Products

    Enfamil A.R.

    A thickened milk-based infant formula proven to reduce frequent spit-up and Triple Health Guard® for brain, growth, and immune support

    Indication

    Enfamil A.R. is a 20 Cal/fl oz, thickened, milk-based infant formula that reduces spit-up in 1 week and is appropriate for the first 12 months. Enfamil A.R. is clinically proven to reduce frequency and volume of regurgitation and meets the reflux reduction guidance of the American Academy of Pediatrics.1,2

     

    Product long term usage

    Enfamil A.R. is designed to provide a sole source of nutrition for infants up to age 6 months and provide a major source of nutrition until 12 months.

    Ingredients

    Ingredients: Powder: Nonfat milk, vegetable oil (palm olein, coconut, soy and high oleic sunflower oils), rice starch, lactose, maltodextrin, galactooligosaccharides,* polydextrose* and less than 1%: Mortierella alpina  oil,  Crypthecodinium cohnii oil, calcium carbonate, ferrous sulfate, zinc sulfate, sodium citrate, cupric sulfate, manganese sulfate, sodium selenite, choline chloride, ascorbic acid, niacinamide, calcium pantothenate, vitamin D3, riboflavin, thiamin hydrochloride, vitamin B6 hydrochloride, folic acid, vitamin K1, biotin, vitamin B12, inositol, vitamin E acetate, vitamin A palmitate, taurine, L-carnitine.

    Ingredients: Ready-to-Use (2 fl oz Nursette bottle): Water, nonfat milk, vegetable oil (palm olein, soy, coconut and high oleic sunflower oils), lactose and less than 2%: galactooligosaccharides,* polydextrose,* Mortierella alpina oil, Crypthecodinium cohnii oil, rice starch, maltodextrin, calcium carbonate, potassium chloride, magnesium phosphate, sodium chloride, sodium citrate, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, potassium iodide, sodium selenite, ascorbic acid, vitamin E acetate, niacinamide, calcium pantothenate, vitamin A palmitate, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, folic acid, vitamin K1, biotin, vitamin B12, soy lecithin, mono- and diglycerides, choline chloride, carrageenan, inositol, vitamin D3, taurine, L-carnitine.

    *A type of prebiotic.
    †A source of arachidonic acid (ARA).
    ‡A source of docosahexaenoic acid (DHA).

    POTENTIAL ALLERGENS

    Enfamil A.R. contains milk and soy.

    Nutrients

    (Normal Dilution)

    Per 100 Cal (5 fl oz) Powder

    Per 100 Cal (5 fl oz) Liquid

    Per 100 mL Powder

    Per 100 mL Liquid

    Per 100 grams Pwd (500 Cal)

    Protein, g

    2.5

    2.5

    1.69

    1.69

    12.4

    Fat, g

    5.1

    5.1

    3.4

    3.4

    25

    Linoleic acid, mg

    780

    780

    530

    530

    3900

    Carbohydrate, g

    11.3

    11.3

    7.6

    7.6

    56

    Water, g

    133

    132

    90

    89

    2.2

    Vitamins/Other Nutrients

             

    Vitamin A, IU

    300

    300

    200

    200

    1490

    Vitamin D, IU

    60

    60

    41

    40

    300

    Vitamin E, IU

    2

    2

    1.35

    1.35

    9.9

    Vitamin K, mcg

    9

    9

    6.1

    6.1

    45

    Thiamin (Vitamin B1), mcg

    80

    80

    54

    54

    400

    Riboflavin (Vitamin B2), mcg

    140

    140

    95

    94

    700

    Vitamin B6, mcg

    60

    60

    41

    40

    300

    Vitamin B12, mcg

    0.3

    0.3

    0.2

    0.2

    1.49

    Niacin, mcg

    1000

    1000

    680

    670

    5000

    Folic acid (Folacin), mcg

    16

    16

    10.8

    10.8

    80

    Pantothenic acid, mcg

    500

    500

    340

    340

    2500

    Biotin, mcg

    3

    3

    2

    2

    14.9

    Vitamin C (Ascorbic acid), mg

    12

    12

    8.1

    8.1

    60

    Choline, mg

    24

    24

    16.2

    16.2

    119

    Inositol, mg

    6

    6

    4.1

    4

    30

    Minerals

             

