WND® 1

Iron-fortified infant formula and medical food powder for infants and toddlers with inborn errors of the urea cycle (waste nitrogen disorders).

Last Updated: Thursday, December 21, 2017 - 19:00

Description/Indication

WND 1 is an iron-fortified infant formula and medical food powder that is free of nonessential amino acids for infants and toddlers with documented inborn errors of the urea cycle (waste nitrogen disorders). The product provides the essential amino acids as well as carbohydrate, fat, essential fatty acids, vitamins and minerals. Use under direct and continuing supervision of a doctor.

Product Features:

  • DHA and ARA
  • Nonessential amino acid-free
  • Vitamin and mineral levels meet the U.S. Infant Formula Act requirements per 100 Calories
  • Increased levels of B vitamins, compared to routine infant formulas, for cofactor production
  • Vanilla scent
  • Mixes easily and stays in suspension well
  • Has choline, an essential nutrient important for brain development and the normal functioning of cells1,2
  • Halal
  • Nutrients
    • Per 100 grams Powder

      Calories

      500

      Protein equivalent, g*

      6.5

      Fat, g

      26

      Linoleic acid, mg

      4000

      Carbohydrate, g

      60

      Vitamins/Other Nutrients

      Vitamin A, IU

      1520

      Vitamin D, IU

      380

      Vitamin E, IU

      10

      Vitamin K, mcg

      40

      Thiamin (Vitamin B1), mcg

      1000

      Riboflavin (Vitamin B2), mcg

      1000

      Vitamin B6, mcg

      1000

      Vitamin B12, mcg

      2

      Niacin, mcg

      10000

      Folic acid (Folacin), mcg

      100

      Pantothenic acid, mcg

      3800

      Biotin, mcg

      38

      Vitamin C (Ascorbic acid), mg

      60

      Choline, mg

      124

      Inositol, mg

      86

      Minerals

      Calcium, mg

      660

      Phosphorus, mg

      440

      Magnesium, mg

      66

      Iron, mg

      9.6

      Zinc, mg

      8.6

      Manganese, mcg

      380

      Copper, mcg

      860

      Iodine, mcg

      76

      Selenium, mcg

      14.1

      Sodium, mg

      240

      Potassium, mg

      560

      Chloride, mg

      420

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

      * WARNING: Protein level is inadequate to meet normal infant growth and development needs using WND 1 alone.

      † Determined at 20 Cal/fl oz density.

  • Nutrient Facts
    • Protein Equivalent (% Calories)*

      5

      Fat (% Calories)

      47

      Carbohydrate (% Calories)

      48

      Potential Renal Solute Load (mOsm/100 g powder)3

      88

      Osmolality (mOsm/kg water)

      280

      Osmolarity (mOsm/L)

      250

      Lactose-free

      Suitable for someone with lactose intolerance

      * WARNING: Protein level is inadequate to meet normal infant growth and development needs using WND 1 alone.

      † Determined at 20 Cal/fl oz density.

  • Product Forms

      WND 1 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: WND® 1
      Item #: 893401
      Description: Powder
      Unit Size: 1 lb can
      Calories/Unit: 2270
      Product Yield/Unit (fl oz): Varies
      Case: 6 cans per case
      HCPCS Code: B4162
      NDC Format Code: 00087-5102-05
  • Composition
    • Ingredients: Corn syrup solids, vegetable oil (palm olein oil, coconut oil, soy oil, high oleic sunflower oil), modified corn starch, sugar, amino acids (L-leucine, L-lysine hydrochloride, L-isoleucine, L-valine, L-threonine, L-tyrosine, L-phenylalanine, L-histidine, L-tryptophan, L-methionine, L-cystine), calcium phosphate and less than 1%: Mortierella alpina oil*, Crypthecodinium cohnii oil, ethyl vanillin, potassium citrate, sodium citrate, magnesium oxide, ferrous sulfate, potassium chloride, zinc sulfate, cupric sulfate, manganese sulfate, sodium iodide, sodium selenite, choline chloride, inositol, ascorbic acid, niacinamide, calcium pantothenate, vitamin B6 hydrochloride, thiamin hydrochloride, riboflavin, vitamin D3, folic acid, biotin, vitamin K1, vitamin E acetate, vitamin A palmitate, vitamin B12, taurine, L-carnitine.

      * A source of arachidonic acid (ARA).

      † A source of docosahexaenoic acid (DHA).

  • Amino Acid Composition
    • ESSENTIAL AMINO ACIDS

      mg/100 g powder

      Histidine

      430

      Isoleucine

      990

      Leucine

      1930

      Lysine

      1230

      Methionine

      240

      Cysteine

      200

      Phenylalanine

      670

      Tyrosine

      800

      Threonine

      850

      Tryptophan

      380

      Valine

      990

      NONESSENTIAL AMINO ACIDS

      mg/100 g powder

      Arginine

      0

      Alanine

      0

      Aspartic Acid

      0

      Glutamic Acid

      0

      Glycine

      0

      Proline

      0

      Serine

      0

  • 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.

      The medical professional will provide instructions for the correct amounts of water and powder. Pour the required amount of water into the bottle/container. Add the correct amount of powder, cap the bottle/container and shake vigorously.

      If instructed to use the scoop in the can, each unpacked, level scoop delivers approximately 4.5 g of powder. Store DRY scoop in can.

      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.

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

      Refer to the product label for the most accurate information.

      CAUTION: Mead Johnson Nutrition WND 1 is to be used only in the dietary management of infants and young children with documented inborn errors or the urea cycle while under direct and continuing medical supervision.

      WARNING: This product is nutritionally incomplete. Care must be taken to provide enough calories and protein to support growth, using other foods as required. Medical professionals must carefully and constantly supervise use of WND 1 with other foods and liquids and adjust the diet based on frequent blood tests.

      WARNING: Not for parenteral (I.V.) use.

  • References
      1. Food and Nutrition Board, Institute of Medicine, Choline. In: Dietary References Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington, DC: National Academies Press; 1998:390-422.
      2. Zeisel SH, da Costa KA. Choline: an essential nutrient for public health. Nutr Rev. 2009;67:615-623.
      3. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.
  • Consumer Reviews