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Enfamil A.R.™
A thickened milk-based infant formula design to reduce frequent spit-up that also has brain-building DHA as recommended by experts.
Enfamil A.R. is a 20 Cal/fl oz, thickened, milk-based infant formula clinically proven to reduce spit-up by 50% in 1 week.1 Enfamil A.R. has brain-building DHA as experts recommend and has a prebiotic blend proven in Enfamil® infant formula to increase beneficial gut bacteria and promote soft stools.2
The #1 selling brand of formula for spit-up†
- Clinically proven to reduce spit-up by over 50%‡1 in 1 week while still providing complete nutrition for baby’s first year
- DHA has been demonstrated in clinical studies to:
- Support cognitive and visual development4-7
- Promote long-term cognitive outcomes through 5 years of age§7
- A Natural Defense® Dual Prebiotic blend designed to support immune and gut health
- Meets reflux reduction guidance of the American Academy of Pediatrics8
- Nutritionally balanced with a nutrient profile similar to routine infant formula • 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
- Enfamil A.R. powder is designed to thicken further in the stomach, allowing easier flow through a standard nipple
Additional product features:
- Kosher Dairy (OU-D), Halal
Clinical Evidence:
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
Enfamil A.R.TM
The only split-up formula in a published, randomized, controlled trial (N=104) proven to reduce frequency and volume of regurgitation due to reflux
Clinical Study
EFFICACY OF A PRE-THICKENED INFANT FORMULA IN INFANTS WITH GER
Clinical Study
Footnotes:
†Regurgitation formula is defined as a rice-thickened formula.
‡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.
||Each scoop adds about 0.2 fl oz to the amount of prepared formula.
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: 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.
Ingredient Transparency
Explore the function behind our ingredients.
| (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 | 95 | 700 |
| Vitamin B6, mcg | 60 | 60 | 41 | 41 | 300 |
| Vitamin B12, mcg | 0.3 | 0.3 | 0.2 | 0.2 | 1.49 |
| Niacin, mcg | 1000 | 1000 | 680 | 680 | 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 | 4.1 | 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 | 1.22 | 9 |
| Zinc, mg | 1 | 1 | 0.68 | 0.68 | 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)3 | 23 |
| Potential Renal Solute Load (mOsm/100 mL)3 | 15.3 |
| Osmolality (mOsm/kg water) | 240 (Liq) 230 (Pwd) |
| Osmolarity (mOsm/L) | 210 (Liq) 210 (Pwd) |
| Lactose-free | No |
AMINO ACID COMPOSITION
Essential and Nonessential Amino Acids
DILUTION INFORMATION FOR ENFAMIL A.R.
Mixing instruction by the scoop and quart
Download dilution information ↗
Mixing instructions for various concentrations and volume yields
Download dilution information ↗
POWDER
Instructions for Preparation and Use
A baby’s health depends on carefully following the instructions below. Proper hygiene, preparation, dilution, use and storage are important when preparing infant formula. Powdered infant formulas are not sterile and should NOT be fed to premature infants or infants who might have immune problems unless directed and supervised by a doctor. Discuss with parents which formula is appropriate for the baby.
- Wash hands thoroughly with soap and water before preparing formula.
- Pour the desired amount of water into the bottle. Add powder.
- Cap bottle and SHAKE WELL. Let bottle sit 5 minutes. SHAKE AGAIN.
Use the following chart for correct amounts of water and powder. Use scoop in tub or can to measure powder. Store DRY scoop in lid holder in tub or in can.
| To MakeII | Water | Powder | Weight |
|---|---|---|---|
| 2 fl oz bottle | 2 fl oz | 1 unpacked level scoop | 9 g |
| 4 fl oz bottle | 4 fl oz | 2 unpacked level scoops | 18 g |
| 8 fl oz bottle | 8 fl oz | 4 unpacked level scoops | 36 g |
IIEach scoop adds about 0.2 fl oz to the amount of prepared formula.