    Calcium, mg

    78

    78

    53

    53

    390

    Phosphorus, mg

    53

    53

    36

    36

    260

    Magnesium, mg

    8

    8

    5.4

    5.4

    40

    Iron, mg

    1.8

    1.8

    1.22

    1.21

    9

    Zinc, mg

    1

    1

    0.68

    0.67

    5

    Manganese, mcg

    15

    15

    10.1

    10.1

    75

    Copper, mcg

    75

    75

    51

    51

    370

    Iodine, mcg

    15

    15

    10.1

    10.1

    75

    Selenium, mcg

    2.8

    2.8

    1.89

    1.89

    13.9

    Sodium, mg

    40

    40

    27

    27

    200

    Potassium, mg

    108

    108

    73

    73

    540

    Chloride, mg

    75

    75

    51

    51

    370

     

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

    Nutrient Density

    20 Calories/fl oz

    Protein (% Calories)

    10

    Whey:Casein Ratio

    20:80

    Fat (% Calories)

    46

    Carbohydrate (% Calories)

    44

    Potential Renal Solute Load (mOsm/100 Calories)9

    23

    Potential Renal Solute Load (mOsm/100 mL)9

    15.3

    Osmolality (mOsm/kg water)

    240 (Liq) 230 (Pwd)

    Osmolarity (mOsm/L)

    210 (Liq) 210 (Pwd)

    Lactose-free

    No

    AMINO ACID COMPOSITION

    ESSENTIAL AMINO ACIDS

    mg/100 Cal

    mg/100 g Pwd

    Histidine

    73

    360

    Isoleucine

    130

    640

    Leucine

    250

    1250

    Lysine

    210

    1040

    Methionine

    63

    310

    Cysteine

    23

    112

    Phenylalanine

    125

    620

    Tyrosine

    125

    620

    Threonine

    115

    570

    Tryptophan

    35

    175

    Valine

    158

    780

    NONESSENTIAL AMINO

    mg/100 Cal

    mg/100 g Pwd

    Arginine

    88

    430

    Alanine

    85

    420

    Aspartic Acid

    200

    990

    Glutamic Acid

    550

    2700

    Glycine

    50

    250

    Proline

    250

    1230

    Product Forms and Ordering Information

    ENFAMIL A.R. IS AVAILABLE IN POWDER AND READY-TO-FEED LIQUID

    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

    Enfamil A.R., Powder (12.9 oz can)
    Item #: 020102
    Description: Powder
    Unit Size: 12.9 oz can
    Calories/Unit: 1820
    Product Yield/Unit (fl oz): 91
    Case: 6 cans per case
    HCPCS Code: B4158
    NDC Format Code: 00087-0201-42

    Enfamil A.R., Powder (21.5 oz tub)
    Item #: 020136
    Description: Powder
    Unit Size: 21.5 oz tub
    Calories/Unit: 3040
    Product Yield/Unit (fl oz): 152
    Case: 4 tubs per case
    HCPCS Code: B4158
    NDC Format Code: 00087-0201-65

    Enfamil A.R., Powder Refill
    Item #: 020135
    Description: Powder, Refill
    Unit Size: 32.2 oz box
    Calories/Unit: 4540
    Product Yield/Unit (fl oz): 227
    Case: 4 boxes per case
    HCPCS Code: B4158
    NDC Format Code: 00087-5100-96

    Enfamil A.R., Ready-to-Feed (2 fl oz Nursette® bottle)
    Item #: 145301
    Description: RTF
    Unit Size: 2 fl oz bottle
    Calories/Unit: 40
    Product Yield/Unit (fl oz): 2
    Case: 48 bottles per case
    HCPCS Code: B4158
    NDC Format Code: 00087-1453-41

