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PEPTAMEN JUNIOR® 1.5

PEPTAMEN JUNIOR® 1.5

Calorically-Dense Complete Peptide-Based Nutrition for Children Ages 1-13.

Specifically designed for children ages 1-13 with impaired GI function, PEPTAMEN JUNIOR® 1.5 is a calorically-dense pediatric tube feeding formula that provides easy-to-digest and absorb nutrients.

Note: PEPTAMEN JUNIOR® contains milk protein. Not appropriate for individuals with cow’s milk protein allergy.

Letter of Medical Necessity

PEPTAMEN JUNIOR® 1.5

Calorically-Dense Complete Peptide-Based Nutrition for Children Ages 1-13.

Specifically designed for children ages 1-13 with impaired GI function, PEPTAMEN JUNIOR® 1.5 is a calorically-dense pediatric tube feeding formula that provides easy-to-digest and absorb nutrients.

Note: PEPTAMEN JUNIOR® contains milk protein. Not appropriate for individuals with cow’s milk protein allergy.

Letter of Medical Necessity

Key Benefits

  • The evidence-based, well-tolerated, calorically-dense pediatric GI formula*
  • For the nutritional management of children 1–13 years with impaired GI function
  • 1.5 kcal/mL, pediatric, peptide-based, enzymatically hydrolyzed, 100% whey protein formula
  • CalciLock®** blend of essential nutrients to support healthy bone development
  • Provides 0.6 g/L of EPA and DHA to help modulate pro-inflammatory mediators
  • 60% of fat from MCT helps facilitate fat absorption, which supports formula tolerance
  • Contains 6 g/L partially hydrolyzed guar gum soluble fiber

Notes & Disclaimers for Key Benefits (Healthcare Professionals)

  • *Studies using Peptamen family of products in pediatrics
  • **CalciLock® is a combination of essential nutrients to help build and/or maintain strong bones. This nutrient blend includes calcium, phosphorus, magnesium, zinc, and vitamins D, C and K and is designed to support bone health.

Nutrition Facts

Nutritional Features

Peptamen Junior® 1.5 Unflavored
kcal/mL 1.5
Caloric Distribution Protein (% of kcal)
 		Protein 12%
Carbohydrate 48%
Fat 40%
L-Arginine (g)
L-Glutamine (g)
Sodium (mEq) 8
Calcium (mEq) 23
Potassium (mEq) 15
Chloride (mEq) 11
NPC:N Ratio 176:1
MCT:LCT Ratio 60:40
n6:n3 Ratio 3.7:1
Free Water (%) 77
Dietary Nucleotides (g)
EPA + DHA (g) 0.15
Source of Oil
Osmolality (mOsm/kg water) 430
Density (g/mL)
Renal Solute Load (mOsm/L)
mL to Meet 100% DRI
ARA (mg)

Nutritional Applications

  • Impaired GI function (Critical illness/trauma, Transplant patients, Cystic fibrosis, Crohn’s disease, Cerebral palsy, Short bowel syndrome, Malabsorption, Chronic diarrhea, Growth failure, Malnutrition)
  • Volume/fluid restrictions
  • Early enteral feeding
  • Transition from TPN

Important Notes:

NOT FOR PARENTERAL USE
This product is intended for use under medical supervision.

Suitable for the following diets

  • Lactose intolerance*
  • Gluten-free
  • Kosher

Important Notes:

*Not for individuals with galactosemia Not appropriate for individuals with cow’s milk protein allergy.

Protein Source

  • Enzymatically Hydrolyzed Whey Protein (Milk)

Fat Source

  • Medium Chain Triglycerides
  • Soybean Oil
  • Canola Oil
  • Refined Fish Oil (Anchovy, Sardine)

Carbohydrate Source

  • Maltodextrin
  • Cornstarch
  • Partially Hydrolyzed Guar Gum

Fiber Source

  • Partially Hydrolyzed Guar Gum

Ingredients

WATER, MALTODEXTRIN, ENZYMATICALLY HYDROLYZED WHEY PROTEIN (MILK), MEDIUM CHAIN TRIGLYCERIDES, AND LESS THAN 2% OF VITAMINS AND MINERALS‡, CORNSTARCH, SOYBEAN OIL, CANOLA OIL, PARTIALLY HYDROLYZED GUAR GUM, SOY LECITHIN, REFINED FISH OIL (ANCHOVY, SARDINE), GUAR GUM, SALT

