Covered Formulas by Insurancecoveredbabyformula.com

PurAmino DHA & ARA by Enfamil

PurAmino is a 20 Cal/fl oz, iron-fortified, hypoallergenic, amino acid-based infant formula for the dietary management of infants with severe cow's milk protein allergy, not effectively managed by an extensively hydrolyzed formula. PurAmino is also indicated for the dietary management of infants with multiple food protein allergies. It may also be suitable for conditions requiring an elemental diet such as protein maldigestion, malabsorption, short bowel syndrome and eosinophilic esophagitis.

Long-Term Usage: PurAmino is designed to provide a sole source of nutrition for infants up to age 6 months and provide a major source of nutrition through 24 months of age, when indicated. Normally, in feeding infants, gradual introduction of solid foods after 4-6 months of age is an important developmental as well as nutritional step. In cases of severe and multiple food allergies or intolerances, PurAmino is sometimes continued as a milk substitute in the diet of children. This and similar supplemental use of PurAmino in the diet beyond 24 months of age may make a significant contribution to maintenance of good nutrition in such patients.

When PurAmino is used as a milk substitute, the total calcium content of the diet should be assessed.

Extended use of PurAmino (or other infant formulas) as a sole source of diet is most appropriately monitored by physicians and nutritionists on a case-by-case basis.

Product Features

Hypoallergenic, 100% free amino acids as nitrogen source:
- 100% of infants fed PurAmino had no allergic reactions/ adverse events1
- 2.8 g protein equivalent/100 Calories
Formulated with 33% MCT oil to help facilitate fat absorption
Nutritionally complete:
- Can be sole source of nutrition up to age 6 months
- Can be major source of nutrition through 24 months
- Dietary reference intakes include a recommendation for fiber for >12 months of age
DHA and ARA, important nutrients also found in breast milk that promote brain and eye development
Lactose-free
Demonstrated to support normal growth in healthy infants
Kosher, Halal

Ingredients

Corn syrup solids (48%), amino acids (L-aspartic acid, L-leucine, L-proline, L-lysine hydrochloride, L-alanine, monosodium glutamate, L-valine, L-isoleucine, L-threonine, L-serine, L-tyrosine, L-arginine, L-phenylalanine, glycine, L-histidine, L-cystine, L-tryptophan, L-methionine) (18%), high oleic sunflower oil (10%), medium chain triglycerides (MCT) oil (9%), soy oil (8%), modified tapioca starch (3%) and less than 2%: Mortierella alpina oil, Crypthecodinium cohnii oil, choline chloride, inositol, ascorbic acid, niacinamide, calcium pantothenate, riboflavin, thiamin hydrochloride, vitamin B6 hydrochloride, vitamin D3, folic acid, vitamin K1, biotin, taurine, vitamin E acetate, L-carnitine, vitamin A palmitate, vitamin B12, calcium phosphate, potassium citrate, calcium citrate, sodium citrate, potassium chloride, calcium hydroxide, magnesium phosphate, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, sodium iodide, sodium selenite.

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Nutramigen with Enflora LGG

Nutramigen Formula with Enflora LGG is a 20 Cal/fl oz, iron-fortified, lactose-free, hypoallergenic infant formula designed for infants who are allergic to the intact proteins in cow's milk and soy formulas. Nutramigen with Enflora LGG has extensively hydrolyzed casein protein to help avoid an immune system response by reducing the allergen exposure, and the probiotic branded LGG to help support the strength of the intestinal barrier and support digestive health.

Long-Term Usage

In cases of continued food allergies or intolerances, Nutramigen with Enflora LGG is sometimes used as a milk substitute in the diet of children beyond 12 months of age. When Nutramigen is used as a milk substitute beyond 12 months of age, the total calcium content of the diet should be assessed. Extended use of Nutramigen with Enflora LGG (or other infant formulas) as a sole source of diet is most appropriately monitored by physicians and nutritionists on a case-by-case basis.