    PRODUCT BENEFITS

    The #1 selling brand of formula for spit-up*

    Enfamil A.R. is clinically proven to reduce spit-up by over 50%†1 in 1 week while still providing complete nutrition for baby’s first year

    • Formula has 20:80 whey:casein ratio and unmodified, pregelatinized, high amylopectin rice starch
    • Less caloric and more nutritionally balanced than adding rice cereal to formula
    • Thickens further in the stomach, allowing easier flow through a standard nipple

    Proprietary Triple Health Guard® blend of brain-nourishing DHA, a Natural Defense® Dual Prebiotic blend designed to support immune health and 30 nutrients for growth

    Clinically proven DHA at 0.32% of total fatty acids, the same as the worldwide breast milk average‡2

    DHA IS:

    • Clinically provento support mental, visual and immune system development4–7
    • Clinically shown to improve long-term cognitive outcomes through 5 years of age‡8
    • Shown to improve respiratory health through the first 3 years of life when infants were fed through 12 months
    • Enfamil A.R. has not been shown superior to the leading competitor in supporting mental, visual and immune system development. The level of DHA in Similac Pro-Advance is ~0.15% of total fatty acids.

    Additional product features:

    • Kosher

    †Based on a published, double-blind, randomized, controlled trial of Enfamil A.R. with infants who spit-up frequently (5 or more spit-ups per day) comparing frequency and volume of spit-up after feeding Enfamil A.R. to the same infants at the beginning of the study.
    ‡Studies compared infants fed Enfamil® with DHA and ARA vs. discontinued Enfamil without DHA and ARA; studied before the addition of prebiotics.
    §Average amount of DHA in worldwide breast milk is 0.32% ± 0.22% (mean ± standard deviation of total fatty acids) based on an analysis of 65 studies of 2,474 women.3

    Clinical Study

     

    EFFICACY OF A PRE-THICKENED INFANT FORMULA IN INFANTS WITH GER

    HELP PARENTS CONCERNED ABOUT FREQUENT SPIT-UP/REFLUX

    Use this pamphlet to provide straightforward answers to some of parents’ most common reflux questions

     

    Contact Mead Johnson

    Contact a Mead Johnson representative to request information and samples

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    References

    1. Vanderhoof JA, Moran JR, Harris CL, et al. Efficacy of a pre-thickened infant formula: a multicenter, double-blind, randomized, placebo-controlled parallel group trial in 104 infants with symptomatic gastroesophageal reflux. Clin Pediatr(Phila). 2003;42:483–495.
    2. Lightdale JR, Gremse DA. Section on Gastroenterology, Hepatology, and Nutrition. Gastroesophageal reflux: management guidance for the pediatrician. Pediatrics. 2013;131:e1684-e1695.
    3. Brenna JT, Varamini B, Jensen RG, et al. Docosahexaenoic and arachidonic acid concentrations in human breast milk worldwide. Am J Clin Nutr. 2007;85:1457-1464.
    4. Birch EE, Khoury JC, Berseth CL, et al. The impact of early nutrition on incidence of allergic manifestations and common respiratory illnesses in children. J Pediatr. 2010;156:902-906.
    5. Birch EE, Hoffman DR, Uauy R, et al. Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants. Pediatr Res. 1998;44:201-209.
    6. Birch EE, Garfield S, Hoffman DR, et al. A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants. Dev Med Child Neurol. 2000;42:174-181.
    7. Morale SE, Hoffman DR, Castaneda YS, et al. Duration of long-chain polyunsaturated fatty acids availability in the diet and visual acuity. Early Hum Dev. 2005;81:197-203.
    8. Colombo J, Carlson SE, Cheatham CL, et al. Long-term effects of LCPUFA supplementation on childhood cognitive outcomes. Am J Clin Nutr. 2013;98:403-412.
    9. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.