Enteral nutrition products and food supplements

[Pages:4]Enteral nutrition products and food supplements

Effective from August 2019

Preparations included in the List of Approved Medicines (LAM)

For use in Queensland Health public hospitals and institutions, as assessed by QHMAC, with advice from the Nutrition SubCommittee (NUSCO).

NOTE: A new standing offer arrangement (SOA) commenced on 1 April 2019. To allow existing stocks to be consumed, the SOA brand names below include the names of new SOA items (in bold), existing SOA items (standard font)--and those which have been removed from the SOA but may currently remain available (italicised).

Preparations

(bolded items show April 2019 amendments)

PBS listed

LAM restriction SOA product incoming/remaining (outgoing SOA product)

ADULT LISTINGS

Enteral Nutrition Product, Adult, Complete, Standard Energy Density, Standard Protein, Standard Osmolality, Low Lactose, Low Fibre

Specialist Staff and Country Medical Superintendents.

Liquid and Liquid-RTH

No

NUTRISON 1000mL RTH; 500mL bottle

Enteral Nutrition Product, Adult, Complete, Standard Energy Density, Standard Protein, Standard to High Osmolality, Low Lactose, Low Fibre

Powder Oral

No

Specialist Staff and Country Medical Superintendents.

ENSURE POWDER 850g can

Liquid Oral

No

FRESUBIN Original 200mL bottle

Enteral nutrition products and food supplements

Preparations (bolded items show April 2019 amendments)

Enteral Nutrition Product, Adult, Complete, Standard Energy Density, Moderately High Protein, Standard to Moderately High Osmolality, Low Lactose, Low Fibre

Liquid, Liquid-RTH and Oral

Enteral Nutrition Product, Adult, Complete, Standard Energy Density, Standard or Moderately High Protein, Standard to Moderately High Osmolality, Low Lactose, Moderately High to High Fibre

Liquid Liquid-RTH

Enteral Nutrition Product, Adult, Complete, Moderately High Energy Density, Standard or Moderately High Protein, Low Lactose, Low Fibre

Liquid - oral

Liquid - RTH

Enteral Nutrition Product, Adult, Complete, Moderately High Energy Density, Standard or Moderately High Protein, Low Lactose, Moderately High Fibre

Liquid - oral

Liquid - RTH

PBS listed

LAM restriction SOA product incoming/remaining (outgoing SOA product)

Specialist Staff and Country Medical Superintendents.

No

OSMOLITE 1000mL RTH; 250mL can

ISOSOURCE HN 1000mL

Specialist Staff and Country Medical Superintendents.

No

FIBERSOURCE 1.2 HN 237mL Tetra Pack

No

NUTRISON MULTI FIBRE 1000mL RTH; 500mL

bottle

FIBERSOURCE 1.2 HN 250mL CAN

Specialist Staff and Country Medical Superintendents.

No

RESOURCE PLUS 237mL tetrapak

No

ENSURE PLUS 200mL tetrapak

No

ENSURE PLUS HN 250mL can

No

ENSURE PLUS HN 1000mL RTH

Nutrison Energy 1000mL

Specialist Staff and Country Medical Superintendents.

JEVITY HICAL 250mL can FRESUBIN ENERGY FIBRE 200mL-- FORTISIP MULTI FIBRE 200mL BOTTLE ?

JEVITY HICAL 500mL, 1000mL RTH NUTRISON ENERGY MULTI FIBRE 1000mL PACK RTH

Enteral nutrition products and food supplements

Page 2

Preparations

(bolded items show April 2019 amendments)

PBS listed

LAM restriction SOA product incoming/remaining (outgoing SOA product)

Enteral Nutrition Product, Adult, Complete, High Energy Density, Standard or Moderately High Protein, Low Lactose

Specialist Staff and Country Medical Superintendents.

