Description
- Nutrition support of infants and toddlers with phenylketonuria (PKU) or hyperphenylalaninemia
- Phenylalanine-free to allow greater intake of intact protein
- Use under medical supervision
- Lactose-free, gluten-free, halal
Product Specs
| Item Number | 1155111 |
|---|---|
| Catalog Number | 67052 |
| UOM | CS |
| Level 1 Family Description | Nutrition and Feeding Supplies |
| Level 2 Category Description | Food Supplements |
| Level 3 Group Description | Other Food Supplements |
| Level 4 Sub-Category Description | Other Medical Nutritional/Supplements |
| Administration Method | Oral |
| Application | Infant Formula |
| Brand | Phenex-1 |
| Buy American Act (BAA) Compliant | No |
| Calories per Serving | 480 Calories |
| Calories per Serving Range | 401 to 500 Calories |
| Container Type | Can |
| Container Type Range | Cans |
| Country of Origin | Unknown |
| Flavor | Unflavored |
| Flavor Range | Unflavored |
| HCPCS | B4162 |
| Health Condition | Phenylketonuria (PKU) |
| Ingredients | Corn Syrup Solids, High Oleic Safflower Oil, Coconut Oil, Soy Oil, Modified Corn Starch. Less than 2% of: L-Leucine, L-Tyrosine, L-Proline, L-Lysine, Calcium Phosphate, L-Glutamine, L-Valine, L-Isoleucine, L-Arginine, Potassium Phosphate, L-Alanine, Glycine, L-Asparagine, L-Serine, L-Threonine, Sodium Citrate, Potassium Citrate, Magnesium Chloride, L-Histidine, M. Alpina Oil, L-Methionine, C. Cohnii Oil, Calcium Carbonate, Citric Acid, Ascorbic Acid, Glutamic Acid, L-Cystine Dihydrochloride, Inositol, L-Tryptophan, Choline Chloride, L-Aspartic Acid, Taurine, Ferrous Sulfate, Ascorbyl Palmitate, L-Carnitine, Zinc Sulfate, dl-Alpha-Tocopheryl Acetate, Mixed Tocopherols, Calcium Pantothenate, Niacinamide, Manganese Sulfate, Thiamine Hydrochloride, Copper Sulfate, Vitamin A Palmitate, Riboflavin, Pyridoxine Hydrochloride, Potassium Iodide, Folic Acid, Phylloquinone, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Biotin, Vitamin D3, Vitamin B12, and Salt |
| Manufacturer | Abbott Nutrition |
| Manufacturer # | 67052 |
| McKesson # | 1155111 |
| Nutrient Type | Amino Acid / Iron |
| Preparation | Powder |
| Trade Agreement Act (TAA) Compliant | No |
| UNSPSC Code | 42231804 |
| User | Infant / Toddler |
| User Group | Infant to Pediatric |
| Volume | 14.1 oz. |