Products

    TYROS 1

    An iron-fortified formula and medical food with DHA for infants and young children with documented tyrosinemia

    Indication

    TYROS 1 is an iron-fortified infant formula and medical food powder that is free of the essential amino acids phenylalanine and tyrosine for infants and young children with documented tyrosinemia. This 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, vegetable oil (palm olein oil, coconut oil, soy oil, high oleic sunflower oil), amino acids (L-glutamine, L-leucine, potassium aspartate, L-lysine hydrochloride, L-proline, L-valine, L-alanine, L-isoleucine, L-arginine, L-threonine, L-serine, glycine, L-histidine, L-methionine, L-tryptophan, L-cystine), modified corn starch, sugar, calcium phosphate and less than 1%: Mortierella alpina 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*

    16.7

    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

    610

    Chloride, mg

    430

    Protein Equivalent (% Calories)*

    13

    Fat (% Calories)

    47

    Carbohydrate (% Calories)

    40

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

    148

    Osmolality (mOsm/kg water)

    360

    Osmolarity (mOsm/L)

    320

    Lactose-free

    Suitable for someone with lactose intolerance

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

    *WARNING: Protein is incomplete since it does not contain the essential amino acids phenylalanine and tyrosine.
    †Determined at 20 Cal/fl oz dilution.

    AMINO ACID COMPOSITION

    ESSENTIAL AMINO ACIDS

    mg/100 g powder

    Histidine

    420

    Isoleucine

    1200

    Leucine

    2200

    Lysine

    1370

    Methionine

    370

    Cysteine

    270

    Phenylalanine

    0

    Tyrosine

    0

    Threonine

    780

    Tryptophan

    320

    Valine

    1320

    NONESSENTIAL AMINO ACIDS

    mg/100 g powder

    Arginine

    1100

    Alanine

    1200

    Aspartic Acid

    1450

    Glutamine

    2900

    Glycine

    650

    Proline

    1450

    Serine

    720

    Product Forms and Ordering Information

    TYROS 1 IS AVAILABLE IN POWDER

    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

    TYROS 1, Powder
    Item #: 893001
    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: 00087-5101-91

    PRODUCT BENEFITS

    TYROS 1 has all the essential amino-acids appropriate for infants and young children with documented tyrosinemia, as well as nonessential amino acids, carbohydrates, fats, essential fatty acids, vitamins and minerals

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

    Additional product features:

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

    Letter of Medical Necessity TYROS 1

    This letter establishes a medical need for TYROS 1 and might help your patients get reimbursed by their insurance company.

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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.