3232 A

Protein hydrolysate base powder to be used with added carbohydrate.

Last Updated: Monday, December 18, 2017 - 19:00

Description/Indication

3232 A is a protein hydrolysate base powder that is to be used with added carbohydrate. It contains tapioca starch. It is for use in the dietary management of infants and children with disaccharidase deficiencies or other disorders of carbohydrate metabolism under the direct and continuing supervision of a doctor.

Long-Term Usage: 3232 A is not nutritionally complete. Care should be taken to ensure adequate carbohydrate is added. If used long term, additional essential fatty acids should be considered.

To be used only under the supervision of a doctor.

Product Features:

  • Allows adjustment of added carbohydrate according to patient’s tolerance
  • Hypoallergenic, protein hydrolysate
  • 82% of the fat from medium-chain triglycerides (MCT) oil
  • Nutrients
    • (Normal Dilution)

      Per 100 Calories* (5 fl oz)

      Per 100 g Powder (500 Cal)

      Protein, g

      2.8

      22

      Fat, g

      4.2

      33

      Carbohydrate, g

      13.4

      33

      Water, g

      132

      3

      Linoleic acid, mg

      300

      2400

      Vitamins/Other Nutrients

      Vitamin A, IU

      380

      3000

      Vitamin D, IU

      60

      470

      Vitamin E, IU

      3.8

      30

      Vitamin K, mcg

      18.8

      148

      Thiamin (Vitamin B1), mcg

      77

      610

      Riboflavin (Vitamin B2), mcg

      94

      740

      Vitamin B6, mcg

      62

      490

      Vitamin B12, mcg

      0.32

      2.5

      Niacin, mcg

      1000

      7900

      Folic acid (Folacin), mcg

      15.6

      123

      Pantothenic acid, mcg

      470

      3700

      Biotin, mcg

      7.8

      61

      Vitamin C (Ascorbic acid), mg

      11.7

      92

      Choline, mg

      13.3

      105

      Inositol, mg

      4.7

      37

      Minerals

      Calcium, mg

      94

      740

      Phosphorus, mg

      62

      490

      Magnesium, mg

      10.9

      86

      Iron, mg

      1.5

      11.8

      Zinc, mg

      0.62

      4.9

      Manganese, mcg

      32

      250

      Copper, mcg

      85

      670

      Iodine, mcg

      7

      55

      Selenium, mcg

      2.8

      22

      Potassium, mg

      109

      860

      Sodium, mg

      43

      340

      Chloride, mg

      65

      510

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

      Product is incomplete without the addition of carbohydrate.



      * Using 81 grams of 3232 A and 59 grams of carbohydrate per quart of prepared product.

      † Values do not include added carbohydrate.

      ‡ Care must be taken to provide essential fatty acids and sufficient carbohydrates.

  • Nutrient Facts
    • Nutrient Density

      Prepared with 59 g added carbohydrate at 20 Cal/fl oz

      Prepared with no carbohydrate at 12.7 Cal/fl oz

      Protein (% Calories)

      11

      18

      Fat (% Calories)

      35

      56

      Carbohydrate (% Calories)

      54

      26

      Potential Renal Solute Load (mOsm/100 Calories)1

      25

      39

      Potential Renal Solute Load (mOsm/100 mL)1

      16.5

      16.5

      Lactose-free

      Suitable for lactose intolerance if no lactose is added

      Suitable for lactose intolerance if no lactose is added

  • Availability

      3232 A 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: 3232 A
      Item #: 042521
      Description: Powder
      Unit Size: 1 lb can
      Calories/Unit: 2270
      Product Yield/Unit (fl oz): Varies
      Case: 6 cans per case
      HCPCS Code: B4161
      NDC Format Code: 00087-0425-41
  • Composition
    • Ingredients: Modified tapioca starch (34%), medium chain triglycerides (MCT oil) (28%), casein hydrolysate* (milk) (26%), corn oil (6%) and less than 2%: vitamin A palmitate, vitamin D3, vitamin E acetate, vitamin K1, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, vitamin B12, niacinamide, folic acid, calcium pantothenate, biotin, sodium ascorbate, choline chloride, inositol, calcium citrate, calcium hydroxide, calcium phosphate, magnesium oxide, ferrous sulfate, zinc sulfate, manganese sulfate, cupric sulfate, sodium chloride, sodium iodide, potassium citrate, potassium phosphate, soy lecithin, calcium chloride, potassium chloride, sodium selenite, L-cystine, L-tyrosine, L-tryptophan, taurine, L-carnitine.

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

  • Potential Allergens
    • 3232 A contains milk and soy. 3232 A is hypoallergenic. Allergic reactions to extensively hydrolyzed casein formulas are not commonly reported.

  • Amino Acid Composition
    • ESSENTIAL AMINO ACIDS

      mg/100 Cal

      mg/100 g Pwd

      Histidine

      660

      Isoleucine

      1280

      Leucine

      2200

      Lysine

      1850

      Methionine

      570

      Cysteine

      380

      Phenylalanine

      1080

      Tyrosine

      590

      Threonine

      1010

      Tryptophan

      360

      Valine

      1580

      NONESSENTIAL AMINO ACIDS

      mg/100 Cal

      mg/100 g Pwd

      Arginine

      880

      Alanine

      750

      Aspartic Acid

      1670

      Glutamic Acid

      5100

      Glycine

      460

      Proline

      2300

      Serine

      1280

  • 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.

      The child’s doctor will provide instructions for the correct amounts of water and powder. One half (½) cup 3232 A (packed and leveled) delivers approximately 81 g powder. Pour desired amount of water into bottle/container. Add powder and mix vigorously.

      1. Wash hands thoroughly with soap and water before preparing formula.
      2. Add 81 g of powder (packed, level ½ cup) and 59 g of the desired carbohydrate to 4 fl oz (120 mL) of water in a clean bottle or container.
      3. Mix well with fork or mixer until a smooth paste is formed.
      4. Add additional water to make one quart. Initial feedings of 3232 A may need to contain less than the full 59 g of carbohydrate recommended or the formula may need to be diluted to 10 Calories/fl oz or less and gradually increased to 20 Calories/fl oz.

      WARNING: This product is nutritionally incomplete. Care must be taken to provide enough carbohydrate to support growth, using other foods with 3232 A as required. For long-term use, additional essential fatty acids should be considered. The child’s doctor must carefully and constantly supervise use of 3232 A.

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


      If incremental addition of carbohydrate is desired, see the table below.

      Incremental Addition of Carbohydrate (CHO) to 3232 A

      Added CHO (g) per 100 mL*,†

      0

      0.1

      1.2

      2.1

      3.2

      4.1

      5.2

      6.1

      6.2

      Total CHO (g) per 100 mL*,‡

      2.8

      3

      4

      5

      6

      7

      8

      9

      9.1

      CHO (g) to add per quart

      0

      1

      11

      20

      30

      39

      49

      58

      59

      Total CHO (g) per quart of prepared formula§

      27

      28

      38

      47

      57

      66

      76

      85

      86

      Calories/fl oz of prepared formula§

      12.7

      12.8

      14

      15.2

      16.4

      17.5

      18.8

      19.9

      20

      * g of CHO per 100 mL = approximately % (weight volume) CHO concentration.

      † Values are for added CHO (does not include modified tapioca starch present in the diet powder).

      ‡ Includes added CHO and modified tapioca starch (stabilizer) present in the diet powder.

      § Prepared formula includes 81 g diet powder, the added carbohydrate and water added to make one quart.

  • References
      1. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.
  • Consumer Reviews