy.
Long-Term Usage: Nutramigen is designed to provide a sole source of nutrition for infants up to age 6 months, and provide a major source of nutrition through 12 months of age. Normally, in feeding infants, gradual introduction of solid foods after 4–6 months of age is an important developmental as well as nutritional step.
In cases of continued food allergies or intolerances, Nutramigen is sometimes used as a milk substitute in the diet of children beyond 12 months of age. When Nutramigen is used as a milk substitute beyond 12 months of age, the total calcium content of the diet should be assessed.
Extended use of Nutramigen (or other infant formulas) as a sole source of diet is most appropriately monitored by physicians and nutritionists on a case-by-case basis.
Product Features:
(Normal Dilution) | Per 100 Cal (5 fl oz) 2 fl oz RTU | Per 100 Cal (5 fl oz) 6 fl oz RTU | Per 100 Cal (5 fl oz) 8 fl oz RTU | Per 100 Cal (5 fl oz) 13 fl oz Conc | Per 100 Cal (5 fl oz) 32 fl oz | Per 100 mL 2 fl oz RTU | Per 100 mL 6 fl oz RTU | Per 100 mL 8 fl oz RTU | Per 100 mL 13 fl oz Conc | Per 100 mL 32 fl oz |
---|---|---|---|---|---|---|---|---|---|---|
Protein, g | 2.8 | 2.8 | 2.8 | 2.8 | 2.8 | 1.89 | 1.89 | 1.89 | 1.89 | 1.89 |
Fat, g | 5.3 | 5.3 | 5.3 | 5.3 | 5.3 | 3.6 | 3.6 | 3.6 | 3.6 | 3.6 |
Linoleic acid, mg | 860 | 860 | 860 | 860 | 780 | 580 | 580 | 580 | 580 | 530 |
Carbohydrate, g | 10.3 | 10.3 | 10.3 | 10.3 | 10.3 | 7 | 7 | 7 | 7 | 7 |
Water, g | 133 | 133 | 133 | 133 | 133 | 90 | 90 | 90 | 90 | 90 |
Vitamins/Other Nutrients | ||||||||||
Vitamin A, IU | 300 | 300 | 300 | 300 | 300 | 200 | 200 | 200 | 200 | 200 |
Vitamin D, IU | 50 | 50 | 50 | 50 | 50 | 34 | 34 | 34 | 34 | 34 |
Vitamin E, IU | 2 | 2 | 2 | 2 | 2 | 1.35 | 1.35 | 1.35 | 1.35 | 1.35 |
Vitamin K, mcg | 9 | 9 | 9 | 9 | 8 | 6.1 | 6.1 | 6.1 | 6.1 | 5.4 |
Thiamin (Vitamin B1), mcg | 80 | 80 | 80 | 80 | 80 | 54 | 54 | 54 | 54 | 54 |
Riboflavin (Vitamin B2), mcg | 90 | 90 | 90 | 90 | 90 | 61 | 61 | 61 | 61 | 61 |
Vitamin B6, mcg | 60 | 60 | 60 | 60 | 60 | 41 | 41 | 41 | 41 | 41 |
Vitamin B12, mcg | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.2 | 0.2 | 0.2 | 0.2 | 0.2 |
Niacin, mcg | 1000 | 1000 | 1000 | 1000 | 1000 | 680 | 680 | 680 | 680 | 680 |
Folic acid (Folacin), mcg | 16 | 16 | 16 | 16 | 16 | 10.8 | 10.8 | 10.8 | 10.8 | 10.8 |
Pantothenic acid, mcg | 500 | 500 | 500 | 500 | 500 | 340 | 340 | 340 | 340 | 340 |
Biotin, mcg | 3 | 3 | 3 | 3 | 3 | 2 | 2 | 2 | 2 | 2 |
Vitamin C (Ascorbic acid), mg | 12 | 12 | 12 | 12 | 12 | 8.1 | 8.1 | 8.1 | 8.1 | 8.1 |
Choline, mg | 24 | 24 | 24 | 24 | 24 | 16.2 | 16.2 | 16.2 | 16.2 | 16.2 |
Inositol, mg | 17 | 17 | 17 | 17 | 17 | 11.5 | 11.5 | 11.5 | 11.5 | 11.5 |
Minerals | ||||||||||
Calcium, mg | 94 | 94 | 94 | 94 | 94 | 64 | 64 | 64 | 64 | 64 |
Phosphorus, mg | 52 | 52 | 52 | 52 | 52 | 35 | 35 | 35 | 35 | 35 |
Magnesium, mg | 8 | 8 | 8 | 11 | 8 | 5.4 | 5.4 | 5.4 | 7.4 | 5.4 |
Iron, mg | 1.8 | 1.8 | 1.8 | 1.8 | 1.8 | 1.22 | 1.22 | 1.22 | 1.22 | 1.22 |
Zinc, mg | 1 | 1 | 1 | 1 | 1 | 0.68 | 0.68 | 0.68 | 0.68 | 0.68 |
Manganese, mcg | 25 | 25 | 25 | 25 | 25 | 16.9 | 16.9 | 16.9 | 16.9 | 16.9 |
Copper, mcg | 75 | 75 | 75 | 75 | 75 | 51 | 51 | 51 | 51 | 51 |
Iodine, mcg | 15 | 15 | 15 | 15 | 15 | 10.1 | 10.1 | 10.1 | 10.1 | 10.1 |
Selenium, mcg | 2.8 | 2.8 | 2.8 | 2.8 | 2.8 | 1.89 | 1.89 | 1.89 | 1.89 | 1.89 |
Sodium, mg | 47 | 47 | 47 | 47 | 47 | 32 | 32 | 32 | 32 | 32 |
Potassium, mg | 110 | 110 | 110 | 110 | 110 | 74 | 74 | 74 | 74 | 74 |
Chloride, mg | 86 | 86 | 86 | 86 | 86 | 58 | 58 | 58 | 58 | 5 |
Product nutrient values and ingredients are subject to change. Please see product label for current information.
