Medical Formula Update August 29, 2011

Cheryl Alto, MS, RDCheryl.l.alto@state.or.us

Julie Aalbers, RDJulie.aalbers@state.or.us

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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 GGSVoucher 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 ELIElecare Jr ELE-F ELJGerber Good Start GOS GGSNeocate Infant NEC NEINeocate Junior NEC-JR NEJPediaSure Peptide 1.0 None PEP-1.0PediaSure Peptide 1.5 None PEP-1.5Peptamen Jr 1.0 PEP-1.0 PEJ-1.0Peptamen Jr 1.5 PEP-1.5 PEJ-1.5Similac Soy Isomil ISA SSISimilac 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