Liquid - oral

No

RESOURCE 2.0 237mL tetrapak

No

RESOURCE 2.0 FIBRE 200mL bottle

No

FORTISIP MULTI FIBRE 200mL bottle

Liquid - RTH

No

No No

No No No

No

Enteral Nutrition Product, Adult, Complete, Low to Standard Energy Density, High Protein, Low Lactose

Liquid

No

ISOSOURCE ENERGY FIBRE Smartflex 1000mL ISOSOURCE SOY ENERGY FIBRE Smartflex 1000mL ISOSOURCE 2.0 1000mL NOVASOURCE GI Forte Smartflex 1000mL NUTRISON CONCENTRATED 500mL RTH NUTRISON ENERGY 1000mL RTH; 500mL bottle NUTRISON ENERGY MULTIFIBRE 1000mL RTH; 500mL bottle

For use in adults with reduced energy expenditure but high protein requirement

RESOURCE PROTEIN 200mL bottle

Liquid - RTH

No

Enteral Nutrition Product, Adult, Complete, Standard to Moderately High Energy Density, Standard or Moderately High Protein, Lactose Free, Fructose Free, Sucrose Free, Hypoallergenic

Liquid - RTH

No

Enteral Nutrition Product, Adult, Complete, High Energy Density, Standard Protein, Low Lactose, Low Electrolyte

Liquid ? oral

No

No

NUTRISON 800 Complete Multifibre 1000mL RTH

Specialist Staff and Country Medical Superintendents for use in patients with documented dairy or fish protein allergies or patients identified as ovo-vegetarian or vegan. NUTRISON ADVANCED DIASON 1000mL RTH

Specialist Staff and Country Medical Superintendents.

NEPRO HP 220mL resealable plastic bottle ? NOVASOURCE RENAL 237mL TETRA PACK

Enteral nutrition products and food supplements

Page 3

Preparations (bolded items show April 2019 amendments)

Liquid - RTH

Enteral Nutrition Product, Adult, Complete, Moderately High Energy Density, Moderately High to High Protein, Standard to Moderately High Osmolality, Low Lactose Liquid - RTH (with fibre)

Liquid - RTH (without fibre)

Enteral Nutrition Product, Adult, Standard or Moderately High Energy Density, Standard to High Protein, Low Fat Powder - oral

PBS listed

LAM restriction SOA product incoming/remaining (outgoing SOA product)

No

NEPRO HP 500mL RTH

Specialist Staff and Country Medical Superintendents.

No

(NUTRISON PROTEIN PLUS MULTI FIBRE

1000mL PACK RTH)

No

NUTRISON PROTEIN PLUS 1000mL RTH

Specialist Staff and Country Medical Superintendents.

No

SUSTAGEN HOSPITAL FORMULA 840g CAN

ADVITAL ADVANCED NUTRITION 920g

Liquid - oral

No

Enteral Nutrition Product, Adult, Low Energy Density, High Protein, Very Low Fat, Suitable for Very Low Energy Diets

Oral

No

Enteral Nutrition Product, Adult, Complete, Low to Standard Energy Density, Standard to High Protein, Extensively hydrolysed or amino acid based, Low Lactose, Low Fibre

Powder - oral

No

Liquid ? RTH

No

Enteral Nutrition Product, High Protein, Low Electrolyte, Non-liquid, Non-Powder (Cat. 59)

Specialist Staff and Country Medical Superintendents for inpatient use only

SUSTAGEN 250mL tetrapak

Specialist Staff for inpatient use only for morbid obesity, or for treatment-resistant obesity. Caution should be used in growing patients. OPTIFAST VLCD 53g SACHET

Specialist Staff and Country Medical Superintendents.

VIVONEX T.E.N. 80g SACHET NUTRISON ADVANCED PEPTISORB 500mL, 1000mL PACK RTH

Specialist Staff for fluid restricted patients with chronic renal disease or chronic liver disease where protein requirements are high.