Product Features

Hypoallergenic and suitable for someone with lactose intolerance
Starts to manage colic in as early as the first feeding, with 90% of infants improving within 48 hours
Nutritionally complete
Result in 0% blood in stool after 4 weeks of feedings
Contains the probiotic LGG to help support the strength of the intestinal barrier and support digestive health
Has DHA and ARA, important nutrients also found in breast milk, that promote brain and eye development
Nutramigen protein clinically researched in over 70 studies
Helps babies consume milk protein without an allergic response, in as early as 6 months of feeding
Proven to promote skin health in infants through 18 months of age
Proven to promote gastrointestinal (GI) health within 1 week of use

Ingredients

Corn syrup solids (48%), vegetable oil (palm olein, coconut, soy and high oleic sunflower oils) (26%), casein hydrolysate (milk) (16%)#, modified corn starch (4%) and less than 2%: Mortierella alpina oil, Crypthecodinium cohnii oil, Lactobacillus rhamnosus GG, calcium citrate, calcium phosphate, potassium chloride, potassium citrate, sodium citrate, calcium hydroxide, magnesium oxide, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, sodium iodide, sodium selenite, choline chloride, ascorbic acid, niacinamide, calcium pantothenate, vitamin D3, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, folic acid, vitamin K,, biotin, vitamin B2, inositol, vitamin A palmitate, vitamin E acetate, L-cystine, L- tyrosine, L-tryptophan, taurine, L-carnitine.

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Abbott EleCare

Supports growth of infants 0-12 months

EleCare is a nutritionally complete amino acid-based formula for infants who cannot tolerate intact or hydrolyzed protein. It's hypoallergenic and clinically shown to support the growth of exclusively formula-fed infants.1 Protein source is comprised of 100% free amino acids and has DHA/ARA, nutrients that help support brain and eye development. EleCare helps manage symptoms of severe food allergies and various gastrointestinal (GI) conditions. 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 your baby's doctor.

Never use a microwave to warm formula. Serious burns can result.

Product Features

Clinically documented to be hypoallergenic, to virtually eliminate the potential for an allergic reaction to the formula in multiple-food-allergic infants.
Clinically shown to support the growth of exclusively formula-fed infants.
100% free amino acids as nitrogen source.
DHA and ARA, nutrients that help support brain and eye development.
33% of fat blend as MCTs, an easily digested and well-absorbed fat source.
Supported by strict manufacturing standards and ELISA (Enzyme-Linked ImmunoSorbent Assay) testing.
Does not contain milk protein, soy protein, fructose, galactose, lactose, or gluten.
Halal.
Kosher - made with pareve ingredients.

Ingredients

Corn Syrup Solids (55%), High Oleic Safflower Oil (9%), Medium-Chain Triglycerides (8%), Soy Oil (7%), L-Glutamine (2%). Less than 2% of: C. Cohnii Oil, M. Alpina Oil, L-Asparagine, L-Leucine, L-Lysine Acetate, DATEM, Calcium Phosphate, L-Valine, Potassium Phosphate, L-Isoleucine, L-Arginine, L-Phenylalanine, L-Tyrosine, L-Threonine, Potassium Citrate, Sodium Citrate, L-Proline, L-Serine, L-Alanine, Glycine, L-Histidine, L-Methionine, Ascorbic Acid, Magnesium Chloride, Calcium Carbonate, L-Cystine Dihydrochloride, L-Tryptophan, Salt, Choline Chloride, Inositol, Ferrous Sulfate, Taurine, Ascorbyl Palmitate, Zinc Sulfate, dl-Alpha-Tocopheryl Acetate, L-Carnitine, Niacinamide, Calcium Pantothenate, Thiamine Hydrochloride, Copper Sulfate, Manganese Sulfate, Vitamin A Palmitate, Riboflavin, Pyridoxine Hydrochloride, Folic Acid, Beta-Carotene, Biotin, Phylloquinone, Chromium Chloride, Potassium Iodide, Sodium Selenate, Sodium Molybdate, Vitamin D3, and Vitamin B12.

