Peptamen® Unflavored
Key Benefits                                                                                                                                                    Nutrition Facts
       The evidence-based, well-tolerated GI formula                                                                                                              NUTRITION INFORMATION PER 250 mL
       Balanced peptide profile promotes GI absorption and tolerance                                                                                              NUTRIENT COMPOSITION        amount
       Enzymatically hydrolyzed, 100% whey protein may facilitate gastric emptying
                                                                                                                                                                  Calories                      250     kcal
       70% of fat from MCT helps facilitate fat absorption, which supports formula tolerance
                                                                                                                                                                  Total Fat                     10       g
       Nutritionally complete formula for tube feeding
                                                                                                                                                                  MCT                            7       g
 Notes & Disclaimers for Key Benefits (Healthcare Professionals)
                                                                                                                                                                  Sodium                        120     mg
                                                                                                                                                                  Potassium                     400     mg
Nutritional Features                                                                        Macro-Nutrient Sources                                                TOTAL CARBOHYDRATE            32       g
                                                                                                                                                                     Dietary Fiber                       g
                                                           Peptamen® Unflavored              Protein Source
                                                                                                                                                                  Protein                       10       g
                                                                                                   Enzymatically Hydrolyzed Whey Protein
                    kcal/mL                                            1.0                                                                                        Vitamin A
                                                                                                   (Milk)
                                                                                                                                                                     Retinol                    200    mcg
Caloric Distribution Protein (%                                    Protein 16%
                    of kcal)                                  Carbohydrate 50%               Fat Source                                                              B-Carotene                 250    mcg
                                                                    Fat 34%                        Medium Chain Triglycerides                                     Vitamin C                     30      mg
             L-Arginine (g)                                                                        Soybean Oil                                                    Calcium                       200     mg
                                                                                                                                                                  Iron                           4      mg
            L-Glutamine (g)                                                                  Carbohydrate Source                                                  Vitamin D                     3.3    mcg
             Sodium (mEq)                                              5                           Maltodextrin
                                                                                                                                                                  Vitamin E                      5      mg
                                                                                                   Cornstarch
             Calcium (mEq)                                             10                                                                                         Vitamin K                     20     mcg
           Pottasium (mEq)                                             10                    Fiber Source                                                         Thiamin                       0.6     mg
                                                                                                                                                                  Riboflavin                    0.5     mg
            Chloride (mEq)                                             7                                                                                          Niacin                        5.5     mg
               NPC:N Ratio                                            133:1
                                                                                            Nutritional Applications                                              Vitamin B6                    0.6     mg
                                                                                                                                                                  Folic Acid                    50     mcg
             MCT:LCT Ratio                                           70:30                         Impaired GI function (Malabsorption,
                                                                                                                                                                  Vitamin B12                    2     mcg
               n6:n3 Ratio                                            7.9:1                        Pancreatitis, Short bowel syndrome,
                                                                                                                                                                  Biotin                         8     mcg
                                                                                                   Chronic diarrhea, Crohns disease/IBD,
            Free Water (%)                                             85                                                                                         Pantothenic Acid              1.2     mg
                                                                                                   Cystic fibrosis, Delayed gastric
      Dietary Nucleotides (g)                                                                                                                                     Phosphorus                    175     mg
                                                                                                   emptying, Cerebral palsy, Malnutrition,
                                                                                                                                                                  Iodine                        35     mcg
             EPA + DHA (g)                                                                         Malabsorption related to cancer
                                                                                                                                                                  Magnesium                     75      mg
                                                                                                   treatment, Celiac disease with
              Source of Oil                                                                                                                                       Zinc                          3.5     mg
                                                                                                   malabsorption)
 Osmolality (mOsm/kg water)                                           340                          Early enteral feeding                                          Selenium                      18     mcg
                                                                                                   Transition from or dual feeding with TPN                       Copper                        0.5     mg
            Density (g/mL)
                                                                                             Important Notes: NOT FOR PARENTERAL USE.
                                                                                                                                                                  Manganese                     0.7     mg
 Renal Solute Load (mOsm/L)                                                                  NOT FOR PARENTERAL USE                                               Chromium                      12     mcg
                                                                                             This product is intended for use under medical supervision.
       mL to Meet 100% DRI                                                                                                                                        Molybdenum                    25     mcg
                                                                                                                                                                  Chloride                      250     mg
                   ARA (mg)                                                                 Allergens                                                             Choline                       120     mg
                                                                                              By Nature:                                                          L-Carnitine                   25      mg
                                                                                              Milk, Soy                                                           Taurine                       25      mg
                                                                                                                                                                  Inositol                              mg
                                                                                                                                                                  Water                         212    g(mL)
Suitable Diets                                              Ingredients
       Lactose intolerance*                                    WATER, MALTODEXTRIN, ENZYMATICALLY HYDROLYZED WHEY PROTEIN (MILK), MEDIUM CHAIN TRIGLYCERIDES, AND LESS THAN 2% OF
       Gluten-free                                             CORNSTARCH, SOYBEAN OIL, VITAMINS AND MINERALS‡, SOY LECITHIN, GUAR GUM
       Kosher                                                  ‡VITAMINS AND MINERALS: MAGNESIUM CHLORIDE, CALCIUM PHOSPHATE, POTASSIUM CITRATE, SODIUM PHOSPHATE, CALCIUM CITRATE, CHOLINE
 Important Notes:                                              CHLORIDE, POTASSIUM CHLORIDE, SODIUM CITRATE, SODIUM ASCORBATE, MAGNESIUM OXIDE, L-CARNITINE, TAURINE, FERROUS SULFATE, ZINC
 *Not for individuals with galactosemia                        SULFATE, DL-ALPHA TOCOPHERYL ACETATE, NIACINAMIDE, MANGANESE SULFATE, CALCIUM PANTOTHENATE, COPPER SULFATE, THIAMINE
 Not appropriate for individuals with cow’s milk
                                                               MONONITRATE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, VITAMIN A PALMITATE, BETA-CAROTENE, FOLIC ACID, POTASSIUM IODIDE, CHROMIUM
protein allergy.
                                                               CHLORIDE, SODIUM SELENATE, SODIUM MOLYBDATE, VITAMIN K1, BIOTIN, VITAMIN D3, VITAMIN B12
                                                            DRI                         Product Codes
                                                            Coverage                                                                                       PEPTAMEN® Unflavored 24 x 250 mL
                                                               Meets or exceeds                               HCPCS Code
                                                                                                                                                                            B4153
                                                               100% DRI for 23
                                                               key vitamins and                         NDC-Format Number
                                                                                                                                                                    98716-0062-69
                                                               minerals: Adult (+14
                                                               years old), 1500                                  Case UPC
                                                                                                                                                                   00798716162692
                                                                                                                 Each UPC
                                                                                                                                                                   00798716062695
                                                                                                             Product Code
                                                                                                                                                                      9871616269