Enteral nutrition products and food supplements

Page 4

Preparations (bolded items show April 2019 amendments)

Solid - oral

PBS listed

LAM restriction SOA product incoming/remaining (outgoing SOA product)

No

ENSURE PLUS CR?ME 125g

(PROTEIN FX BAR)

Enteral Nutrition Product, High Energy Density, Standard to High Protein, Standard to High Fat

Liquid

No

Powder ? oral

No

Enteral Nutrition Product, Standard to Moderately High Energy Density, Standard to High Protein, Low Lactose, Low Fibre, Very Low Fat, Clear Liquid

Oral

No

PAEDIATRIC LISTINGS

Enteral Nutrition Product, Paediatric Complete, Enriched with Branched Chain Amino Acids, Low Sodium, Contains Medium Chain Triglycerides

Powder - oral

No

3.2.1 c) ? Category 64

Enteral Nutrition Product, Paediatric, Complete, Standard Energy Density, Low to Standard Protein, Moderate Fibre Low Lactose

No

Specialist Staff and Country Medical Superintendents for hypermetabolic patients and those with fluid restrictions. FORTISIP COMPACT PROTEIN 125mL SCANDISHAKE 85g SACHET Specialist Staff and Country Medical Superintendents.

RESOURCE FRUIT 237mL tetrapak

Enlive Plus / Ensure Plus JUICE 220mL RESEALABLE BOTTLE

Specialist Staff and Country Medical Superintendents.

HEPARON JUNIOR 400g CAN Specialist Staff and Country Medical Superintendents.

NUTRINI MULTI FIBRE 200mL BOTTLE RTH and 500mL PACK RTH

Liquid, Liquid-RTH, Oral

No

PEDIASURE FIBRE 220mL Resealable Plastic

Bottle

Enteral nutrition products and food supplements

Page 5

Preparations

(bolded items show April 2019 amendments)

PBS listed

LAM restriction SOA product incoming/remaining (outgoing SOA product)

Enteral Nutrition Product, Paediatric, Complete, Moderately High Energy Density, Low to Moderately High Protein, Standard Osmolality, Moderate Fibre, Low Lactose

No

No

Liquid ? RTH

No

No

Enteral Nutrition Product, Paediatric, Complete, Standard Energy Density, Amino Acid, Gluten free, Lactose free

Powder - oral

Yes

Enteral Nutrition Product, Paediatric, Complete, Standard to High Energy Density, Extensively hydrolysed, Gluten free, Low Lactose, Supplemented with Medium Chain Triglycerides

Powder or Liquid and Liquid - RTH

Yes

Yes

Enteral Nutrition Product, Paediatric, Complete, High Fat, Low Carbohydrate, Low to Standard Protein (4:1 and 3:1 ratio long chain fat to carbohydrate plus protein)

Powder - oral

Yes

Enteral Nutrition Product, Paediatric, Complete, Moderately High Energy Density, Standard to Moderately High Protein, Standard Osmolality, Low Lactose

No

Liquid - RTH

No

No

Specialist Staff and Country Medical Superintendents.

FORTINI MULTI FIBRE 200mL

TENTRINI ENERGY MULTI FIBRE 500mL BOTTLE

NUTRINI ENERGY MULTI FIBRE 500mL PACK RTH EASYBAG FREBINI ENERGY FIBRE 500mL

Specialist Staff for use as per the PBS restrictions

NEOCATE JUNIOR 400g CAN

NEOCATE ADVANCE 400g CAN

Specialist Staff and Country Medical Superintendents for use in children greater than one year of age with malabsorption due to short bowel syndrome, chemotherapy or cholestasis.

NUTRINI PEPTISORB 500mL NUTRINI PEPTISORB ENERGY 500mL

Specialist Staff for intractable epilepsy as part of a trial of ketogenic diet. To be stopped if no improvement after eight weeks.

KETOCAL 4:1 300g CAN KETOCAL 4:1 200mL LIQUID KETOCAL 3:1 300g CAN

Specialist Staff and Country Medical Superintendents for hypermetabolic patients and those with fluid restrictions.

