• Enfamil A.R.
  • Enfamil A.R. 21.5 oz Tub
  • Enfamil A.R. 8 oz Can
  • Enfamil A.R. 8 oz Bottle
  • Enfamil A.R .2 oz Nursette
  • Enfamil A.R. 32.3 oz Refill Box

Enfamil A.R.™

For Spit-Up

Thickened milk-based infant formula for the first 12 months

Last Updated: Thursday, October 27, 2016

Indication: Enfamil A.R. is clinically proven to reduce frequent regurgitation and meets the reflux reduction guidance of the American Academy of Pediatrics1.

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
      • A Neuro Complete blend of nutrients that are also found in breast milk
      • Our blend of DHA and ARA helps support brain development*.
      • Proven in a published, randomized, controlled trial to reduce frequency and volume of regurgitation by more than 50%3
      • 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
      • Blend of prebiotics to help support digestive health
      • Viscosity in the bottle is 10 times that of routine formula4, yet flows freely through most standard nipples. Enfamil A.R. thickens further when introduced into an acidic environment like the stomach—12 times thicker vs. Enfamil A.R. in the bottle
      • Milk-based formula has 20:80 whey:casein ratio and unmodified, pregelatinized, high amylopectin rice starch

      Fatty Acid Nutrients

      • DHA — 17 mg
      • ARA — 34 mg

      * Shown in Enfamil® Infant with DHA and ARA. † Based on a published, double-blind, randomized, controlled trial of Enfamil A.R. with infants who spit up frequently (5 or more spit-ups per day) comparing frequency and volume of spit-up after feeding Enfamil A.R. to the same infants at the beginning of the study. ‡ Per 100 Calories

  • Nutrients§
    • (Normal Dilution) Per 100 Calories (5 fl oz) Per 100 grams Powder (500 Cal)
      Protein, g 2.5 12.4
      Fat, g 5.1 25
      Linoleic acid, mg 780 3900
      Carbohydrate, g 11.3 56
      Water, g 133 (Pwd & 2 fl oz)
      132 (8 & 32 fl oz)
      2.2
      (Normal Dilution) Per 100 Calories (5 fl oz) Per 100 grams Powder (500 Cal)
      Vitamins/Other Nutrients
      Vitamin A, IU 300 1490
      Vitamin D, IU 60 300
      Vitamin E, IU 2 9.9
      Vitamin K, mcg 9 45
      Thiamin (Vitamin B1), mcg 80 400
      Riboflavin (Vitamin B2), mcg 140 700
      Vitamin B6, mcg 60 300
      Vitamin B12, mcg 0.3 1.49
      Niacin, mcg 1000 5000
      Folic acid (Folacin), mcg 16 80
      Pantothenic acid, mcg 500 2500
      Biotin, mcg 3 14.9
      Vitamin C (Ascorbic acid), mg 12 60
      Choline, mg 24 119
      Inositol, mg 6 30
      (Normal Dilution) Per 100 Calories (5 fl oz) Per 100 grams Powder (500 Cal)
      Minerals
      Calcium, mg 78 390
      Phosphorus, mg 53 260
      Magnesium, mg 8 40
      Iron, mg 1.8 9
      Zinc, mg 1 5
      Manganese, mcg 15 75
      Copper, mcg 75 370
      Iodine, mcg 15 75
      Selenium, mcg 2.8 13.9
      Sodium, mg 40 200
      Potassium, mg 108 540
      Chloride, mg 75 370

      § 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) 220 (Liq)
      210 (Pwd)
      Lactose-Free No
      Galactose-Free No
  • Product Forms
    • Enfamil A.R.TM is available in powder and ready-to-use liquid.

