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Medical Formula Update August 29, 2011
Cheryl Alto, MS, [email protected]
Julie Aalbers, [email protected]
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FormulaTWIST Resources for youProvidence HME
Today’s webinar: updates, information and resources
Updates go
into effect
September
1st
Formula changes and updates
Similac lid colors now match labels, not “family line of products”
WIC vouchers reflect what is on the label: e.g. “Similac Expert Care Neosure”
TWIST search keeps it simple: Neosure
Similac Sensitive for Spit Up powder is available once again
Similac Sensitive for Spit Up
Returning to market after manufacturer shortage
Food modules will be available to assign September 1st
Smaller stores, rural areas may be slower to receive stock
Food module code in TWIST is changing:
SMS-RS SSS
Elecare for Infants
Old New: Available in Unflavored only
Name and graphic change Elecare unflavored becomes Elecare for Infants Food module code in TWIST: ELE ELI
Elecare Jr Name, graphic change and addition of unflavored Elecare flavored becomes Elecare Jr Food module code in TWIST: ELE-F ELJ
Old New: Elecare Jr, Unflavored or Vanilla
PediaSure Peptide 1.0 New addition to
Oregon WIC formulary Formerly known as
Vital Jr Comparable to
Peptamen Jr Contains 3 gram fiber Food code module in
TWIST: PEP-1.0
Vanilla, Strawberry or Unflavored
NEW!
PediaSure Peptide 1.5
Food code module in TWIST: PEP-1.5
8 oz (237 ml)/bottle 1.0 providing 237 Kcal
per serving 1.5 providing 355 Kcal
per serving 24 bottles/case
Vanilla only
NEW!
Peptides? Elemental? Hydrolyzed?
Source of graphic: Abbott website
Elecare for infants, Neocate infant, Nutramigen AA
Alimentum, Nutramigen, Pregestimil
Common examples of formulas for infants
Common examples of formulas for children
Peptamen Jr, Pediasure Peptide
Elecare Jr, Neocate Junior, EO28 Splash
Similac Advance Pediasure, Nutren Jr, Boost Kid Essentials
Gerber Good Start Gentle
Old 12 oz can
size
New12.7 oz
can size
Name, label and container size changes
Gerber Good Start GentleName & Package Changes
12.7 oz can, powder
Yields 90 oz.
12.1 oz box, concentrate
Yields 24.2 oz
4-pack 8.45 oz boxes
ready-to-feed
Yields 33.8 oz
Summary of Gerber Good Start Changes
Good Start Gentle Plus
Gerber Good Start Gentle
Formula Module Search Name
Good Start – old Gerber Good Start - new
Formula Module Code GOS GGS
Voucher DescriptionPowder
“Can 12.7 oz Good Start Gentle or 12 oz Gentle Plus powder”
“Can 12.7 oz Gerber Good Start Gentle powder”
Voucher Description Concentrate
“Can 13 oz Good Start Gentle or Gentle Plus concentrate”
“Box 12.1 oz Gerber Good Start Gentle concentrate”
Voucher Description RTF
“Can 32 oz Good Start Gentle or Gentle Plus ready-to-feed”
“Four-pack 8.45 oz boxes Gerber Good Start Gentle RTF”
Deciding which Gerber Good Start formula to choose
Assign formula modules based on what is available at the participant’s store Both old and new formula modules will be in TWIST
Void and replace vouchers to match what’s in the store
Formula that WIC does NOT provide:
Gerber Good Start Protect Contains probiotics, live cultures Recent reports of health care providers recommending probiotics in the form of drops, formula or even foods 2010 AAP position: insufficient research to recommend routine use in formula Suitable alternative would be Gerber Good Start Gentle
Gerber Good Start Protect
A new product that you may be hearing about
Just like all other Mead Johnson standard infant formulas, Oregon WIC, by contract, cannot provide
A suitable alternative would be Similac Advance
Formula that WIC does NOT provide: Enfamil Premium Newborn
Enfamil Premium Newborn
What questions have
you “formulated”?
Updates and Changes
Formula code changes in TWISTFormula Name Old Food
CodeNew Food Code
Elecare for Infants ELE ELI
Elecare Jr ELE-F ELJ
Gerber Good Start GOS GGS
Neocate Infant NEC NEI
Neocate Junior NEC-JR NEJ
PediaSure Peptide 1.0 None PEP-1.0
PediaSure Peptide 1.5 None PEP-1.5
Peptamen Jr 1.0 PEP-1.0 PEJ-1.0
Peptamen Jr 1.5 PEP-1.5 PEJ-1.5
Similac Soy Isomil ISA SSI
Similac Sensitive for Fussiness & Gas
SMS SSF
Similac Sensitive for Spit Up SMS-RS SSS
Food package screen
Old ISA code
Same screen as it will look on Sept 1 with new SSI code.
Even past codes change.
Formula search screen
Search - Old Elecare Flavored Name
Search – New Elecare Jr. Name
To assign an infant formula for a child 24 months or older (C2-C5) you will need to call your assigned Nutrition Consultant
There may be another formula that is more age appropriate to meet the nutrient and calorie needs of the child
Start a discussion with families: work to develop a transition plan before child is 18 months of age
TWIST “Tweaks”
Providence HME order forms
Check address for accuracy-each month If address has changed, indicate in special instructions section
Resources available to you
Talking points and in-service guide
Formula Reference Guide 1st Revision
Food Package Module Revision
Revised September 1, 2011
Medical Formula Job Aid
Questions
Thank you for joining us today!
Today’s materials will be available on the Oregon WIC website at:
http://public.health.oregon.gov/HealthyPeopleFamilies/wic/Pages/training.aspx#inservice
