PediaSure® 1.5 Cal with Fiber

Complete, Balanced Nutrition®

PediaSure 1.5 Cal with Fiber is a higher^* caloric density product designed to meet the higher energy requirements of pediatric patients who are at risk for malnutrition, require a higher caloric density, or have fluid restrictions. PediaSure 1.5 Cal with Fiber provides a source of complete, balanced nutrition for children 1 to 13 years of age.
May be used as the sole source of nutrition or as a supplement.
For oral or tube feeding.
Use under medical supervision.

^* Caloric value is 1.5 Cal/mL compared to base PediaSure® at 1.0 Cal/mL.

Features

Meets or exceeds 100% of the DRIs for protein and 25 essential vitamins and minerals for children 1 to 8 years of age in 1000 mL, and for children 9 to 13 years of age in 1500 mL.
Excellent source of high-quality protein designed to meet the acceptable macronutrient distribution range of protein for children ages 1 to 13.
Good source of fiber^† to help regulate bowel function.
Prebiotic fiber for digestive system health.
Excellent source of DHA omega-3^‡ to help support brain and eye health.
Good source of antioxidants^§ to support the immune system.
Meets or exceeds 100% of the American Academy of Pediatrics (AAP) recommended daily value of vitamin D in a complete feeding.^¶
Kosher.
Halal.
Gluten-free.
Suitable for lactose intolerance.

Feeding sets are for single-patient use only. Use clean technique to avoid set and/or product contamination.

Precautions

Not for children with galactosemia.
Not intended for infants under 1 year of age unless specified by a physician.
Not for IV use.

^† 3 g per 8-fl-oz serving, 12% of 25 g Daily Value.

^‡ 32 mg of DHA per 8-fl-oz serving (20% of 160 mg Daily Value).

^§ Vitamins C & E and selenium.

^¶ Complete feeding is defined as 1000 mL for children ages 1 to 8 and 1500 mL for children ages 9 to 13.

Availability

List Number	Item
56411	PediaSure 1.5 Cal w Fiber Ready-to-Feed Vanilla Institutional / 8-fl-oz (237-mL) Can / 24 ct
62022	PediaSure 1.5 Cal w Fiber RTH Vanilla Institutional / 1000-mL (1.1 QT) Bottle / 8 ct (discontinued)
62749	PediaSure 1.5 Cal w Fiber Cross Cap RTH Vanilla Institutional / 1000-mL (1.1 QT) Bottle / 8 ct

Nutrition

Vanilla

PediaSure 1.5 Cal w Fiber Ready-to-Feed Vanilla Institutional / 8-fl-oz (237-mL) Can / 24 ct
PediaSure 1.5 Cal w Fiber RTH Vanilla Institutional / 1000-mL (1.1 QT) Bottle / 8 ct (discontinued)
PediaSure 1.5 Cal w Fiber Cross Cap RTH Vanilla Institutional / 1000-mL (1.1 QT) Bottle / 8 ct

Serving Size: 8 fl oz (237 mL)
Amount Per Serving	% DV	% RDI
Characteristics
Protein, % Cal: 16
Protein Source: Milk Protein Concentrate
Fat, % Cal: 41
Fat Source: High Oleic Safflower Oil, Soy Oil, Medium-Chain Triglycerides
Fat Ratio: 43:42:15
Carbohydrate, % Cal: 43
Carbohydrate Source: Corn Maltodextrin
Osmolality, mOsm/kg H2O: 390
Nutrient Data
Protein, g: 14
Fat, g: 16
Carbohydrate, g: 39
Dietary Fiber, g: 3^*
L-Carnitine, mg: 4.0
Taurine, mg: 18
Water, g: 185
Calories: 350
Vitamins
Vitamin A, IU: 500
Vitamin D, IU: 160
Vitamin E, IU: 6.0
Vitamin K, mcg: 16
Vitamin C, mg: 24
Folic Acid, mcg: 60
Thiamin (Vitamin B1), mg: 0.6
Riboflavin (Vitamin B2), mg: 0.5
Vitamin B6, mg: 0.6
Vitamin B12, mcg: 1.5
Niacin, mg: 2.0
Choline, mg: 83
Biotin, mcg: 45
Pantothenic Acid, mg: 2.5
Inositol, mg: 20
Minerals
Sodium, mg: 90
Potassium, mg: 390
Chloride, mg: 270
Calcium, mg: 350
Phosphorus, mg: 250
Magnesium, mg: 60
Iodine, mcg: 23
Manganese, mg: 0.4
Copper, mg: 0.2
Zinc, mg: 1.5
Iron, mg: 2.7
Selenium, mcg: 7.0
Chromium, mcg: 12
Molybdenum, mcg: 7.5
^* Includes 1.5 g from short-chain fructooligosaccharides (scFOS®). scFOS is not a registered trademark of Abbott Laboratories.

