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PEPTAMEN® with Prebio¹™

PEPTAMEN® with Prebio¹™

Peptamen® with Prebio¹™ is a peptide-based nutritionally complete formula with soluble fiber, designed to support tolerance and easy digestion in individuals with impaired GI function.

  • The evidence-based, well-tolerated GI formula with a blend of soluble fibers
  • Balanced peptide profile promotes GI absorption and tolerance
  • Enzymatically hydrolyzed, 100% whey protein may facilitate gastric emptying
  • 70% of fat from MCT helps facilitate fat absorption, which supports formula tolerance
  • Nutritionally complete formula for tube feeding or oral supplementation
  • 4 g/L Prebio¹™ soluble fiber blend helps promote the growth of beneficial bacteria to help support digestive health
Letter of Medical Necessity

Peptamen® with Prebio¹™ Vanilla
kcal/mL 1.0
Caloric Distribution Protein (% of kcal)
 		Protein 16%
Carbohydrate 50%
Fat 34%
L-Arginine (g)
L-Glutamine (g)
Sodium (mEq) 5
Calcium (mEq) 10
Potassium (mEq) 10
Chloride (mEq) 7
NPC:N Ratio 131:1
MCT:LCT Ratio 70:30
n6:n3 Ratio 7.9:1
Free Water (%) 84
Dietary Nucleotides (g)
EPA + DHA (g)
Source of Oil
Osmolality (mOsm/kg water) 300
Density (g/mL)
Renal Solute Load (mOsm/L)
mL to Meet 100% DRI
ARA (mg)
  • Impaired GI function (Malabsorption, Pancreatitis, Short bowel syndrome, Chronic diarrhea, Crohns disease/IBD, Cystic fibrosis, Delayed gastric emptying, Cerebral palsy, Malnutrition, Malabsorption related to cancer treatment, Celiac disease with malabsorption)
  • Early enteral feeding
  • Transition from or dual feeding with 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

  • Enzymatically Hydrolyzed Whey Protein (Milk)
  • Medium Chain Triglycerides
  • Soybean Oil
  • Maltodextrin
  • Sugar
  • Cornstarch
  • Inulin (from Chicory)
  • Fructooligosaccharides
Water, Maltodextrin, Enzymatically Hydrolyzed Whey Protein (Milk), Medium Chain Triglycerides, and less than 2% of Sugar, Cornstarch, Soybean Oil, Vitamins and Minerals‡, Inulin (from Chicory), Fructooligosaccharides, Soy Lecithin, Guar Gum, Natural and Artificial Flavor, Sucralose

‡Vitamins and Minerals: Magnesium Chloride, Calcium Phosphate, Potassium Citrate, Sodium Phosphate, Calcium Citrate, Choline Chloride, Potassium Chloride, Sodium Citrate, Sodium Ascorbate, Magnesium Oxide, L-Carnitine, Taurine, Ferrous Sulfate, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Niacinamide, Manganese Sulfate, Calcium Pantothenate, Copper Sulfate, Thiamine Mononitrate, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Palmitate, Beta-Carotene, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Vitamin K1, Biotin, Vitamin D3, Vitamin B12

By Nature:
Milk, Soy

DRI Coverage

Meets or exceeds 100% DRI for 23 key vitamins and minerals: Adult (+14 years old), 1500 mL

Peptamen® with Prebio¹™, Vanilla, 24 x 250 mL
HCPCS Code B4153
NDC-Format Number 98716-0181-85
Case UPC 10798716181850
Each UPC 00798716181853
Product Code 9871618185

Protein Source

  • Enzymatically Hydrolyzed Whey Protein (Milk)

Fat Source

  • Medium Chain Triglycerides
  • Soybean Oil

Carbohydrate Source

  • Maltodextrin
  • Sugar
  • Cornstarch

Fiber Source

  • Inulin (from Chicory)
  • Fructooligosaccharides
  • Impaired GI function (Malabsorption, Pancreatitis, Short bowel syndrome, Chronic diarrhea, Crohns disease/IBD, Cystic fibrosis, Delayed gastric emptying, Cerebral palsy, Malnutrition, Malabsorption related to cancer treatment, Celiac disease with malabsorption)
  • Early enteral feeding
  • Transition from or dual feeding with 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 Sugar, Cornstarch, Soybean Oil, Vitamins and Minerals‡, Inulin (from Chicory), Fructooligosaccharides, Soy Lecithin, Guar Gum, Natural and Artificial Flavor, Sucralose

‡Vitamins and Minerals: Magnesium Chloride, Calcium Phosphate, Potassium Citrate, Sodium Phosphate, Calcium Citrate, Choline Chloride, Potassium Chloride, Sodium Citrate, Sodium Ascorbate, Magnesium Oxide, L-Carnitine, Taurine, Ferrous Sulfate, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Niacinamide, Manganese Sulfate, Calcium Pantothenate, Copper Sulfate, Thiamine Mononitrate, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Palmitate, Beta-Carotene, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Vitamin K1, Biotin, Vitamin D3, Vitamin B12

By Nature: Milk, Soy

Meets or exceeds 100% DRI for 23 key vitamins and minerals: Adult (+14 years old), 1500 mL

Peptamen® with Prebio¹™, Vanilla, 24 x 250 mL
HCPCS Code B4153
NDC-Format Number 98716-0181-85
Case UPC 10798716181850
Each UPC 00798716181853
Product Code 9871618185