Enfamil A.R.™

For Spit-Up. Thickened milk-based infant formula for the first 12 months.

Last Updated: Wednesday, December 13, 2017 - 19:00

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Description/Indication

Enfamil A.R. is a 20 Cal/fl oz, thickened, milk-based infant formula that reduces spit-up in 1 week and is appropriate for the first 12 months. Enfamil A.R. is clinically proven to reduce frequency and volume of regurgitation and meets the reflux reduction guidance of the American Academy of Pediatrics1,2.

Long-Term Usage: Enfamil A.R. is designed to provide a sole source of nutrition for infants up to age 6 months, and provide a major source of nutrition until 12 months.

Product Features:

  • Proprietary patented Triple Health Guard® blend of brain-nourishing DHA, a Natural Defense® Dual Prebiotic blend designed to support immune health and 30 nutrients for growth
  • DHA at the clinically proven* amount of 0.32% of total fatty acids, the same amount as the worldwide breast milk average3,†, and double the amount found in the leading competitor’s product‡:
  • Clinically shown to improve long-term cognitive outcomes through 5 years of age4,*
  • A Natural Defense Dual Prebiotic blend to help support digestive health
  • Clinically proven to reduce spit-up by over 50%2,§
  • Meets reflux reduction guidance of the American Academy of Pediatrics1
  • Nutritionally balanced with a nutrient profile similar to routine infant formula
  • Less caloric and more nutritionally balanced than adding rice cereal to formula
  • Thickens further in the stomach, allowing easier flow through a standard nipple
  • Milk-based formula has 20:80 whey:casein ratio and unmodified, pregelatinized, high amylopectin rice starch
  • Kosher


* Studies compared infants fed Enfamil® with DHA and ARA vs. discontinued Enfamil without DHA and ARA; studied before the addition of prebiotics.

† Average amount of DHA in worldwide breast milk is 0.32% ± 0.22% (mean ± standard deviation of total fatty acids) based on an analysis of 65 studies of 2,474 women3.

‡ Enfamil A.R. has not been shown superior to the leading competitor in supporting mental, visual and immune system development. The level of DHA in Similac Pro-Advance™ is ~0.15% of total fatty acids.

  • Nutrients

    • (Normal Dilution)

      Per 100 Cal (5 fl oz) Powder

      Per 100 Cal (5 fl oz) RTU

      Per 100 mL Powder

      Per 100 mL RTU

      Per 100 grams Powder (500 Cal)

