Products

BCAD 2

An iron-fortified medical food powder for the dietary management of children and adults with documented maple syrup urine disease

Indication

BCAD 2 is an iron-fortified medical food powder that is free of the branched-chain amino acids isoleucine, leucine and valine for the dietary management of children and adults 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 medical supervision.

Ingredients

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

Nutrients

	Per 100 grams Powder
Calories	410
Protein equivalent, g*	24
Fat, g	8.5
Carbohydrate, g	57
Vitamins/Other Nutrients
Vitamin A, IU	1730
Vitamin D, IU	350
Vitamin E, IU	11.4
Vitamin K, mcg	47
Thiamin (Vitamin B₁), mcg	1420
Riboflavin (Vitamin B₂), mcg	1140
Vitamin B₆, mcg	1140
Vitamin B₁₂, mcg	2.8
Niacin, mcg	26000
Folic acid (Folacin), mcg	410
Pantothenic acid, mcg	5700
Biotin, mcg	57
Vitamin C (Ascorbic acid), mg	57
Choline, mg	98
Inositol, mg	57
Minerals
Calcium, mg	730
Phosphorous, mg	730
Magnesium, mg	163
Iron, mg	12.2
Zinc, mg	12.2
Manganese, mcg	1300
Copper, mcg	1220
Iodine, mcg	63
Selenium, mcg	28
Chromium, mcg	37
Molybdenum, mcg	37
Sodium, mg	610
Potassium, mg	1220
Chloride, mg	1020

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

Protein Equivalent (% Calories)^*	24
Carbohydrate (% Calories)	57
Fat (% Calories)	19
Lactose-free	Suitable for someone with lactose intolerance

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

AMINO ACID COMPOSITION

ESSENTIAL AMINO ACIDS	mg/100 g powder
Histidine	890
Isoleucine	0
Leucine	0
Lysine	2900
Methionine	770
Cysteine	550
Phenylalanine	1490
Tyrosine	1490
Threonine	1220
Tryptophan	650
Valine	0

NONESSENTIAL AMINO ACIDS	mg/100 g powder
Arginine	1730
Alanine	1870
Aspartic Acid	2300
Glutamine	4500
Glycine	1030
Proline	2300
Serine	1130

Dilutions and Preparation

DILUTION INFORMATION FOR BCAD 2

Mixing instructions by calories, measures and displacement

Download dilution information

POWDER

The medical professional will provide the correct amount of powder to mix with water for consumption.

It is important to follow the directions below.

Measure the correct amount of water into a suitable container for mixing. Then add the required amount of product.Mix well until blended. Consume the prepared beverage immediately or cover and refrigerate. Use within 48 hours of preparation. Mix before drinking.

If instructed to use the scoop in the can, each unpacked, level scoop delivers approximately 14.5 g of powder. Store DRY scoop in can.

WARNING: This product is nutritionally incomplete. Continuing medical supervision and frequent blood tests are required. BCAD 2 must be supplemented using other food sources of protein and fluid to provide enough isoleucine, leucine and valine to support dietary requirements of children and adults.

CAUTION: Mead Johnson Nutrition BCAD 2 is to be used only in the dietary management of children and adults with documented maple syrup urine disease or other inborn errors of branched chain amino acid metabolism while under direct and continuing medical supervision.

WARNING: Not for parenteral (I.V.) use.

Refer to the product label for the most accurate information.

Powder Storage: Store cans at room temperature. After opening can, keep tightly covered, store in a dry area and use contents within 1 month. Do not freeze powder and avoid excessive heat.

Use by date on can end.

Product Forms and Ordering Information

BACD 2 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 2, Powder
Item #: 891501
Description: Powder
Unit Size: 1 lb can
Calories/Unit: 1860
Product Yield/Unit (fl oz): Varies
Case: 6 cans per case
HCPCS Code: B4162
NDC Format Code: 00087-5100-15

PRODUCT BENEFITS

BCAD 2 has all the essential amino acids appropriate for patients with documented MSUD, as well as nonessential amino acids, carbohydrates, fats, essential fatty acids, vitamins and minerals

Isoleucine-, leucine-, valine-free
24 g protein equivalent ⁄100 g powder (24 g vs. 16.2 g)
Higher level of protein equivalent than found in BCAD 1
Vitamin and mineral levels appropriate for children and adults

Additional product features:

Suitable for someone with lactose intolerance
Vanilla scent
Can be easily modified with preferred flavor enhancers
Mixes easily and stays in suspension well
Halal

Letter of Medical Necessity BCAD 2

This letter establishes a medical need for BCAD 2 and might help get your patients' insurance company to reimburse them for the product.

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