    • Item #: 020102
      Description: Powder
      Unit Size: 12.9 oz (366 g) can
      Cal./Unit: 1820
      Prod. Yield / Unit (fl oz): 91
      Case: 6 cans per case
      Reimbursement Code: 00087-020142

    • Item #: 020136
      Description: Powder
      Unit Size: 21.5 oz tub
      Cal./Unit: 3040
      Prod. Yield / Unit (fl oz): 152
      Case: 4 tubs per case
      Reimbursement Code: 00087-020165

    • Item #: 020135
      Description: Powder
      Unit Size: 32.2 oz box
      Cal./Unit: 4680
      Prod. Yield / Unit (fl oz): 234
      Case: 4 boxes per case
      Reimbursement Code: 00087-510096

    • Item #: 145301
      Description: RTU
      Unit Size: 2 fl oz bottle
      Cal./Unit: 40
      Prod. Yield / Unit (fl oz): 2
      Case: 48 bottles per case
      Reimbursement Code: 00087-145341

    • Item #: 153401
      Description: RTU
      Unit Size: 8 fl oz bottle
      Cal./Unit: 160
      Prod. Yield / Unit (fl oz): 8
      Case: 24 bottles per case
      Reimbursement Code: 00087-510300

    • Item #: 020333
      Description: RTU
      Unit Size: 32 fl oz can
      Cal./Unit: 640
      Prod. Yield / Unit (fl oz): 32
      Case: 6 cans per case
      Reimbursement Code: 00087-020373

      HCPCS Code

  • 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 (8 fl oz bottle, 32 fl oz can): 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, sodium citrate, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, 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.

      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, sodium citrate, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, 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.

      || 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.

  • Preparation of Feedings
    • The baby's health depends on carefully following these instructions. 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 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.

      Select a specific form :

      Powder

      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 can to measure powder. Store DRY scoop in its original can.

      To Make** Water Powder Weight
      2 fl oz 2 fl oz 1 unpacked level scoop 9 g
      4 fl oz 4 fl oz 2 unpacked level scoops 18 g
      6 fl oz 6 fl oz 3 unpacked level scoops 27 g
      8 fl oz 8 fl oz 4 unpacked level scoops 36 g
      1 quart 28.5 fl oz 1 1/3 unpacked level household measuring cup 129 g

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

      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 the 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 within 1 hour or discard.

      Powder Storage (tubs and pouches)

      Store powder at room temperature; avoid extreme temperatures. Refill pouches can be used with reusable Enfamil A.R. tubs, sold separately. After opening, keep pouch or tub lid tightly closed, store in a dry area and use contents within 1 month. Use with Enfamil A.R. formula only.

      Keep powder fresh and prevent bacterial growth by assuring tub is clean and completely dry. Completely empty tub and wipe clean with a clean, dry cloth before refilling.

      If you choose to empty the pouch into the tub, you must retain the batch code and “use by” date sticker from the pouch.

      Powder Storage (cans)

      Store cans at room temperature. After opening can, keep tightly covered, store in dry area and use contents within 1 month. Do not freeze powder, and avoid excessive heat. Use by date on the bottom of the can.

      CAUTION Use product by date on container. Nutritional powders are not sterile.

      Ready To Use

      1. Wash hands thoroughly with soap and water before preparing bottle for feeding.

      2. Clean can lid, shake can well, and open; or shake bottle well and remove cap and foil seal.

      3. Pour into bottle(s).

      Failure to follow these instructions could result in severe harm. Opened cans/bottles and prepared bottles 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 can and/or prepared bottle if they are unrefrigerated for more than a total of 2 hours. Do not freeze prepared bottle. After feeding begins, use within 1 hour or discard.

      Ready To Use Storage

      Store unopened cans/bottles at room temperature. Avoid excessive heat. Do not freeze. Use by date on top of can or on bottle.

      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).

      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 48 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 within 1 hour or discard.

      Nursette Bottle Storage

      Store unopened bottles at room temperature. Avoid excessive heat and prolonged exposure to light. Do not freeze. Use by date on carton and bottle label.

      WARNING: Do not use a microwave oven to prepare or warm formula. Serious burn may result.