      Protein, g

      2.5

      2.5

      1.69

      1.69

      12.4

      Fat, g

      5.1

      5.1

      3.4

      3.4

      25

      Linoleic acid, mg

      780

      780

      530

      530

      3900

      Carbohydrate, g

      11.3

      11.3

      7.6

      7.6

      56

      Water, g

      133

      132

      90

      89

      2.2

      Vitamins/Other Nutrients

      Vitamin A, IU

      300

      300

      200

      200

      1490

      Vitamin D, IU

      60

      60

      41

      40

      300

      Vitamin E, IU

      2

      2

      1.35

      1.35

      9.9

      Vitamin K, mcg

      9

      9

      6.1

      6.1

      45

      Thiamin (Vitamin B1), mcg

      80

      80

      54

      54

      400

      Riboflavin (Vitamin B2), mcg

      140

      140

      95

      94

      700

      Vitamin B6, mcg

      60

      60

      41

      40

      300

      Vitamin B12, mcg

      0.3

      0.3

      0.2

      0.2

      1.49

      Niacin, mcg

      1000

      1000

      680

      670

      5000

      Folic acid (Folacin), mcg

      16

      16

      10.8

      10.8

      80

      Pantothenic acid, mcg

      500

      500

      340

      340

      2500

      Biotin, mcg

      3

      3

      2

      2

      14.9

      Vitamin C (Ascorbic acid), mg

      12

      12

      8.1

      8.1

      60

      Choline, mg

      24

      24

      16.2

      16.2

      119

      Inositol, mg

      6

      6

      4.1

      4.0

      30

      Minerals

      Calcium, mg

      78

      78

      53

      53

      390

      Phosphorus, mg

      53

      53

      36

      36

      260

      Magnesium, mg

      8

      8

      5.4

      5.4

      40

      Iron, mg

      1.8

      1.8

      1.22

      1.21

      9

      Zinc, mg

      1

      1

      0.68

      0.67

      5

      Manganese, mcg

      15

      15

      10.1

      10.1

      75

      Copper, mcg

      75

      75

      51

      51

      370

      Iodine, mcg

      15

      15

      10.1

      10.1

      75

      Selenium, mcg

      2.8

      2.8

      1.89

      1.89

      13.9

      Sodium, mg

      40

      40

      27

      27

      200

      Potassium, mg

      108

      108

      73

      73

      540

      Chloride, mg

      75

      75

      51

      51

      370

      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

      Whey:Casein Ratio

      20:80

      Fat (% Calories)

      46

      Carbohydrate (% Calories)

      44

      Potential Renal Solute Load (mOsm/100 Calories)5

      23

      Potential Renal Solute Load (mOsm/100 mL)5

      15.3

      Osmolality (mOsm/kg water)

      240 (Liq) 230 (Pwd)

      Osmolarity (mOsm/L)

      210 (Liq) 210 (Pwd)

      Lactose-free

      No
  • Product Forms

      Enfamil A.R.™ is available in powder and ready-to-use liquid.

      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: Enfamil A.R.™
      Item #: 020102
      Description: Powder
      Unit Size: 12.9 oz can
      Calories/Unit: 1820
      Product Yield/Unit (fl oz): 91
      Case: 6 cans per case
      HCPCS Code: B4158
      NDC Format Code: 00087-0201-42
    • Product: Enfamil A.R.
      Item #: 020136
      Description: Powder
      Unit Size: 21.5 oz tub
      Calories/Unit: 3040
      Product Yield/Unit (fl oz): 152
      Case: 4 tubs per case
      HCPCS Code: B4158
      NDC Format Code: 00087-0201-65
    • Product: Enfamil A.R.
      Item #: 020135
      Description: Powder, Refill
      Unit Size: 32.2 oz box
      Calories/Unit: 4540
      Product Yield/Unit (fl oz): 227
      Case: 4 boxes per case
      HCPCS Code: B4158
      NDC Format Code: 00087-5100-96
    • Product: Enfamil A.R.
      Item #: 145301
      Description: RTU
      Unit Size: 2 fl oz bottle
      Calories/Unit: 40
      Product Yield/Unit (fl oz): 2
      Case: 48 bottles per case
      HCPCS Code: B4158
      NDC Format Code: 00087-1453-41
    • Product: Enfamil A.R.
      Item #: 153401
      Description: RTU
      Unit Size: 8 fl oz bottle
      Calories/Unit: 160
      Product Yield/Unit (fl oz): 8
      Case: 24 bottles per case
      HCPCS Code: B4158
      NDC Format Code: 00087-5103-00
  • Composition

    • Ingredients: Powder: Nonfat milk, vegetable oil (palm olein, coconut, soy and high oleic sunflower oils), rice starch, lactose, maltodextrin, galactooligosaccharides*, polydextrose* and less than 1%: Mortierella alpina oil†, Crypthecodinium cohnii oil‡, calcium carbonate, ferrous sulfate, zinc sulfate, sodium citrate, cupric sulfate, manganese sulfate, sodium selenite, choline chloride, ascorbic acid, niacinamide, calcium pantothenate, vitamin D3, riboflavin, thiamin hydrochloride, vitamin B6 hydrochloride, folic acid, vitamin K1, biotin, vitamin B12, inositol, vitamin E acetate, vitamin A palmitate, taurine, L-carnitine.

      Ingredients: Ready To Use (2 fl oz Nursette® bottle): Water, nonfat milk, vegetable oil (palm olein, soy, coconut and high oleic sunflower oils), lactose and less than 2%: galactooligosaccharides*, polydextrose*, Mortierella alpina oil†, Crypthecodinium cohnii oil‡, rice starch, maltodextrin, calcium carbonate, potassium chloride, magnesium phosphate, sodium chloride, sodium citrate, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, potassium iodide, sodium selenite, ascorbic acid, vitamin E acetate, niacinamide, calcium pantothenate, vitamin A palmitate, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, folic acid, vitamin K1, biotin, vitamin B12, soy lecithin, mono- and diglycerides, choline chloride, carrageenan, inositol, vitamin D3, taurine, L-carnitine.