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Nutramigen Ready to Feed

Nutramigen Ready to Feed is a liquid 20 Cal/fl oz, iron-fortified, lactose-free, hypoallergenic infant formula designed for infants who are allergic to the intact proteins in cow's milk and soy formulas. Nutramigen Ready to Feed has extensively hydrolyzed casein protein to help avoid an immune system response by reducing the allergen exposure, and the probiotic branded LGG to help support the strength of the intestinal barrier and support digestive health.

Long-Term Usage

In cases of continued food allergies or intolerances, Nutramigen Ready to Feed is sometimes used as a milk substitute in the diet of children beyond 12 months of age. When Nutramigen is used as a milk substitute beyond 12 months of age, the total calcium content of the diet should be assessed. Extended use of Nutramigen Ready to Feed (or other infant formulas) as a sole source of diet is most appropriately monitored by physicians and nutritionists on a case-by-case basis.

Product Features

Hypoallergenic and suitable for someone with lactose intolerance
Convenient and ready-to-use in liquid form
Starts to manage colic in as early as the first feeding, with 90% of infants improving within 48 hours
Nutritionally complete
Result in 0% blood in stool after 4 weeks of feedings
Contains the probiotic LGG to help support the strength of the intestinal barrier and support digestive health
Has DHA and ARA, important nutrients also found in breast milk, that promote brain and eye development
Nutramigen protein clinically researched in over 70 studies
Helps babies consume milk protein without an allergic response, in as early as 6 months of feeding
Proven to promote skin health in infants through 18 months of age
Proven to promote gastrointestinal (GI) health within 1 week of use

Ingredients

Corn syrup solids (48%), vegetable oil (palm olein, coconut, soy and high oleic sunflower oils) (26%), casein hydrolysate (milk) (16%)#, modified corn starch (4%) and less than 2%: Mortierella alpina oil, Crypthecodinium cohnii oil, Lactobacillus rhamnosus GG, calcium citrate, calcium phosphate, potassium chloride, potassium citrate, sodium citrate, calcium hydroxide, magnesium oxide, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, sodium iodide, sodium selenite, choline chloride, ascorbic acid, niacinamide, calcium pantothenate, vitamin D3, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, folic acid, vitamin K,, biotin, vitamin B2, inositol, vitamin A palmitate, vitamin E acetate, L-cystine, L- tyrosine, L-tryptophan, taurine, L-carnitine.

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Nutricia Neocate Syneo

Neocate Syneo Infant is the first and only hypoallergenic formula with prebiotics and probiotics, specifically designed for food-allergic infants.

Neocate Syneo Infant is specially formulated for the dietary management of infants with cow milk allergy (CMA), multiple food allergies (MFA) and related GI and allergic conditions, including food protein-induced enterocolitis syndrome (FPIES), eosinophilic esophagitis (EoE) and gastroesophageal reflux (GER). Only Neocate Syneo Infant contains Syneo, a patented blend of prebiotics and probiotics, backed by years of research, and designed to help support a balanced gut microbiota in food-allergic infants.

Product Features

Added nucleotides & DHA/ARA
Dairy free
Made in a dairy protein-free facility
Soy oil free
No artificial colors, flavors, sweeteners
Halal Hypoallergenic - effectively resolves food allergy symptoms
Based on 100% non-allergenic free amino acids
Nutritionally complete for infants 0-12 months - supports normal growth and development
Only hypoallergenic formula with a clinically tested blend of prebiotics and probiotics, shown to balance the gut microbiota of food-allergic infants to be closer to that of breastfed infants

Neocate Syneo Infant is a specially formulated medical food and should only be used under medical supervision. It's important to always contact a healthcare professional before making any changes to your baby's diet.

