Products

Phenyl-Free^®2 HP

A high-protein medical food powder for children and adults with documented phenylketonuria (PKU)

Indication

Phenyl-Free 2 HP is a high-protein medical food powder that is free of the essential amino acid phenylalanine for children and adults with documented phenylketonuria (PKU). It has all other essential amino acids as well as nonessential amino acids, carbohydrates, fats, essential fatty acids, vitamins and minerals. Phenyl-Free 2 HP is appropriate for women with maternal PKU or for children and adults who require more protein equivalent than provided by Phenyl-Free 2 (40 g vs 22 g per 100 g powder). Use under direct and continuing medical supervision.

Ingredients

Ingredients: Amino acids (L-glutamine, L-leucine, potassium aspartate, L-lysine hydrochloride, L-tyrosine, L-proline, L-valine, L-isoleucine, L-alanine, L-arginine, L-threonine, L-serine, glycine, L-histidine, L-methionine, L-tryptophan, L-cystine), sugar, corn syrup solids, soy oil, modified corn starch, calcium phosphate, magnesium phosphate and less than 1%: sodium citrate, potassium chloride, sodium phosphate, potassium citrate, choline chloride, ascorbic acid, taurine, inositol, ferrous sulfate, zinc sulfate, niacinamide, L-carnitine, 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, biotin, vitamin K₁, sodium iodide, ethyl vanillin.

Nutrients

	Per 100 grams Powder
Calories	390
Protein equivalent, g*	40
Fat, g	6.3
Carbohydrate, g	44
Vitamins/Other Nutrients
Vitamin A, IU	1960
Vitamin D, IU	390
Vitamin E, IU	11.8
Vitamin K, mcg	51
Thiamin (Vitamin B₁), mcg	1570
Riboflavin (Vitamin B₂), mcg	1290
Vitamin B₆, mcg	1290
Vitamin B₁₂, mcg	3.1
Niacin, mcg	29000
Folic acid (Folacin), mcg	470
Pantothenic acid, mcg	6300
Biotin, mcg	63
Vitamin C (Ascorbic acid), mg	63
Choline, mg	67
Inositol, mg	63
Minerals
Calcium, mg	980
Phosphorous, mg	980
Magnesium, mg	290
Iron, mg	15.7
Zinc, mg	15.7
Manganese, mcg	1570
Copper, mcg	1570
Iodine, mcg	50
Selenium, mcg	36
Chromium, mcg	51
Molybdenum, mcg	51
Sodium, mg	410
Potassium, mg	1180
Chloride, mg	980

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

Protein Equivalent (% Calories)*	41
Fat (% Calories)	15
Carbohydrate (% Calories)	44
Lactose-free	Suitable for someone with lactose intolerance

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

Note: Due to the higher levels of amino acids in Phenyl-Free 2 HP, the taste of amino acids is more prevalent in this product than it is in Phenyl-Free 2.

AMINO ACID COMPOSITION

ESSENTIAL AMINO ACIDS	mg/100 g powder
Histidine	1000
Isoleucine	2800
Leucine	5200
Lysine	3200
Methionine	880
Cysteine	600
Phenylalanine	0
Tyrosine	4000
Threonine	1840
Tryptophan	720
Valine	3100

NONESSENTIAL AMINO ACIDS	mg/100 g powder
Arginine	2400
Alanine	2600
Aspartic Acid	3200
Glutamine	6300
Glycine	1440
Proline	3200
Serine	1560

Dilutions and Preparation

DILUTION INFORMATION FOR PURAMINO INFANT

Mixing instruction by the scoop or quart

Download tables

POWDER

A 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 15.1 g of powder. Store DRY scoop in can.

Refer to the product label for the most accurate information.

CAUTION: Mead Johnson Nutrition Phenyl-Free 2 HP is to be used only in the dietary management of children and adults with documented phenylketonuria while under direct and continuing medical supervision.

WARNING: This product is nutritionally incomplete. Continuing medical supervision and frequent blood tests are required. Phenyl-Free 2 HP must be supplemented using other food sources of protein and fluid to provide enough phenylalanine to support dietary requirements of children and adults.

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

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

PHENYL-FREE® 2 HP 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

Phenyl-Free^® 2 HP, Powder
Item #: 891401
Description: Powder
Unit Size: 1 lb can
Calories/Unit: 1770
Product Yield/Unit (fl oz): Varies
Case: 6 cans per case
HCPCS Code: B4157 or B4162
NDC Format Code: 00087-5100-10

PRODUCT BENEFITS

Phenyl-Free 2 HP provides all the essential amino acids for patients with documented PKU, as well as nonessential amino acids, carbohydrates, fats, essential fatty acids, vitamins and minerals

Phenylalanine-free
40 g protein equivalent/100 g powder
Higher levels of protein equivalent and most vitamins and minerals than found in Phenyl-Free 2 (40 g protein equivalent vs 22 g per 100 g powder)

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 Phenyl-Free 2 HP

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

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Increase dietary compliance with motivational interviewing

Use this toolkit to help incorporate motivational interviewing when counselling your patients and caregivers affected by metabolic disorders.

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Contact Mead Johnson

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Help parents receive Special Supplemental Nutrition Program for Women, Infants, and Children

Access your state’s medical documentation form to help your patients

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Phenyl-Free® 2 HP