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
Refer to the product label for the most accurate information.
Failure to follow these instructions could result in severe harm. Once prepared, infant formula can spoil quickly. Either feed immediately or cover and store in refrigerator at 35–40°F (2–4°C) 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, use formula 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
NURSETTE® BOTTLES
A baby’s health depends on carefully following the instructions below. Use as directed by a medical professional. Proper hygiene, preparation, use and storage are important when preparing infant formula. Discuss with parents which formula is appropriate for the baby. Discuss with parents whether they need to boil a clean nipple in water before use.
2 fl oz Nursette Bottles
- Inspect each bottle for signs of damage.
- Wash hands thoroughly with soap and water before preparing bottle for feeding.
- SHAKE BOTTLE WELL and remove cap.
- Attach nipple unit (not included).
WARNING: Do not use a microwave oven to warm formula. Serious burns may result.
Failure to follow these instructions could result in severe harm. Opened bottles can spoil quickly. Either feed immediately or replace cap and store in refrigerator at 35–40°F (2–4°C) for no longer than 24 hours. Do not use opened bottle if it is unrefrigerated for more than a total of 2 hours. Do not freeze. After feeding begins, use formula within 1 hour or discard.
Storage: Store unopened bottles at room temperature. Avoid excessive heat and prolonged exposure to light. Do not freeze.
DO NOT ACCEPT IF PACKAGE HAS BEEN OPENED.
DO NOT USE IF CAP RING IS BROKEN OR MISSING.
USE BY DATE ON CARTON AND BOTTLE LABLE.
READY-TO-FEED
A baby’s health depends on carefully following the instructions below. Use as directed by a medical professional. Proper hygiene, preparation, use and storage are important when preparing infant formula. Discuss with parents which formula is appropriate for the baby. Discuss with parents whether they need to boil clean utensils, bottles and nipples in water before use.
8 fl oz Bottles
- Wash hands thoroughly with soap and water before preparing feeding bottles.
- SHAKE BOTTLE WELL,remove protective seal around cap, remove cap and foil seal.
- Pour into feeding bottle(s).
WARNING: Do not use a microwave oven to warm formula. Serious burns may result.
Failure to follow these instructions could result in severe harm. Opened bottles and prepared formula can spoil quickly. Either feed immediately or cover and store in refrigerator at 35–40°F (2–4°C) for no longer than 48 hours. Do not use opened bottle and/or prepared formula if they are unrefrigerated for more than a total of 2 hours. Do not freeze prepared bottle. After feeding begins, use formula within 1 hour or discard.
Storage: Store unopened bottles at room temperature. Avoid excessive heat. Do not freeze.
DO NOT ACCEPT IF PACKAGE HAS BEEN OPENED.
DO NOT USE IF PROTECTIVE SEAL AROUND CAP, OR IF FOIL SEAL UNDER CAP, IS DAMAGED OR MISSING.
USE BY DATE ON CARTON AND BOTTLE LABEL
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
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Enfamil A.R.™, Powder (19.5 oz tub)
Item #: 020152
Description: Powder
Unit Size: 19.5 oz tub
Calories/Unit: 2740
Product Yield/Unit (fl oz): 137
Case: 4 tubs per case
HCPCS Code: B4158
NDC Format Code: 00087-0201-65
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 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
- 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.
- Scalabrin DMF, Mitmesser SH, Welling GW, et al. New prebiotic blend of polydextrose and galacto-oligosaccharides has a bifidogenic effect in young infants. J Pediatr Gastroenterol Nutr. 2012;54(3):343-52. doi:10.1097/MPG.0b013e318237ed95
- Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.
- 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.
- 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.
- 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.
- 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.
- Lightdale JR, Gremse DA. Section on Gastroenterology, Hepatology, and Nutrition. Gastroesophageal reflux: management guidance for the pediatrician. Pediatrics. 2013;131:e1684-e1695.