  • Product Characteristics
    • Fat

      The fat content in Enfamil A.R. is 46% of total Calories. The fat blend consists of approximately:

      • 43.5% palm olein oil
      • 19.5% soy oil
      • 19.5% coconut oil
      • 14.5% high oleic sunflower oil
      • 3% single-cell oil blend rich in docosahexaenoic acid (DHA) and arachidonic acid (ARA)

      The levels of total fat and saturated, monounsaturated, and polyunsaturated fatty acids in Enfamil A.R. are patterned after levels found in mature U.S. breast milk15,16. Human milk contains, on average, between 20% and 24% of the fatty acids as palmitic acid15. Using palm olein oil in the fat blend results in Enfamil A.R. having palmitic acid levels similar to breast milk15. Linoleic acid provides about 17% of the total fatty acids in Enfamil A.R. which is within the range of means found in average mature U.S. breast milk (14%—19%)15.

      DHA and ARA

      Enfamil A.R. includes DHA and ARA, two nutrients also found in breast milk that are important building blocks for a baby's brain and eyes6-13. The level of DHA in Enfamil A.R. is similar to that found in average worldwide breast milk15, 17-19††, as well as levels specified by expert groups20-23.

      Enfamil A.R. DHA level within recommended levels

      †† Middle of worldwide breast milk averages (25th-75th percentile range of 0.20% to 0.40% of total fatty acids), assuming about 50% of calories from fat.

      Protein

      The protein content in Enfamil A.R. is 10% of total Calories. Nonfat milk is the protein source. The protein is of excellent quality and has high bioavailability.

      Carbohydrate

      The carbohydrate content in Enfamil A.R. is 44% of total Calories. The carbohydrate in the liquid form is a blend of 66% lactose, 20% pregelatinized rice starch, and 14% maltodextrin. The carbohydrate in the powder form is a blend of 59% lactose, 29% rice starch, and 12% maltodextrin. The level of starch in Enfamil A.R. is within ranges that are well tolerated by infants. Rice starch is easily digested and is considered hypoallergenic.

      Because starch is integrated into the formulation of Enfamil A.R., the amount of starch in the formula is lower than the amount typically provided when parents add rice cereal to routine infant formulas. In addition, when rice cereal is added separately to infant formula for thickening, nutrient concentrations (proportion of calories) in the resulting feeding are diluted. Nutrient levels of Enfamil A.R., however, are similar to levels found in routine infant formula. These differences give Enfamil A.R. nutritional advantages over infant formulas thickened with rice cereal.

      Vitamins and Minerals

      Enfamil A.R. meets U.S. Food and Drug Administration requirements for vitamins and minerals as mandated by the U.S. Infant Formula Act and the associated Code of Federal Regulations 21 C.F.R. part 10724.

      Calcium and Phosphorus

      Enfamil A.R. provides 78 mg of calcium/100 Calories and 53 mg of phosphorus/100 Calories, and has a calcium:phosphorus ratio of about 1.5:1, which is in the range specified by the U.S. Infant Formula Act24.

      Iron

      Enfamil A.R. provides 12.2 mg iron/L. The AAP states that infants who are not breastfed should receive iron-fortified formula3.

      Electrolytes—Sodium, Potassium, and Chloride

      The electrolyte levels in Enfamil A.R. are within the ranges specified by U.S. Food and Drug Administration regulations as mandated by the U.S. Infant Formula Act24. The sodium, potassium, and chloride levels are 40 mg ⁄ 100 Calories, 108 mg ⁄ 100 Calories, and 75 mg ⁄ 100 Calories, respectively.

      Osmolality

      The osmolality of Enfamil A.R. liquid is 240 mOsm/kg water‡‡, which is similar to many routine infant formulas. Because high osmolality solutions empty more slowly from the stomach than isotonic solutions25,26, the osmolality of a formula fed to an infant experiencing regurgitation is an important characteristic.