Nutrient Density | 20 Cal/fl oz 2 & 6 fl oz | 20 Cal/fl oz 13 fl oz | 20 Cal/fl oz 8 & 32 fl oz |
---|---|---|---|
RTU | Concentrate | RTU | |
Protein (% Calories) | 11 | 11 | 11 |
Fat (% Calories) | 48 | 48 | 48 |
Carbohydrate (% Calories) | 41 | 41 | 41 |
Potential Renal Solute Load (mOsm/100 Calories)13 | 25 | 25 | 25 |
Potential Renal Solute Load (mOsm/100 mL)13 | 16.9 | 16.9 | 16.9 |
Osmolality (mOsm/kg water) | 320 | 260 | 270 |
Osmolarity (mOsm/L) | 290 | 230 | 240 |
Lactose-Free | Yes | Yes | Yes |
Nutramigen is available in ready-to-use liquid and concentrate.
When using this information, please note the following:
Coding systems and reimbursement allowable rates vary by payer:
Ingredients: Ready To Use (2 fl oz Nursette® bottle): Water (87%), corn syrup solids (5%), vegetable oil (palm olein, soy, coconut and high oleic sunflower oils) (3%), casein hydrolysate* (milk) (2%), modified corn starch (2%) and less than 1%: Mortierella alpina oil†, Crypthecodinium cohnii oil‡, carrageenan, vitamin A palmitate, vitamin D3, vitamin E acetate, vitamin K1, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, vitamin B12, niacinamide, folic acid, calcium pantothenate, biotin, ascorbic acid, choline chloride, inositol, calcium carbonate, calcium phosphate, magnesium oxide, ferrous sulfate, zinc sulfate, manganese sulfate, cupric sulfate, sodium iodide, sodium selenite, sodium citrate, potassium citrate, potassium chloride, citric acid, taurine, L-cystine, L-tyrosine, L-tryptophan, L-carnitine.
Ingredients: Ready To Use (6 fl oz Nursette bottle): Water (87%), corn syrup solids (5%), vegetable oil (palm olein, coconut, soy and high oleic sunflower oils) (4%), casein hydrolysate* (milk) (2%), modified corn starch (2%) and less than 1%: Mortierella alpina oil†, Crypthecodinium cohnii oil‡, calcium phosphate, potassium citrate, calcium carbonate, potassium chloride, sodium citrate, magnesium oxide, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, sodium iodide, sodium selenite, carrageenan, choline chloride, ascorbic acid, vitamin E acetate, niacinamide, calcium pantothenate, vitamin A palmitate, thiamin hydrochloride, riboflavin, vitamin D3, vitamin B6 hydrochloride, folic acid, vitamin K1, biotin, L-cystine, inositol, L-tyrosine, L-tryptophan, vitamin B12, taurine, L-carnitine.
Ingredients: Ready To Use (8 fl oz bottle): Water (87%), corn syrup solids (5%), vegetable oil (palm olein, coconut, soy and high oleic sunflower oils) (3%), casein hydrolysate* (milk) (2%), modified corn starch (2%) and less than 1%: Mortierella alpina oil†, Crypthecodinium cohnii oil‡, calcium phosphate, potassium citrate, calcium carbonate, potassium chloride, sodium citrate, magnesium oxide, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, sodium iodide, sodium selenite, carrageenan, citric acid, choline chloride, ascorbic acid, vitamin E acetate, niacinamide, calcium pantothenate, vitamin A palmitate, thiamin hydrochloride, riboflavin, vitamin D3, vitamin B6 hydrochloride, folic acid, vitamin K1, biotin, L-cystine, inositol, L-tyrosine, L-tryptophan, vitamin B12, taurine, L-carnitine.