‡VITAMINS AND MINERALS: CALCIUM PHOSPHATE, MAGNESIUM CHLORIDE, SODIUM PHOSPHATE, POTASSIUM CHLORIDE, POTASSIUM CITRATE, CHOLINE CHLORIDE, SODIUM ASCORBATE, TAURINE, MAGNESIUM OXIDE, L-CARNITINE, INOSITOL, FERROUS SULFATE, SODIUM CITRATE, ZINC SULFATE, DL-ALPHA TOCOPHERYL ACETATE, NIACINAMIDE, CALCIUM PANTOTHENATE, MANGANESE SULFATE, COPPER SULFATE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, THIAMINE MONONITRATE, VITAMIN A PALMITATE, BETA-CAROTENE, FOLIC ACID, POTASSIUM IODIDE, SODIUM SELENATE, CHROMIUM CHLORIDE, VITAMIN K1, BIOTIN, VITAMIN D3, VITAMIN B12

Allergens

By Nature:
Milk, Soy

DRI Coverage

Meets or exceeds 100% DRI for 25 key vitamins and minerals: 1 - 8 years old, 750 mL

Meets or exceeds 100% DRI for 25 key vitamins and minerals: 9 - 13 years old, 1000 mL

Product Codes

Peptamen Junior® 1.5 Unflavored 6 x 1000 mL Peptamen Junior® 1.5 Unflavored 24 x 250ml Prisma
HCPCS Code B4161 B4161
NDC-Format Number 98716-0085-43 98716-0073-63
Case UPC 00798716185431 00798716173636
Each UPC 00798716085434 798716073639
Product Code 9871618543 9871617363

Key Benefits

  • The evidence-based, well-tolerated, calorically-dense pediatric GI formula*
  • For the nutritional management of children 1–13 years with impaired GI function
  • 1.5 kcal/mL, pediatric, peptide-based, enzymatically hydrolyzed, 100% whey protein formula
  • CalciLock®** blend of essential nutrients to support healthy bone development
  • Provides 0.6 g/L of EPA and DHA to help modulate pro-inflammatory mediators
  • 60% of fat from MCT helps facilitate fat absorption, which supports formula tolerance
  • Contains 6 g/L partially hydrolyzed guar gum soluble fiber

Notes & Disclaimers for Key Benefits (Healthcare Professionals)

  • *Studies using Peptamen family of products in pediatrics
  • **CalciLock® is a combination of essential nutrients to help build and/or maintain strong bones. This nutrient blend includes calcium, phosphorus, magnesium, zinc, and vitamins D, C and K and is designed to support bone health.

Nutrition Facts

Nutritional Features

Peptamen Junior® 1.5 Vanilla
kcal/mL 1.5
Caloric Distribution Protein (% of kcal)
 		Protein 12%
Carbohydrate 48%
Fat 40%
L-Arginine (g)
L-Glutamine (g)
Sodium (mEq) 8
Calcium (mEq) 23
Potassium (mEq) 15
Chloride (mEq) 11
NPC:N Ratio 176:1
MCT:LCT Ratio 60:40
n6:n3 Ratio 3.7:1
Free Water (%) 77
Dietary Nucleotides (g)
EPA + DHA (g) 0.15
Source of Oil
Osmolality (mOsm/kg water) 567
Density (g/mL)
Renal Solute Load (mOsm/L)
mL to Meet 100% DRI
ARA (mg)

Nutritional Applications

  • Impaired GI function (Critical illness/trauma, Transplant patients, Cystic fibrosis, Crohn’s disease, Cerebral palsy, Short bowel syndrome, Malabsorption, Chronic diarrhea, Growth failure, Malnutrition)
  • Volume/fluid restrictions
  • Early enteral feeding
  • Transition from TPN

Important Notes:

NOT FOR PARENTERAL USE
This product is intended for use under medical supervision.

Suitable for the following diets

  • Lactose intolerance*
  • Gluten-free
  • Kosher

Important Notes:

*Not for individuals with galactosemia Not appropriate for individuals with cow’s milk protein allergy.

Protein Source

  • Enzymatically Hydrolyzed Whey Protein (Milk)

Fat Source

  • Medium Chain Triglycerides
  • Soybean Oil
  • Canola Oil
  • Refined Fish Oil (Anchovy, Sardine)

Carbohydrate Source

  • Maltodextrin
  • Sugar
  • Cornstarch
  • Partially Hydrolyzed Guar Gum

Fiber Source

  • Partially Hydrolyzed Guar Gum

Ingredients

WATER, MALTODEXTRIN, ENZYMATICALLY HYDROLYZED WHEY PROTEIN (MILK), MEDIUM CHAIN TRIGLYCERIDES, SUGAR, AND LESS THAN 2% OF VITAMINS AND MINERALS‡, CORNSTARCH, SOYBEAN OIL, CANOLA OIL, PARTIALLY HYDROLYZED GUAR GUM, SOY LECITHIN, REFINED FISH OIL (ANCHOVY, SARDINE), MONK FRUIT JUICE CONCENTRATE, GUAR GUM, NATURAL FLAVOR, SALT, SUCRALOSE