      ‡‡ The osmolarity of Enfamil A.R. powder is 230 mOsm/kg water.

      Viscosity

      While the viscosity of Enfamil A.R. in the bottle is about 10 times higher than that of routine formula4, it is significantly lower than the viscosity of routine formula that has been thickened with rice cereal. Therefore, Enfamil A.R. is easier to feed than formula thickened with rice cereal because Enfamil A.R. flows smoothly from a standard nipple. The viscosity of Enfamil A.R. increases dramatically, however, when it is exposed to an acidic environment3, such as found in the stomach27,28.

  • Clinical Experience

    • Efficacy Study

      A randomized, double-blind, controlled, parallel-group trial was conducted in 6 pediatric centers in the United States and Canada to determine the efficacy of Enfamil A.R.‡‡ at ameliorating regurgitations due to uncomplicated gastroesophageal reflux (GER)29.

      One hundred-four term infants, between 14 and 120 days of age, and experiencing 5 or more regurgitations per day, were studied. They were randomly assigned either a routine, milk-based formula (Control) or Enfamil A.R.§§ and followed for 5 weeks. After week 1, standardized medications were initiated if necessary.

      Throughout the study, parents kept diaries in which they recorded regurgitation frequency, scored the volume, and indicated the presence of other GER symptoms. Total daily volume scores were derived by adding the largest of each feeding's postprandial volume scores. Changes in regurgitation variables and GER symptoms from baseline to final score were analyzed by analysis of covariance. For 3 subjects who received medication (Control:1, Enfamil A.R.§§:3), the score used was obtained before medication was started.

      Enfamil A.R.§§ reduced the percentage of feedings which were followed by regurgitation by 38 percentage points, a relative decrease of over 40% from the same babies at the beginning of the study. Daily volume of regurgitation also decreased. Reductions in the GER symptoms of trouble sleeping, pain, and choking/gagging were observed for both groups; however, subjects in the Enfamil A.R. group had greater symptomatic improvement29.

      Growth

      The nutritional adequacy of Enfamil A.R.§§ was assessed in a prospective, double-blind, randomized, controlled, parallel-group trial conducted in the United States and Canada30.

      Two hundred seventy-two healthy term infants, with birth weights of at least 2500 g were enrolled. They were stratified by gender and randomly assigned to receive a routine, milk-based formula (Control) or Enfamil A.R.§§ Infants were followed until 120 days of age. Anthropometric data were collected at 14, 30, 60, 90, and 120 days of age. Of the 272 subjects enrolled (n=136 per group), 106 control subjects, and 91 test subjects completed the study.

      No significant differences were detected between formula groups in rates of weight gain from 14 to 30, 60, 90, or 120 days. The study had 92% power to detect what is accepted as a clinically relevant difference in weight gain (3 g/day) at the end of the study. By 60 days, mean growth in both groups was at or above the 75th percentile established by the National Center for Health Statistics30. No statistically significant differences between groups in length or head circumference were detected throughout the study. Thus, Enfamil A.R.§§ promoted growth as effectively as a commercially available routine infant formula30.

      Acceptance, Tolerance, and Safety

      In the efficacy study described above29, subjects in both groups showed good acceptance and tolerance of the study formulas; discontinuation rates were similar between groups. Tolerance of Enfamil A.R.§§ was excellent, and infants in the 2 groups did not differ in fussiness, gas, constipation, or diarrhea29.

      In clinical studies comparing infants fed formulas including LIPIL with infants fed formulas without LIPIL, there were no clinically significant differences in tolerance, and the addition of LIPIL had no effect on the incidence of adverse events22-34. The sources of DHA and ARA in Enfamil A.R. are Generally Recognized as Safe (GRAS) by the U.S. F.D.A.35,36.

      §§ Studied before the addition of DHA, ARA and prebiotics.

