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
Manufacturer # 07131000
Brand Vivonex® Pediatric
Manufacturer Nestle Healthcare Nutrition
Country of Origin Unknown
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.
