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VIVONEX® Pediatric

VIVONEX® Pediatric

Vivonex® Pediatric is Nutritionally complete, 100% free amino acid formula for children aged 1-13 years, designed for those with severely impaired GI function.

  • 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* (*formulated to contain low quantities of fat which, under some circumstances, may be insufficient to meet the essential fatty acid requirements of the patient.​)

Vivonex® Pediatric Unflavored
kcal/mL 0.8
Caloric Distribution Protein (% of kcal)
Protein 12%
Carbohydrate 63%
Fat 25%
L-Arginine (g)
L-Glutamine (g)
Sodium (mEq) 20
Calcium (mEq) 54
Potassium (mEq) 35
Chloride (mEq) 23
NPC:N Ratio 185 : 1
MCT:LCT Ratio 70 :30
n6:n3 Ratio 9.0 : 1
Free Water (%)
Dietary Nucleotides (g)
EPA + DHA (g)
Source of Oil
Osmolality (mOsm/kg water) 413
Density (g/mL)
Renal Solute Load (mOsm/L)
mL to Meet 100% DRI
ARA (mg)
  • 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
  • Free Amino Acids
  • Medium Chain Triglycerides
  • Soybean Oil
  • Corn Syrup Solids
  • Potato Starch
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

DRI Coverage

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
HCPCS Code B4161
NDC-Format Number 45291-0507-66
Case UPC 08445291507654
Each UPC 08445291507661
Product Code 8445291507

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
HCPCS Code B4161
NDC-Format Number 45291-0507-66
Case UPC 08445291507654
Each UPC 08445291507661
Product Code 8445291507

Notes & Disclaimers for Key Benefits (Healthcare Professionals)

  • 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​ (Not for TPN)
  • Can be used as sole source nutrition ​
  • Hypoallergenic​
  • Certified Halal​
  • Non-GMO​