  • Clinical Studies & Articles
    • Vanderhoof - Efficacy of a pre-thickened infant formula: a multicenter, double-blind, randomized, placebo-controlled parallel group trial in 104 infants with symptomatic gastroesophageal reflux, from the Joint Section of Pediatric Gastroenterology and Nutrition.

  • References
    • 1. American Academy of Pediatrics, Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 2005;115:496–506.

      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. Data on file, Mead Johnson Nutritionals, November 1996.

      4. Birch EE, Hoffman DR, Uauy R, et al. Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants. Pediatr Res. 1998;44:201–209.

      5. Birch EE, Garfield S, Hoffman DR, et al. A randomized controlled trial of early dietary supply of long–chain polyunsaturated fatty acids and mental development in term infants. Dev Med Child Neurol. 2000;42:174–181.

      6. Birch EE, Hoffman DR, Castañeda YS, et al. A randomized controlled trial of long–chain polyunsaturated fatty acid supplementation of formula in term infants after weaning at 6 wk of age. Am J Clin Nutr. 2002;75:570–580.

      7. Hoffman DR, Birch EE, Castañeda YS, et al. Maturation of visual and mental function in 18–month old infants receiving dietary long–chain polyunsaturated fatty acids (LCPUFAs) [abstract]. FASEB J. 2003;17:A727–A728. Abstract 445.1.

      8. Hoffman DR, Birch EE, Castañeda YS, et al. Visual function in breast–fed term infants weaned to formula with or without long–chain polyunsaturates at 4 to 6 months: a randomized clinical trial. J Pediatr. 2003;142:669–677.

      9. Hoffman DR, Birch EE, Birch DG, et al. Impact of early dietary intake and blood lipid composition of long–chain polyunsaturated fatty acids on later visual development. J Pediatr Gastroenterol Nutr. 2000;31:540–553.

      10. Birch EE, Castañeda YS, Wheaton DH, et al. Visual maturation of term infants fed long–chain polyunsaturated fatty acid–supplemented or control formula for 12 mo. Am J Clin Nutr. 2005;81:871–879.

      11. Morale SE, Hoffman DR, Castañeda YS, et al. Duration of long–chain polyunsaturated fatty acids availability in the diet and visual acuity. Early Hum Dev. 2005;81:197–203.

      12. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute in infancy. J Pediatr. 1999;134:11–14.

      13. Brenna JA, Varamini B, Jensen RG, Diersen–Schade DA, Boettcher JA, Arterbum CM. Docosahexaenoic and arachidonic acid concentrations in human milk worldwide. Am J Clin Nutr. 2007;85:1457–1464.

      14. Innis SM. Human milk and formula fatty acids. J Pediatr. 1992;120(suppl): S56–S61.

      15. Data on file, Mead Johnson Nutritionals, October 2005.

      16. Koletzko B, Thiel I, Abiodun PO. The fatty acid composition of human milk in Europe and Africa. J Pediatr. 1992;120(suppl):S62–S70.

      17. Data on file, Mead Johnson Nutritionals, September 2002.

      18. Jensen RG. Lipids in human milk. Lipids. 1999;34:1243–1271.

      19. The British Nutrition Foundation. Recommendations for intakes of unsaturated fatty acids. In: Unsaturated Fatty Acids: Nutritional and Physiological Significance: The Report of the British Nutrition Foundation's Task Force. London: Chapman & Hall; 1992:152–163.

      20. FAO/WHO Joint Expert Consultation. Lipids in early development. In: Fats and oils in human nutrition. Report of a joint expert consultation. Food and Agriculture Organization of the United Nations and the World Health Organization. FAO Food and Nutr Pap. 1994;57:49–55.

      21. Simopoulos AP, Leaf A, Salem N Jr. Workshop on the essentiality of and recommended dietary intakes for omega–6 and omega–3 fatty acids. J Am Coll Nutr. 1999;18:487–489.

