Products

    HCY 2

    A medical food powder for children and adults with documented homocystinuria

    Indication

    HCY 2 is a medical food powder that is free of the essential amino acid methionine for children and adults with documented homocystinuria. 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-leucine, L-lysine hydrochloride, potassium aspartate, L-proline, L-valine, L-isoleucine, L-alanine, L-arginine, L-threonine, L-phenylalanine, L-tyrosine, L-serine, L-cystine, glycine, L-histidine, L-tryptophan), sugar, soy oil, modified corn starch, calcium phosphate, sodium citrate, magnesium phosphate, potassium chloride and less than 1%: 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 selenite, sodium iodide, biotin, vitamin K1, ethyl vanillin.

    Nutrients

     

    Per 100 grams Powder

    Calories

    410

    Protein equivalent, g*

    22

    Fat, g

    8.5

    Carbohydrate, g

    61

    Vitamins/Other Nutrients

     

    Vitamin A, IU

    1730

    Vitamin D, IU

    350

    Vitamin E, IU

    12.2

    Vitamin K, mcg

    47

    Thiamin (Vitamin B1), mcg

    1430

    Riboflavin (Vitamin B2), mcg

    1140

    Vitamin B6, mcg

    1140

    Vitamin B12, mcg

    2.9

    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

    Phosphorus, mg

    730

    Magnesium, mg

    163

    Iron, mg

    13.8

    Zinc, mg

    13.8

    Manganese, mcg

    1500

    Copper, mcg

    1430

    Iodine, mcg

    63

    Selenium, mcg

    33

    Chromium, mcg

    45

    Molybdenum, mcg

    45

    Sodium, mg

    590

    Potassium, mg

    1100

    Chloride, mg

    960

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

    Protein Equivalent (% Calories)*

    22

    Fat (% Calories)

    19

    Carbohydrate (% Calories)

    59

    Lactose-free

    Suitable for someone with lactose intolerance

    *WARNING: Protein is incomplete since it does not contain the essential amino acid methionine.

    AMINO ACID COMPOSITION

    ESSENTIAL AMINO ACIDS

    mg/100 g powder

    Histidine

    550

    Isoleucine

    1560

    Leucine

    2900

    Lysine

    1780

    Methionine

    0

    Cysteine

    810

    Phenylalanine

    920

    Tyrosine

    920

    Threonine

    1030

    Tryptophan

    420

    Valine

    1720

     

    NONESSENTIAL AMINO ACIDS

    mg/100 g powder

    Arginine

    1340

    Alanine

    1450

    Aspartic Acid

    1760

    Glutamine

    3500

    Glycine

    790

    Proline

    1760

    Serine

    880

    Product Forms and Ordering Information

    HCY 2 IS AVAILABLE 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

    HCY 2, Powder
    Item #: 891901
    Description: Powder
    Unit Size: 1 lb can
    Calories/Unit: 1860
    Product Yield/Unit (fl oz): Varies
    Case: 6 cans per case
    HCPCS Code: B4157 or B4162
    NDC Format Code: 00087-5100-27

    PRODUCT BENEFITS

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

    • Methionine-free
    • Cystine level is similar to the sum of cystine and methionine found in cow’s milk
    • 22 g protein equivalent/100 g powder
    • 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 HCY 2

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

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