      Ingredients: Ready To Use (8 fl oz bottle): Water, nonfat milk, vegetable oil (palm olein, soy, coconut and high oleic sunflower oils), lactose and less than 2%: galactooligosaccharides*, polydextrose*, Mortierella alpina oil†, Crypthecodinium cohnii oil‡, rice starch, maltodextrin, calcium carbonate, potassium chloride, magnesium phosphate, sodium chloride, sodium citrate, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, potassium iodide, sodium selenite, soy lecithin, mono- and diglycerides, ascorbic acid, vitamin E acetate, niacinamide, calcium pantothenate, vitamin A palmitate, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, folic acid, vitamin K1, biotin, vitamin B12, choline chloride, carrageenan, inositol, vitamin D3, taurine, L-carnitine.

      * A type of prebiotic.

      † A source of arachidonic acid (ARA).

      ‡ A source of docosahexaenoic acid (DHA).

  • Potential Allergens

    • Enfamil A.R.™ contains milk and soy.

  • Amino Acid Composition
    • ESSENTIAL AMINO ACIDS
      mg/100 Calmg/100 g Pwd
      Histidine73360
      Isoleucine130640
      Leucine2501250
      Lysine2101040
      Methionine63310
      Cysteine23112
      Phenylalanine125620
      Tyrosine125620
      Threonine115570
      Tryptophan35175
      Valine158780
      NONESSENTIAL AMINO ACIDS
      mg/100 Calmg/100 g Pwd
      Arginine88430
      Alanine85420
      Aspartic Acid200990
      Glutamic Acid5502700
      Glycine50250
      Proline2501230
      Serine145720
      Tyrosine125620
      Threonine115570
      Tryptophan35175
      Valine158780
  • 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. Let bottle sit 5 minutes. SHAKE AGAIN.

      Use the following chart for correct amounts of water and powder. Use scoop in tub or can to measure powder. Store DRY scoop in lid holder in tub or in can.

      Enfamil A.R.

      To Make*

      Water

      Powder

      Weight

      2 fl oz bottle

      2 fl oz

      1 unpacked level scoop

      9 g

      4 fl oz bottle

      4 fl oz

      2 unpacked level scoops

      18 g

      8 fl oz bottle

      8 fl oz

      4 unpacked level scoops

      36 g

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

    • 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, dilution, use and storage are important when preparing infant formula. Discuss with parents which formula is appropriate for the baby.

      2 fl oz Nursette® Bottles

      1. Inspect each bottle for signs of damage.
      2. Wash hands thoroughly with soap and water before preparing bottle for feeding.
      3. SHAKE BOTTLE WELL and remove cap.
      4. Attach nipple unit (not included).

      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, dilution, use and storage are important when preparing infant formula. Discuss with parents which formula is appropriate for the baby.

      8 fl oz Bottles

      1. Wash hands thoroughly with soap and water before preparing feeding bottles.
      2. SHAKE BOTTLE WELL, remove protective seal around cap, remove cap and foil seal.
      3. Pour into feeding bottle(s).

      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.

  • References
      1. Lightdale JR, Gremse DA, Section on Gastroenterology, Hepatology, and Nutrition. Gastroesophageal reflux: management guidance for the pediatrician. Pediatrics. 2013;131:e1684-e1695.
      2. Vanderhoof JA, Moran JR, Harris CL, et al. Efficacy of a pre-thickened infant formula: a multicenter, double-blind, randomized, placebo-controlled parallel group trial in 104 infants with symptomatic gastroesophageal reflux. Clin Pediatr (Phila). 2003;42:483–495.
      3. Brenna JT, Varamini B, Jensen RG, et al. Docosahexaenoic and arachidonic acid concentrations in human breast milk worldwide. Am J Clin Nutr. 2007;85:1457-1464.
      4. Colombo J, Carlson SE, Cheatham CL, et al. Long-term effects of LCPUFA supplementation on childhood cognitive outcomes. Am J Clin Nutr. 2013;98:403-412.
      5. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.
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