Ingredients

Corn Syrup Solids (51%), Refined Vegetable Oil (Medium Chain Triglycerides (8%), High Oleic Sunflower Oil (6%), Sunflower Oil (4%), Canola Oil (4%)), Fructooligosaccharides (Oligofructose (4%), Inulin (0.5% )), less than 2% of each of the following: Dipotassium Phosphate, Tricalcium Phosphate, Calcium Carbonate, Calcium Glycerophosphate, L-Arginine L-Aspartate, Calcium Phosphate Dibasic, L-Leucine, L-Lysine Acetate, Tripotassium Citrate, L-Glutamine, L-Proline, L-Valine, Citric Acid Esters of Mono- and Diglycerides (CITREM), Glycine, L-Isoleucine, L-Threonine, L-Phenylalanine, L-Tyrosine, L-Serine, L-Histidine, L-Alanine, Sodium Chloride, L-Cystine, L-Tryptophan, Magnesium Chloride, Choline Bitartrate, L-Methionine, Tricalcium Citrate, Magnesium L-Aspartate, M. alpina Oil*, C. cohnii Oil**, M-Inositol, L-Ascorbic Acid, Taurine, Ferrous Sulfate, Zinc Sulfate, L-Carnitine, Uridine 5'-Monophosphate Disodium Salt, Cytidine 5'-Monophosphate, Niacinamide, Inosine 5'-Monophosphate Disodium Salt, Adenosine 5'-Monophosphate, Calcium D-Pantothenate, Guanosine 5'-Monophosphate Disodium Salt, DL-alpha Tocopheryl Acetate, Bifidobacterium breve M-16V, Ascorbyl Palmitate, Manganese Sulfate, Thiamin Chloride Hydrochloride, Pyridoxine Hydrochloride, Cupric Sulfate, Riboflavin, Vitamin A Acetate, DL-alpha Tocopherol, Potassium Iodide, Mixed Tocopherols, Folic Acid, Chromium Chloride, Phylloquinone, Sodium Selenite, Sodium Molybdate, D-Biotin, Vitamin D3, Cyanocobalamin.
*A source of Arachidonic Acid (ARA)
**A source of Docosahexaenoic Acid (DHA)

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Pregestimil DHA & ARA

Pregestimil is an infant formula designed for infants who experience fat malabsorption and who may also be sensitive to intact proteins. Fat malabsorption or steatorrhea may be associated with cystic fibrosis, short bowel syndrome, intractable diarrhea and severe protein calorie malnutrition.

Long-Term Usage: Pregestimil is designed to provide a sole source of nutrition for infants up to age 6 months, and to provide a major source of nutrition through 12 months of age. Normally, in feeding infants, gradual introduction of solid foods after 4-6 months of age is an important developmental as well as nutritional step.

In cases of chronic malabsorption disorders, Pregestimil is sometimes continued as a milk substitute in the diet of children. This and similar supplemental use of Pregestimil in the diet beyond 12 months of age may make a significant contribution to the maintenance of good nutrition in such patients, and is not known to be harmful in any way. When Pregestimil is used as a milk substitute, the total calcium content of the diet should be assessed.

Extended use of Pregestimil (or other infant formulas) as a sole source of diet is most appropriately monitored by physicians and nutritionists on a case-by-case basis.

Product Features

Hypoallergenic protein source (extensively hydrolyzed casein)
55% of the fat from medium-chain triglycerides (MCT) oil
Designed for infants with fat malabsorption problems
Ready to use is virtually isotonic
DHA and ARA, important nutrients also found in breast milk, that promote brain and eye development1-8
Available in both powder and Nursette bottles
Lactose-free

Ingredients

Corn syrup solids (42%), casein hydrolysate* (milk) (16%), medium chain triglycerides (MCT oil) (15%), modified corn starch (7%), soy oil (7%), corn oil (2%), high oleic vegetable oil (safflower or sunflower) (2%) and less than 2%: Mortierella alpina oil, Crypthecodinium cohnii oil, vitamin A palmitate, vitamin D3, vitamin E acetate, vitamin K1, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, vitamin B12, niacinamide, folic acid, calcium pantothenate, biotin, ascorbic acid, choline chloride, inositol, calcium citrate, calcium phosphate, magnesium oxide, ferrous sulfate, zinc sulfate, manganese sulfate, cupric sulfate, sodium iodide, sodium citrate, potassium citrate, potassium chloride, sodium selenite, L-cystine, L-tyrosine, L-tryptophan, taurine, L-carnitine.

