Products

    BCAD 1

    An iron-fortified infant formula and medical food powder for the dietary management of infants and young children with maple syrup urine disease

    Indication

    BCAD 1 is an iron-fortified infant formula and medical food powder that is free of the branched-chain amino acids isoleucine, leucine and valine for the dietary management of infants and young children with documented maple syrup urine disease (MSUD). The product has all other essential amino acids as well as nonessential amino acids, carbohydrates, fats, essential fatty acids, vitamins and minerals. Use under direct and continuing supervision of a doctor.

    Ingredients

    Ingredients:Corn syrup solids, vegetable oil (palm olein, coconut oil, soy oil, high oleic sunflower oil), amino acids (L-glutamine, L-lysine hydrochloride, potassium aspartate, L-proline, L-alanine, L-arginine, L-phenylalanine, L-tyrosine, L-serine, L-threonine, glycine, L-histidine, L-methionine, L-tryptophan, L-cystine), modified corn starch, sugar, calcium phosphate and less than 1%: Mortierella alpine oil*, Crypthecodinium cohnii oil†, ethyl vanillin, sodium citrate, potassium citrate, magnesium oxide, ferrous sulfate, potassium chloride, zinc sulfate, cupric sulfate, manganese sulfate, sodium iodide, sodium selenite, choline chloride, inositol, ascorbic acid, niacinamide, calcium pantothenate, vitamin B6 hydrochloride, thiamin hydrochloride, riboflavin, vitamin D3, folic acid, biotin, vitamin K1, vitamin E acetate, vitamin A palmitate, vitamin B12, taurine, L-carnitine.

    *A source of arachidonic acid (ARA).

    †A source of docosahexaenoic acid (DHA).

    Nutrients

     

    Per 100 grams Powder

    Calories

    500

    Protein equivalent, g*

    16.2

    Fat, g

    26

    Linoleic acid, mg

    4000

    Carbohydrate, g

    51

    Vitamins/Other Nutrients

     

    Vitamin A, IU

    1520

    Vitamin D, IU

    380

    Vitamin E, IU

    10

    Vitamin K, mcg

    40

    Thiamin (Vitamin B1), mcg

    1000

    Riboflavin (Vitamin B2), mcg

    1000

    Vitamin B6, mcg

    1000

    Vitamin B12, mcg

    2

    Niacin, mcg

    10000

    Folic acid (Folacin), mcg

    100

    Pantothenic acid, mcg

    3800

    Biotin, mcg

    38

    Vitamin C (Ascorbic acid), mg

    60

    Choline, mg

    124

    Inositol, mg

    86

    Minerals

     

    Calcium, mg

    660

    Phosphorus, mg

    440

    Magnesium, mg

    66

    Iron, mg

    9.6

    Zinc, mg

    8.6

    Manganese, mcg

    380

    Copper, mcg

    860

    Iodine, mcg

    76

    Selenium, mcg

    14.1

    Sodium, mg

    240

    Potassium, mg

    600

    Chloride, mg

    500

    Product nutrient values and ingredients are subject to change. Please see product label for current information.

    Protein Equivalent (% Calories)*

    13

    Fat (% Calories)

    47

    Carbohydrate (% Calories)

    40

    Potential Renal Solute Load (mOsm/100 g powder)3

    147

    Osmolality (mOsm/kg water)

    330

    Osmolarity (mOsm/L)

    300

    *WARNING: This protein is incomplete since it does not contain the essential amino acids isoleucine, leucine and valine.

    †Determined at 20 Cal/fl oz dilution.

    AMINO ACID COMPOSITION

    ESSENTIAL AMINO ACIDS

    mg/100 g powder

    Histidine

    550

    Isoleucine

    0

    Leucine

    0

    Lysine

    1770

    Methionine

    470

    Cysteine

    340

    Phenylalanine

    920

    Tyrosine

    920

    Threonine

    760

    Tryptophan

    410

    Valine

    0

    NONESSENTIAL AMINO ACIDS

    mg/100 g powder

    Arginine

    1180

    Alanine

    1280

    Aspartic Acid

    1560

    Glutamine

    3100

    Glycine

    710

    Proline

    1560

    Serine

    780

    Product Forms and Ordering Information

    BACD 1 IS AVAILABE IN POWDER

    When using this information, please note the following:

    Coding systems and reimbursement allowable rates vary by payer:

    • Medicare Part B uses HCPCS (Healthcare Common Procedure Coding System) to group products
    • Medicaid systems vary by state; some use HCPCS while others use NDC format code or systems of their own—contact your state provider for more information
    • Private health insurance and managed care companies may use HCPCS, NDC format code or their own system—contact your provider for more information

    BCAD 1, Powder
    Item #: 892801
    Description: Powder
    Unit Size: 1 lb can
    Calories/Unit: 2270
    Product Yield/Unit (fl oz): Varies
    Case: 6 cans per case
    HCPCS Code: B4162
    NDC Format Code: 00087-5101-84

    PRODUCT BENEFITS

    BCAD 1 has all the essential amino acids appropriate for babies and young children with documented MSUD, as well as nonessential amino acids, carbohydrates, fats, essential fatty acids, vitamins and minerals

    • DHA and ARA
    • Isoleucine-, leucine-, valine-free
    • Has choline, an essential nutrient important for brain development and the normal functioning of cells1,2
    • Increased levels of B vitamins, compared to routine infant formulas, for cofactor production
    • Vitamin and mineral levels meet the U.S. Infant Formula Act requirements per 100 Calories

    Additional product features:

    • Vanilla scent
    • Mixes easily and stays in suspension well
    • Halal

    Letter of Medical Necessity BCAD 1

    This letter establishes a medical need for BCAD 1 and might help get your patients' insurance company to reimburse them for the product.

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    Contact Mead Johnson

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    Layout:
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    References

    1. Food and Nutrition Board, Institute of Medicine, Choline. In: Dietary References Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington, DC: National Academies Press; 1998:390-422.
    2. Zeisel SH, da Costa KA. Choline: an essential nutrient for public health. Nutr Rev. 2009;67:615-623.
    3. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.