Description
- Nutritionally complete, 100% free amino acid formula for children ages 1 to 13 years
- Can be used as a tube feeding or oral supplement
- 70% of fat from MCT to decrease potential for fat malabsorption
- Use under medical supervision
- Contains CalciLock® blend of essential nutrients to support healthy bone development
- Suitable for these diets: lactose-free, gluten-free, low-residue, kosher
- Provides nutritional support for individuals with severely impaired GI function, severe short bowel syndrome, malabsorption syndrome, GI trauma/surgery, Crohn’s disease, intestinal failure, transition from TPN, or children with burns
- Product appropriate for use in individuals greater than 1 years old
- Note: See individual product labels for ingredients, allergen statements, and indications for use
- This product is intended for use under medical supervision
| SKU # | 746870 |
| Manufacturer # | 07131000 |
| Brand | Vivonex® Pediatric |
| Manufacturer | Nestle Healthcare Nutrition |
| Country of Origin | United States |
| Administration Method | Oral / Tube |
| Application | Pediatric Oral Supplement |
| Calories per Serving | 200 Calories |
| Calories per Serving Range | 101 to 200 Calories |
| Container Type | Individual Packet |
| Container Type Range | Individual Packages |
| Flavor | Unflavored |
| Flavor Range | Unflavored |
| HCPCS | B4161 (Disclaimer) |
| Health Condition | Impaired GI Function |
| Ingredients | Maltodextrin, Modified Corn Starch, Medium Chain Triglycerides, Soybean Oil, Calcium Glycerophosphate, and Less than 2% of Magnesium Gluconate, L-Glutamine, L-Lysine Acetate, L-Leucine, L-Arginine Acetate, Potassium Chloride, L-Valine, Citric Acid, L-Isoleucine, L-Aspartic Acid, L-Alanine, L-Phenylalanine, L-Serine, Sodium Citrate, L-Proline, L-Threonine, L-Tyrosine, Glutamic Acid, Potassium Citrate, L-Glycine, L-Histidine Hydrochloride, L-Methionine, Choline Bitartrate, L-Cystine L-Tryptophan, Sodium Phosphate, Ascorbic Acid, Inositol, Potassium Sorbate BHA, and BHT, and D-Alpha-Tocopherol (to Preserve Freshness), Taurine, L-Carnitine, Ferrous Sulfate, DL-Alpha Tocopheryl Acetate, Zinc Sulfate, Niacinamide, Calcium Pantothenate, Copper Gluconate, Manganese Sulfate, Pyridoxine Hydrochloride, Riboflavin, Thiamine Hydrochloride, Vitamin A Palmitate, Beta-Carotene, Folic Acid, Potassium Iodide, Sodium Molybdate, Biotin, Chromium Chloride, Sodium Selenite, Vitamin K1,Vitamin D3,Vitamin B12 |
| Is_Active_Vendor | Y |
| Is_DSCSA | N |
| Is_Discontinued | N |
| Is_Medical_Device | N |
| Lot_Tracking_Flag | N |
| Nutrient Type | Free Amino Acids |
| On_Allocation | N |
| Preparation | Powder |
| Product Dating | McKesson Acceptable Dating: we will ship >= 90 days |
| Supplier_ID | 488193 |
| UNSPSC Code | 42231804 |
| User | Ages 1 to 13 Years |
| User Group | Pediatric |
| Volume | 1.7 oz. |