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Similac Pro-Sensitive

Similac Pro-Sensitive* infant formula is designed for babies with sensitive tummies who have fussiness and gas due to lactose sensitivity. It has 2'-FL human milk oligosaccharide (2'-FL HMO), an immune-nourishing prebiotic like that found in breast milk, that supports baby's developing immune system.

* Not for infants or children with galactosemia.

Product Features

FORMULA FOR SENSITIVE TUMMIES: Gentle nutrition designed to ease common tummy troubles like fussiness, gas, or mild spit-up. Suitable for infants with lactose sensitivity
2'-FL HMO PREBIOTIC FOR IMMUNE SUPPORT: Similac Pro-Sensitive has 2'-FL HMO, a prebiotic that helps strengthen the immune system to be more like the breastfed infant than ever before
SUPPORTS BRAIN & EYE DEVELOPMENT: Features our exclusive blend of DHA, lutein, and vitamin E, ingredients found in breast milk that are important for helping to support baby's brain and eye development
PROMOTES STRONG BONES: Has no palm olein oil to promote excellent calcium absorption for strong bones
TRUSTED BRAND: Similac is the #1 infant formula brand chosen by parents
NO ARTIFICIAL GROWTH HORMONES & NON-GMO: Similac is the first leading infant formula brand with no artificial growth hormones. Similac Pro-Sensitive contains ingredients that are not genetically engineered

Ingredients

Corn Syrup, Milk Protein Isolate, High Oleic Safflower Oil, Sugar, Soy Oil, Coconut Oil. Less than 2% of: C. Cohnii Oil, M. Alpina Oil, 2'-Fucosyllactose, Short-chain Fructooligosaccharides, Beta-Carotene, Lutein, Potassium Chloride, Sodium Citrate, Calcium Phosphate, Potassium Citrate, Soy Lecithin, Inositol, Magnesium Phosphate, Ascorbic Acid, Choline Chloride, Ascorbyl Palmitate, Ferrous Sulfate, Choline Bitartrate, Taurine, Calcium Carbonate, Zinc Sulfate, L-Carnitine, Mixed Tocopherols, Niacinamide, d-Alpha-Tocopheryl Acetate, Calcium Pantothenate, Magnesium Chloride, Vitamin A Palmitate, Copper Sulfate, Thiamine Hydrochloride, Riboflavin, Pyridoxine Hydrochloride, Folic Acid, Potassium Iodide, Manganese Sulfate, Phylloquinone, Biotin, Sodium Selenate, Vitamin D3, Vitamin B12, Potassium Hydroxide, and Nucleotides (Adenosine 5'-Monophosphate, Cytidine 5'-Monophosphate, Disodium Guanosine 5'-Monophosphate, Disodium Uridine 5'-Monophosphate).

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Covered Formulas

Hypoallergenic Formulas

Nutramigen with Enflora LGG

Similac Alimentum

PurAmino DHA & ARA by Enfamil

Nutramigen Ready to Feed

Similac Alimentum Ready to Feed

Abbott EleCare

Enfamil ProSobee

Enfamil A.R.

Nutricia Neocate Syneo

Nutricia Neocate Infant DHA/ARA

Nutricia Neocate Junior

Similac Soy Isomil

Gerber Good Start Soy

Nestle Extensive HA

Nutramigen Toddler

PurAmino Jr

EleCare Jr

Metabolic Formulas

Pregestimil DHA & ARA

TYROS 1

Phenyl-Free 1

Premature Formulas

Enfamil EnfaCare NeuroPro

Similac NeoSure