‡VITAMINS AND MINERALS: CALCIUM PHOSPHATE, MAGNESIUM CHLORIDE, SODIUM PHOSPHATE, POTASSIUM CHLORIDE, POTASSIUM CITRATE, CHOLINE CHLORIDE, SODIUM ASCORBATE, TAURINE, MAGNESIUM OXIDE, L-CARNITINE, INOSITOL, FERROUS SULFATE, SODIUM CITRATE, ZINC SULFATE, DL-ALPHA TOCOPHERYL ACETATE, NIACINAMIDE, CALCIUM PANTOTHENATE, MANGANESE SULFATE, COPPER SULFATE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, THIAMINE MONONITRATE, VITAMIN A PALMITATE, BETA-CAROTENE, FOLIC ACID, POTASSIUM IODIDE, SODIUM SELENATE, CHROMIUM CHLORIDE, VITAMIN K1, BIOTIN, VITAMIN D3, VITAMIN B12

Allergens

By Nature:
Milk, Soy

DRI Coverage

Meets or exceeds 100% DRI for 25 key vitamins and minerals: 1 - 8 years old, 750 mL

Meets or exceeds 100% DRI for 25 key vitamins and minerals: 9 - 13 years old, 1000 mL

Product Codes

Peptamen Junior® 1.5 Vanilla 24 x 250 mL
HCPCS Code B4161
NDC-Format Number 98716-0704-82
Case UPC 00098716855359
Each UPC 00098716704824
Product Code 9871685535
  • Calorically-Dense Complete Peptide-Based Nutrition for Children Ages 1-13.
  • Specifically designed for children ages 1-13 with impaired GI function, PEPTAMEN JUNIOR® 1.5 is a calorically-dense pediatric tube feeding formula that provides easy-to-digest and absorb nutrients.
  • Note: PEPTAMEN JUNIOR® contains milk protein. Not appropriate for individuals with cow’s milk protein allergy.

Notes & Disclaimers for Key Benefits (Healthcare Professionals)

  • *Studies using Peptamen family of products in pediatrics
  • **CalciLock® is a combination of essential nutrients to help build and/or maintain strong bones. This nutrient blend includes calcium, phosphorus, magnesium, zinc, and vitamins D, C and K and is designed to support bone health.

Protein Source

  • Enzymatically Hydrolyzed Whey Protein (Milk)

Fat Source

  • Medium Chain Triglycerides
  • Soybean Oil
  • Canola Oil
  • Refined Fish Oil (Anchovy, Sardine)

Carbohydrate Source

  • Maltodextrin
  • Cornstarch
  • Partially Hydrolyzed Guar Gum

Fiber Source

  • Partially Hydrolyzed Guar Gum
  • Impaired GI function (Critical illness/trauma, Transplant patients, Cystic fibrosis, Crohn’s disease, Cerebral palsy, Short bowel syndrome, Malabsorption, Chronic diarrhea, Growth failure, Malnutrition)
  • Volume/fluid restrictions
  • Early enteral feeding
  • Transition from TPN

Important Notes:

NOT FOR PARENTERAL USE This product is intended for use under medical supervision.

  • Lactose intolerance*
  • Gluten-free
  • Kosher

Important Notes:

*Not for individuals with galactosemia Not appropriate for individuals with cow’s milk protein allergy.

WATER, MALTODEXTRIN, ENZYMATICALLY HYDROLYZED WHEY PROTEIN (MILK), MEDIUM CHAIN TRIGLYCERIDES, AND LESS THAN 2% OF VITAMINS AND MINERALS‡, CORNSTARCH, SOYBEAN OIL, CANOLA OIL, PARTIALLY HYDROLYZED GUAR GUM, SOY LECITHIN, REFINED FISH OIL (ANCHOVY, SARDINE), GUAR GUM, SALT

‡VITAMINS AND MINERALS: CALCIUM PHOSPHATE, MAGNESIUM CHLORIDE, SODIUM PHOSPHATE, POTASSIUM CHLORIDE, POTASSIUM CITRATE, CHOLINE CHLORIDE, SODIUM ASCORBATE, TAURINE, MAGNESIUM OXIDE, L-CARNITINE, INOSITOL, FERROUS SULFATE, SODIUM CITRATE, ZINC SULFATE, DL-ALPHA TOCOPHERYL ACETATE, NIACINAMIDE, CALCIUM PANTOTHENATE, MANGANESE SULFATE, COPPER SULFATE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, THIAMINE MONONITRATE, VITAMIN A PALMITATE, BETA-CAROTENE, FOLIC ACID, POTASSIUM IODIDE, SODIUM SELENATE, CHROMIUM CHLORIDE, VITAMIN K1, BIOTIN, VITAMIN D3, VITAMIN B12

