Products

TYROS 2

An iron-fortified medical food powder for adults and children with documented tyrosinemia

Indication

TYROS 2 is an iron-fortified medical food powder that is free of the essential amino acids phenylalanine and tyrosine for children and adults 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, amino acids (L-glutamine, L-leucine, potassium aspartate, L-lysine hydrochloride, L-proline, L-valine, L-isoleucine, L-alanine, L-arginine, L-threonine, L-serine, glycine, L-histidine, L-methionine, L-tryptophan, L-cystine), 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 iodide, sodium selenite, biotin, vitamin K₁, ethyl vanillin.

Nutrients

	Per 100 grams Powder
Calories	410
Protein equivalent, g*	22
Fat, g	8.5
Carbohydrate, g	60
Vitamins/Other Nutrients
Vitamin A, IU	1420
Vitamin D, IU	280
Vitamin E, IU	9.8
Vitamin K, mcg	41
Thiamin (Vitamin B₁), mcg	1220
Riboflavin (Vitamin B₂), mcg	980
Vitamin B₆, mcg	980
Vitamin B₁₂, mcg	2.4
Niacin, mcg	22000
Folic acid (Folacin), mcg	350
Pantothenic acid, mcg	4900
Biotin, mcg	49
Vitamin C (Ascorbic acid), mg	49
Choline, mg	98
Inositol, mg	49
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	1100
Chloride, mg	850

Protein Equivalent (% Calories)^*	22
Fat (% Calories)	19
Carbohydrate (% Calories)	59
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.

AMINO ACID COMPOSITION

ESSENTIAL AMINO ACIDS	mg/100 g powder
Histidine	550
Isoleucine	1580
Leucine	2900
Lysine	1800
Methionine	480
Cysteine	350
Phenylalanine	0
Tyrosine	0
Threonine	1030
Tryptophan	420
Valine	1740

NONESSENTIAL AMINO ACIDS	mg/100 g powder
Arginine	1450
Alanine	1580
Aspartic Acid	1910
Glutamine	3800
Glycine	860
Proline	1910
Serine	950

Dilutions and Preparation

DILUTION INFORMATION FOR TYROS 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.

Refer to the product label for the most accurate information.

CAUTION: Mead Johnson Nutrition TYROS 2 is to be used only in the dietary management of children and adults with documented inborn errors of tyrosine metabolism including tyrosinemia type II while under direct and continuing medical supervision.

WARNING: This product is nutritionally incomplete. Continuing medical supervision and frequent blood tests are required. TYROS 2 must be supplemented using other food sources of protein and fluid to provide enough tyrosine and 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

TYROS 2 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 2, Powder
Item #: 891801
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: 00087-5100-24

PRODUCT BENEFITS

TYROS 2 provides all the essential amino-acids appropriate for people with documented tyrosinemia, as well as nonessential amino acids, carbohydrates, fats, essential fatty acids, vitamins and minerals children and adults need

Higher level of protein equivalent than found in TYROS 1 (22 g vs. 16.7 g)
22 g protein equivalent ⁄ 100 g powder
Iron fortified
Vitamin and mineral levels appropriate for children and adults

Additional product features:

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

Letter of Medical Necessity TYROS 2

This letter establishes a medical need for TYROS 2 and might help your patients get reimbursed by their insurance company.

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