3232 A Protein Hydrolysate Formula Base Powder

3232 A is a specially designed protein hydrolysate formula base with MCT oil for the dietary management of infants and children with disaccharidase deficiencies or other disorders of carbohydrate metabolism

• Hypoallergenic, protein hydrolysate
• Allows adjustment of added carbohydrates, according to patient's tolerance

Contains 82% of the fat from medium-chain triglycerides (MCT) oil for easier absorption<

Additional product features:

• Mixes easily and stays in suspension well

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Ingredients: Modified tapioca starch (34%), medium chain triglycerides (MCT oil) (28%), casein hydrolysate* (milk) (26%), corn oil (6%), and less than 2%: vitamin A palmitate, vitamin D3, vitamin E acetate, vitamin K1, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, vitamin B12, niacinamide, folic acid, calcium pantothenate, biotin, sodium ascorbate, choline chloride, inositol, calcium citrate, calcium hydroxide, calcium phosphate, magnesium oxide, ferrous sulfate, zinc sulfate, manganese sulfate, cupric sulfate, sodium chloride, sodium iodide, potassium citrate, potassium phosphate, soy lecithin, calcium chloride, potassium chloride, sodium selenite, L-cystine, L-tyrosine, L-tryptophan, taurine, L-carnitine.

*Modified to be better tolerated in milk-allergic babies.

Potential Allergens

3232 A contains milk-origin protein hydrolysate and soy ingredients. 3232 A is hypoallergenic. Allergic reactions to extensively hydrolyzed casein formulas are not commonly reported.

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

Product is incomplete without the addition of carbohydrate.

*Using 81 g of 3232 A and 59 g of carbohydrate per quart of prepared product.

†Values do not include added carbohydrate.

‡Care must be taken to provide essential fatty acids and sufficient carbohydrates.

Amino Acid Composition

Powder

Medical professionals should let parents know that their child’s health depends on carefully following the instructions below. Improper hygiene, preparation, dilution, use, or storage may result in severe harm. Powdered formulas are not sterile and should NOT be fed to premature infants or those persons who might have immune problems unless directed and supervised by a doctor.

Discuss with parents whether they need to use cooled, boiled water for mixing and whether they need to boil clean utensils, bottles, and nipples in water before use.

WARNING: Do not use a microwave oven to warm formula. Serious burns may result.

Refer to the product label for the most accurate information.

The child’s doctor will provide instructions for the correct amounts of water and powder. One half (½) cup 3232 A (packed and leveled) delivers approximately 81 g powder. Pour desired amount of water into bottle/container. Add powder and mix vigorously.

1. Wash hands thoroughly with soap and water before preparing formula.
2. Add 81 g of powder (packed, level ½ cup) and 59 g of the desired carbohydrate to 4 fl oz (120 mL) of water in a clean bottle or container.
3. Mix well with fork or mixer until a smooth paste is formed.
4. Add additional water to make one quart. Initial feedings of 3232 A may need to contain less than the full 59 g of carbohydrate recommended, or the formula may need to be diluted to 10 Cal/fl oz or less and gradually increased to 20 Cal/fl oz.

Failure to follow those instructions could result in severe harm. Once prepared, formula can spoil quickly. Either feed immediately or cover and store in refrigerator at 35–40ºF (2–4ºC) for no longer than 24 hours. Do not use prepared formula if it is unrefrigerated for more than a total of 2 hours. Do not freeze prepared formula. After feeding begins, do not refrigerate feeding bottle/container. You must use within 1 hour or discard.

POWDER STORAGE: Store cans at room temperature. After opening can, keep tightly covered, store in dry area, and use contents within 1 month. Do not freeze powder, and avoid excessive heat.

Use by date on bottom of can.

WARNING: This product is nutritionally incomplete. Care must be taken to provide enough carbohydrate to support growth, using other foods with 3232 A as required. For long-term use, additional essential fatty acids should be considered. The child’s doctor must carefully and constantly supervise use of 3232 A.

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

If incremental addition of carbohydrate is desired, see the table below.

Incremental Addition of Carbohydrate (CHO) to 3232 A

*g of CHO per 100 mL = approximately % (weight volume) CHO concentration.

†Values are for added CHO (does not include modified tapioca starch present in the diet powder).

‡Includes added CHO and modified tapioca starch (stabilizer) present in the diet powder.

§Prepared formula includes 81 g diet powder, the added carbohydrate and water added to make one quart.

3232 A 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