Protein Source
- Free Amino Acids
Fat Source
- Medium Chain Triglycerides
- Soybean Oil
Carbohydrate Source
- Corn Syrup Solids
- Potato Starch
Fiber Source
- For severely impaired GI function: Severe short bowel syndrome, Malabsorption syndrome, GI trauma/surgery, Crohn’s disease, Intestinal failure
- For patients transitioning from parenteral nutrition
- For burn injuries
- For patients with chylous ascites* and chylothorax*
- An amino acid based, nutritionally complete formula for children 1–13 years
- 70% of fat from MCT to decrease potential for fat malabsorption
- Suitable for gluten-free, lactose free diets
- Can be fed orally or via tube feeding: flows through a 5Fr tube^
- Can be used as sole source nutrition
- Hypoallergenic
- Certified Halal
- Non-GMO
Important Notes:
*formulated to contain low quantities of fat which, under some circumstances, may be insufficient to meet the essential fatty acid requirements of the patient. ^Not for use in total parenteral nutrition (TPN)
- Lactose-free
- Gluten-free
- Halal
Corn Syrup Solids, Medium Chain Triglycerides, Potato Starch, Soybean Oil, And Less Than 2% Of Calcium Glycerophosphate, L-Arginine L-Aspartate, L-Lysine Acetate, L-Leucine, Citric Acid Esters Of Mono- And Di-Glycerides (Citrem), L-Proline, L-Glutamine, L-Valine, L-Glycine, L-Isoleucine, L-Threonine, L-Serine, L-Phenylalanine, L-Tyrosine, Potassium Chloride, Potassium Citrate, Calcium Citrate, Sodium Phosphate, L-Histidine, L-Alanine, L-Cystine, Sodium Citrate, L-Tryptophan, Choline Bitartrate, Magnesium L-Aspartate, L-Methionine, Maltodextrin, Magnesium Oxide, Citric Acid, Sodium Ascorbate, Ferrous Sulfate, Inositol, Taurine, L-Carnitine, Dl-Alpha Tocopheryl Acetate, Zinc Sulfate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Pyridoxine Hydrochloride, Copper Sulfate, Thiamine Mononitrate, Riboflavin, Vitamin A Acetate, Folic Acid, Ascorbyl Palmitate, Chromium Chloride, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Vitamin K1, Biotin, Vitamin D3, Vitamin B12
Meets or exceeds 100% DRI for 25 key vitamins and minerals: 1 - 8 years old, 1250 mL
Meets or exceeds 100% DRI for 25 key vitamins and minerals: 9 - 13 years old, 1865 mL
Vivonex® Pediatric Unflavored Powder 6 x 400 g canisters | |
HCPCS Code | B4161 |
NDC-Format Number | 45291-0507-66 |
Case UPC | 08445291507654 |
Each UPC | 08445291507661 |
Product Code | 8445291507 |