Malabsorption Formulas for Infants

Product Company Description Indications for Use

Name Package size
EleCare Abbott Amino Acid Based Intact or hydrolyzed protein intolerance, protein
Powder Hypoallergenic maldigestion, malabsorption, severe food allergies,
14.1 oz. can Gluten-free, Soy-free short bowel syndrome, eosinophilic GI disorders, GI-
Fructose-free, Galactose- tract impairment.
free, lactose-free, milk Galactosemia
protein-free. Not for maldigestion or malabsorption of Fat and/or
MCT oil 33% Carbohydrates
Halal For Infants 0-12 months
20 Calories per fluid ounce

Neocate Nutricia Amino Acid based Sensitivity to intact proteins such as Cow’s milk
Infant with Powder Hypoallergenic protein allergy
DHA/ARA 14.1 oz. can Lactose-free, sucrose-free, Soy’s protein allergy.
galactose-free Multiple food allergies.
Halal & Kosher Pareve Food allergies associated conditions: Short bowel
20 Calories per fluid ounce syndrome, food protein-induced enterocolitis
syndrome, Eosinophilic esophagitis, Malabsorption,
Gastroesophageal reflux.
Galactosemia
Not for maldigestion or malabsorption of Fat and/or
Carbohydrates
For Infants 0-12 months

Nutramigen Mead Johnson Extensively hydrolyzed Cow’s milk protein allergy

Ready to Use ^ protein (peptide based)
6 - 8 fl oz. Package Hypoallergenic
Gluten-free, Galactose-free
Lactose-free, Sucrose-free
Iron-fortified
20 Calories per ounce
Soy’s protein allergy
Lactose intolerance
Malabsorption problems
Galactosemia
For Infants 0-12 months^^

Nutramigen Mead Johnson Extensively hydrolyzed Cow’s milk protein allergy

with Enflora Powder protein (peptide based) Soy’s protein allergy
LGG 12.6 oz. can Hypoallergenic Lactose intolerance
Gluten-free, Lactose-free, Malabsorption problems
Sucrose-free, galactose- Galactosemia
free For Infants 0-12 months^^
Probiotic Lactobacillus
rhamnosus GG (LGG)
Iron-fortified
20 Calories per ounce

Pregestimil Mead Johnson Semi elemental with Fat malabsorption, steatorrhea, associated with cystic
Powder extensively hydrolyzed fibrosis, short bowel syndrome, intractable diarrhea,
16 oz. can proteins severe protein calorie malnutrition.
Hypoallergenic
 Gluten-free, Lactose-free, Sensitivity to intact proteins such as cow’s milk
Sucrose-free protein allergy and soy protein allergy.
MCT 55% of fat Galactosemia
Pregestimil 6 – 2 fl oz. carton 20 Calories per fluidounce For Infants 0-12 months^^
20 Cal 6 – 2 fl oz. carton 24 Calories per ounce
Pregestimil
24 Cal
Puramino Mead Johnson Amino Acid based Severe cow’s milk protein allergy not effectively
Powder Hypoallergenic managed by an extensively hydrolyzed formula.
14.1 oz. can Gluten-free, Lactose-free, Multiple food protein allergies.
Galactose-free. Galactosemia
20 Calories per fluid ounce Not for maldigestion or malabsorption of Fat and/or
Carbohydrates
For Infants 0-12 months^^

Similac Abbott Semi elemental with Protein sensitivity, sensitivity to intact protein,
Alimentum Powder extensively hydrolyzed severe food allergies.
12.1 oz. can proteins (casein Protein maldigestion
RTF^ hydrolysate supplemented Fat malabsorption
32 fl oz. bottle with free amino acids) Lactose sensitivity
Hypoallergenic Galactosemia
MCT 33% of fat For infants 0-12 months
Lactose-free, Gluten-free,
Ready to feed formula is
corn-free.
Contains sugar and
modified tapioca starch
20 Calorie per fluid ounce

^Ready to Feed Formulas may be authorized when the CPA determines and documents that one of the following
conditions are met: 1) The participant’s household has an unsanitary or restricted water supply or poor refrigeration, 2) The
person caring for the participant may have difficulty in correctly diluting concentrated liquid or powder forms; or 3) The
WIC infant formula is only available in ready-to-feed. In addition to those conditions, RTF may be issue in Food Package
III if 1) a RTF form better accommodates the participant’s condition; or 2) if it improve the participant’s compliance in
consuming the prescribed WIC formula.
^^ Could be used for supplemental nutrition beyond 12 months of age, for which when used as a milk substitute, the total
calcium content of the diet should be assessed.