Ingredients: Ready To Use (32 fl oz bottle): Water (87%), corn syrup solids (5%), vegetable oil (palm olein, soy, coconut, and high oleic sunflower oils) (4%), casein hydrolysate* (milk) (2%), modified corn starch (2%) and less than 1%: Mortierella alpina oil†, Crypthecodinium cohnii oil‡, carrageenan, vitamin A palmitate, vitamin D3, vitamin E acetate, vitamin K1, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, vitamin B12, niacinamide, folic acid, calcium pantothenate, biotin, ascorbic acid, choline chloride, inositol, calcium carbonate, calcium phosphate, magnesium oxide, ferrous sulfate, zinc sulfate, manganese sulfate, cupric sulfate, potassium iodide, sodium selenite, sodium citrate, potassium citrate, potassium chloride, citric acid, taurine, L-cystine, L-tyrosine, L-tryptophan, L-carnitine.
Ingredients: (13 fl oz can): Water (75%), corn syrup solids (10%), vegetable oil (palm olein, soy, coconut and high oleic sunflower oils) (7%), casein hydrolysate* (milk) (4%), modified corn starch (3%) and less than 1%: Mortierella alpina oil†, Crypthecodinium cohnii oil‡, acetylated monoglycerides, carrageenan, vitamin A palmitate, vitamin D3, vitamin E acetate, vitamin K1, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, vitamin B12, niacinamide, folic acid, calcium pantothenate, biotin, ascorbic acid, choline chloride, inositol, calcium carbonate, calcium phosphate, magnesium oxide, ferrous sulfate, zinc sulfate, manganese sulfate, cupric sulfate, sodium iodide, sodium selenite, sodium citrate, potassium citrate, potassium chloride, citric acid, taurine, L-cystine, L-tyrosine, L-tryptophan, L-carnitine.
* Modified to be better tolerated in milk-allergic babies.
† A source of arachidonic acid (ARA).
‡ A source of docosahexaenoic acid (DHA).
Nutramigen contains milk and soy. Nutramigen is hypoallergenic. Rarely, however, allergic reactions to extensively hydrolyzed casein formulas have been reported.
mg/100 Cal | mg/100 g Pwd | |
---|---|---|
Histidine | 84 | — |
Isoleucine | 162 | — |
Leucine | 270 | — |
Lysine | 240 | — |
Methionine | 73 | — |
Cysteine | 48 | — |
Phenylalanine | 137 | — |
Tyrosine | 59 | — |
Threonine | 129 | — |
Tryptophan | 46 | — |
Valine | 200 | — |
mg/100 Cal | mg/100 g Pwd | |
---|---|---|
Arginine | 112 | — |
Alanine | 95 | — |
Aspartic Acid | 210 | — |
Glutamic Acid | 640 | — |
Glycine | 59 | — |
Proline | 290 | — |
Serine | 162 | — |
Tyrosine | 59 | — |
Threonine | 129 | — |
Tryptophan | 46 | — |
Valine | 200 | — |
Concentrate
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. Discuss with parents which formula is appropriate for the baby.
13 fl oz Cans
WARNING: Do not use a microwave oven to warm formula. Serious burns may
result.
Failure to follow these instructions could result in severe harm. Opened bottles or cans and prepared formula can spoil quickly. Either feed immediately or cover and store in refrigerator at 35–40°F (2–4°C) for no longer than 48 hours. Do not use opened containers and/or prepared formula if they are unrefrigerated for more than a total of 2 hours. Do not freeze prepared formula. After feeding begins, use prepared formula within 1 hour or discard.
Nursette<sup>®</sup> Bottles
The baby’s health depends on carefully following the instructions below. Use only as directed by a medical professional. Proper hygiene, preparation, use and storage are important when preparing infant formula. Discuss with parents which formula is appropriate for the baby.
2 & 6 fl oz Nursette® Bottles
WARNING: Do not use a microwave oven to warm formula. Serious burns may
result.
Failure to follow these instructions could result in severe harm. Opened bottles can spoil quickly. Either feed immediately or replace cap and store in refrigerator at 35–40°F (2–4°C) for no longer than 24 hours. Do not use opened bottle if it is unrefrigerated for more than a total of 2 hours. Do not freeze. After feeding begins, use formula within 1 hour or discard.
Ready-to-Use
The baby’s health depends on carefully following the instructions below. Use only as directed by a medical professional. Proper hygiene, preparation, use and storage are important when preparing infant formula. Discuss with parents which formula is appropriate for the baby.
8 fl oz Bottles
32 fl oz Bottles
WARNING: Do not use a microwave oven to warm formula. Serious burns may
result.
Failure to follow these instructions could result in severe harm. Opened bottles and prepared formula can spoil quickly. Either feed immediately or cover and store in refrigerator at 35–40°F (2–4°C) for no longer than 48 hours. Do not use opened bottle and/or prepared formula if they are unrefrigerated for more than a total of 2 hours. Do not freeze prepared formula. After feeding begins, use prepared formula within 1 hour or discard.
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.