      22. Koletzko B, Agostoni C, Carlson SE, et al. Long–chain polyunsaturated fatty acids (LC–PUFA) and perinatal development. Acta Paediatr. 2001;90:460–464.

      23. Nutrient Requirements for Infant Formulas. Code of Federal Regulations 21, C.F.R. 107.100. April 1, 2006.

      24. Costalos C, Russell G, Al Rahim Q, et al. Gastric emptying of Caloreen meals in the newborn. Arch Dis Child. 1980;55:883–885.

      25. Minami H, McCallum RW. The physiology and pathophysiology of gastric emptying in humans. Gastroenterology. 1984;86:1592–1610.

      26. Cavell B. Postprandial gastric acid secretion in infants. Acta Paediatr Scand. 1983;72:857–860.

      27. Sondheimer JM, Clark DA, Gervaise EP. Continuous gastric pH measurement in young and older healthy preterm infants receiving formula and clear liquid feedings. J Pediatr Gastroenterol Nutr. 1985;4:352–355.

      28. Vanderhoof J, Moran J, Harris C, 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. 2003;42:483–495.

      29. Moran JR, Mehra S, Kalhan SC, et al. Growth of term infants receiving a prethickened formula [abstract]. Pediatr Res. 1999;45:Abstract 114.,

      30. Hamill PV, Drizd TA, Johnson CL, et al. Physical growth: National Center for Health Statistics percentiles. Am J Clin Nutr. 1979;32:607–629.

      31. Clandinin MT, Van Aerde JE, Merkel KL, et al. Growth and development of preterm infants fed infant formulas containing docosahexaenoic acid and arachidonic acid. J Pediatr. 2005;146:461–468.

      32. Lim M, Antonson D, Clandinin M, et al. Formulas with docosahexaenoic acid (DHA) and arachidonic acid (ARA) for low–birth–weight infants (LBW) are safe [abstract]. Pediatr Res Suppl. 2002;51:Abstract 1854.

      33. Wheaton DH, Castañeda YS, Hoffman DR, et al. Biosafety of docosahex–aenoic acid (DHA)/arachidonic acid (ARA) enriched infant formula fed for 9 months [abstract]. Journal Am Coll Nutr. 2003;22:469:Abstract 56.

      34. U.S. Food and Drug Administration Center for Food Safety and Applied Nutrition web site. Agency response letter GRAS Notice No. GRN 000041. Available at: http://www.cfsan.fda.gov/~rdb/opa–g041.html. Accessed April 19, 2007.

      35. U.S. Food and Drug Administration Center for Food Safety and Applied Nutrition web site. Agency response letter GRAS Notice No. GRN 000080. Available at: http://www.cfsan.fda.gov/~rdb/opa–g080.html. Accessed April 19, 2007.

  • Retail Listing
    • Available at these and other fine stores:
      Wal-Mart Fred Meyer Wakefern
      Kroger Publix Wegman's
      Albertsons Walgreen's A & P
      Safeway Bashas Markets Schnucks
      HEB Stop n Shop Vons
      Target Giant Carlisle Dominick's
      K-Mart Giant Landover Ralph's
      Bruno's Buy Low Toys 'R Us
      Winn Dixie Giant Foods Babies 'R Us
      Food Lion Tops Markets
      Shaw's

      Availability varies depending on the size of the store, as all stores do not carry all of these products. Typically, the larger the store, the more likely it is that these products will be available in the store you visit. If you find one of the stores listed above does not have the product you need, please ask the store manager to order the quantity you will need on a monthly basis.

      It is possible that a specific store in one of these chains may not accept Women, Infants and Children vouchers.

      For your convenience, you can go shop online or find a retail store in your area to purchase this product.

      If you have a question or want to purchase Ready to Use Nursette® bottles (Women, Infants and Children vouchers cannot be accepted for these purchases), you can call 1-800-BABY123.

      *No endorsement of any brand or product by the USDA is implied or intended.