By Nature: Milk, Soy

Meets or exceeds 100% DRI for 25 key vitamins and minerals: 1 - 8 years old, 750 mL

Meets or exceeds 100% DRI for 25 key vitamins and minerals: 9 - 13 years old, 1000 mL

Peptamen Junior® 1.5 Unflavored 6 x 1000 mL Peptamen Junior® 1.5 Unflavored 24 x 250ml Prisma
HCPCS Code B4161
NDC-Format Number 98716-0085-43
Case UPC 00798716185431
Each UPC 00798716085434
Product Code 9871618543
HCPCS Code B4161
NDC-Format Number 98716-0073-63
Case UPC 00798716173636
Each UPC 798716073639
Product Code 9871617363
  • Calorically-Dense Complete Peptide-Based Nutrition for Children Ages 1-13.
  • Specifically designed for children ages 1-13 with impaired GI function, PEPTAMEN JUNIOR® 1.5 is a calorically-dense pediatric tube feeding formula that provides easy-to-digest and absorb nutrients.
  • Note: PEPTAMEN JUNIOR® contains milk protein. Not appropriate for individuals with cow’s milk protein allergy.

Notes & Disclaimers for Key Benefits (Healthcare Professionals)

  • *Studies using Peptamen family of products in pediatrics
  • **CalciLock® is a combination of essential nutrients to help build and/or maintain strong bones. This nutrient blend includes calcium, phosphorus, magnesium, zinc, and vitamins D, C and K and is designed to support bone health.

Protein Source

  • Enzymatically Hydrolyzed Whey Protein (Milk)

Fat Source

  • Medium Chain Triglycerides
  • Soybean Oil
  • Canola Oil
  • Refined Fish Oil (Anchovy, Sardine)

Carbohydrate Source

  • Maltodextrin
  • Sugar
  • Cornstarch
  • Partially Hydrolyzed Guar Gum

Fiber Source

  • Partially Hydrolyzed Guar Gum
  • Impaired GI function (Critical illness/trauma, Transplant patients, Cystic fibrosis, Crohn’s disease, Cerebral palsy, Short bowel syndrome, Malabsorption, Chronic diarrhea, Growth failure, Malnutrition)
  • Volume/fluid restrictions
  • Early enteral feeding
  • Transition from TPN

Important Notes:

NOT FOR PARENTERAL USE This product is intended for use under medical supervision.

  • Lactose intolerance*
  • Gluten-free
  • Kosher

Important Notes:

*Not for individuals with galactosemia Not appropriate for individuals with cow’s milk protein allergy.

WATER, MALTODEXTRIN, ENZYMATICALLY HYDROLYZED WHEY PROTEIN (MILK), MEDIUM CHAIN TRIGLYCERIDES, SUGAR, AND LESS THAN 2% OF VITAMINS AND MINERALS‡, CORNSTARCH, SOYBEAN OIL, CANOLA OIL, PARTIALLY HYDROLYZED GUAR GUM, SOY LECITHIN, REFINED FISH OIL (ANCHOVY, SARDINE), MONK FRUIT JUICE CONCENTRATE, GUAR GUM, NATURAL FLAVOR, SALT, SUCRALOSE

‡VITAMINS AND MINERALS: CALCIUM PHOSPHATE, MAGNESIUM CHLORIDE, SODIUM PHOSPHATE, POTASSIUM CHLORIDE, POTASSIUM CITRATE, CHOLINE CHLORIDE, SODIUM ASCORBATE, TAURINE, MAGNESIUM OXIDE, L-CARNITINE, INOSITOL, FERROUS SULFATE, SODIUM CITRATE, ZINC SULFATE, DL-ALPHA TOCOPHERYL ACETATE, NIACINAMIDE, CALCIUM PANTOTHENATE, MANGANESE SULFATE, COPPER SULFATE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, THIAMINE MONONITRATE, VITAMIN A PALMITATE, BETA-CAROTENE, FOLIC ACID, POTASSIUM IODIDE, SODIUM SELENATE, CHROMIUM CHLORIDE, VITAMIN K1, BIOTIN, VITAMIN D3, VITAMIN B12

By Nature: Milk, Soy

Meets or exceeds 100% DRI for 25 key vitamins and minerals: 1 - 8 years old, 750 mL

Meets or exceeds 100% DRI for 25 key vitamins and minerals: 9 - 13 years old, 1000 mL

Peptamen Junior® 1.5 Vanilla 24 x 250 mL
HCPCS Code B4161
NDC-Format Number 98716-0704-82
Case UPC 00098716855359
Each UPC 00098716704824
Product Code 9871685535