NUTRINI ENERGY 500mL PACK and 200mL RTH

PEDIASURE PLUS 500mL RTH NUTRINIMAX ENERGY 500mL PACK

Enteral nutrition products and food supplements

Page 6

Preparations

(bolded items show April 2019 amendments)

PBS listed

LAM restriction SOA product incoming/remaining (outgoing SOA product)

Enteral Nutrition Product, Paediatric, Complete, Standard Energy Density, Low to Standard Protein, Low Lactose

Powder, Liquid, Liquid ? RTH and oral

No

No

No

No

Specialist Staff and Country Medical Superintendents for children with chronic disease.

PEDIASURE 850g CAN PEPTAMEN JUNIOR 400g CAN (PEDIASURE 200mL Resealable Plastic Bottle) NUTRINI PACK 500mL & 200mL RTH

PEDIASURE 200mL TETRAPAK

Enteral Nutrition Product, Paediatric, Complete, Low Energy Density, Low to Standard Protein, Low Lactose, Moderate Fibre

Liquid and Liquid - RTH

No

For use in children with severe disability and low energy requirements.

NUTRINI LOW ENERGY MULTI FIBRE 500mL

FOOD SUPPLEMENTS

Food Supplement, Protein Powder, Carbohydrate and Fat Free (or Minimal Quantities), Low Lactose, Low electrolyte

Powder ? oral

No

Food Supplement, Glucose Polymer, Low Electrolyte

Powder

No

Food Supplement, Long Chain Triglyceride Oil, Emulsion

Liquid

No

No

Specialist Staff and Country Medical Superintendents for patients requiring supplemental feeding who cannot tolerate other simpler protein supplements.

BENEPROTEIN 227g CAN PROTIFAR 90 225g CAN

Specialist Staff and Country Medical Superintendents.

POLY-JOULE 400g TIN CARBPLUS 1kg CAN

Specialist Staff and Country Medical Superintendents for use in patients who have disease related malnutrition, in malabsorption states, and other conditions requiring fluid restriction, or who have cystic fibrosis.

CALOGEN EXTRA 200mL BOTTLE CALOGEN 200mL BOTTLE CALOGEN 500mL BOTTLE

Enteral nutrition products and food supplements

Page 7

Preparations

(bolded items show April 2019 amendments)

PBS listed

LAM restriction SOA product incoming/remaining (outgoing SOA product)

Food Supplement, Medium Chain Triglyceride Oil

Nasogastric and oral feeds in infants. Specialist Staff for patients with chylothorax and similar states, or malabsorption states such that nutrition cannot otherwise be adequately maintained.

Liquid

Yes

MCT OIL 500mL BOTTLE

Yes

LIQUIGEN 250mL BOTTLE

Food Supplement, Protein Free, Standard Osmolality

Powder and Oral

Specialist Staff and Country Medical Superintendents for patients with proven inborn errors of protein metabolism who are unable to meet their energy requirements with permitted food and formulae.

Yes

ENERGIVIT 400g TIN

Yes

SUPER SOLUBLE DUOCAL 400g TIN

Food Supplement, Paediatric, Low Protein, Standard Osmolality, Carbohydrate Free, Low Fibre

Specialist Staff and Country Medical Superintendents for:

Patients with intractable seizures requiring treatment with a ketogenic diet; Glucose transport protein defects; Pyruvate dehydrogenase deficiency;

Infants and young children with glucosegalactose intolerance and multiple monosaccharide intolerance.

Powder ? oral

Yes

CARBOHYDRATE FREE MIXTURE TIN 225g

ROSS CARBOHYDRATE FREE CAN 384mL

Yes

INFANT FEEDS

Infant formula, Paediatric, Complete, Low energy density, Carbohydrate Modified, Lactose Free

Powder

Specialist Staff and Country Medical Superintendents.

Yes

APTAMIL GOLD DE-LACT 900g CAN

Yes

S-26 ORIGINAL ALULA L.I. 900g TIN

No

S-26 GOLD ALULA L.I. 900g TIN

No

NAN LR LI Gold 400g TIN

Enteral nutrition products and food supplements

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