Serving Size: 1000 mL
Amount Per Serving	% DV	% RDI
Characteristics
Protein, % Cal: 16
Protein Source: Milk Protein Concentrate
Fat, % Cal: 41
Fat Source: High Oleic Safflower Oil, Soy Oil, Medium-Chain Triglycerides
Fat Ratio: 43:42:15
Carbohydrate, % Cal: 43
Carbohydrate Source: Corn Maltodextrin
Osmolality, mOsm/kg H2O: 390
Nutrient Data
Protein, g: 59
Fat, g: 68
Carbohydrate, g: 166
Dietary Fiber, g: 13^*
L-Carnitine, mg: 17
Taurine, mg: 76
Water, g: 780
Calories: 1500
Vitamins
Vitamin A, IU: 2110
Vitamin D, IU: 675
Vitamin E, IU: 25
Vitamin K, mcg: 68
Vitamin C, mg: 101
Folic Acid, mcg: 253
Thiamin (Vitamin B1), mg: 2.5
Riboflavin (Vitamin B2), mg: 2.1
Vitamin B6, mg: 2.5
Vitamin B12, mcg: 6.3
Niacin, mg: 8.4
Choline, mg: 350
Biotin, mcg: 190
Pantothenic Acid, mg: 11
Inositol, mg: 84
Minerals
Sodium, mg: 380
Potassium, mg: 1650
Chloride, mg: 1140
Calcium, mg: 1480
Phosphorus, mg: 1055
Magnesium, mg: 253
Iodine, mcg: 97
Manganese, mg: 1.7
Copper, mg: 0.8
Zinc, mg: 6.3
Iron, mg: 11
Selenium, mcg: 30
Chromium, mcg: 51
Molybdenum, mcg: 32
^* Includes 6.5 g from short-chain fructooligosaccharides (scFOS®). scFOS is not a registered trademark of Abbott Laboratories.

Ingredients

Vanilla

PediaSure 1.5 Cal w Fiber Ready-to-Feed Vanilla Institutional / 8-fl-oz (237-mL) Can / 24 ct
PediaSure 1.5 Cal w Fiber RTH Vanilla Institutional / 1000-mL (1.1 QT) Bottle / 8 ct (discontinued)
PediaSure 1.5 Cal w Fiber Cross Cap RTH Vanilla Institutional / 1000-mL (1.1 QT) Bottle / 8 ct

Water, Corn Maltodextrin, Milk Protein Concentrate, High Oleic Safflower Oil, Soy Oil, Short-Chain Fructooligosaccharides, Medium-Chain Triglycerides. Less than 0.5% of the Following: Oat Fiber, Natural & Artificial Flavor, Potassium Citrate, Soy Fiber, Cellulose Gel, Magnesium Phosphate, Potassium Chloride, Soy Lecithin, Monoglycerides, Salt, Calcium Phosphate, Choline Chloride, Ascorbic Acid, C. Cohnii Oil^*, Cellulose Gum, Potassium Hydroxide, Carrageenan, m-Inositol, Taurine, Sucralose, Ferrous Sulfate, dl-Alpha-Tocopheryl Acetate, L-Carnitine, Zinc Sulfate, Calcium Pantothenate, Niacinamide, Manganese Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Cupric Sulfate, Vitamin A Palmitate, Folic Acid, Chromium Chloride, Biotin, Potassium Iodide, Sodium Selenate, Sodium Molybdate, Phylloquinone, Vitamin D3, and Cyanocobalamin.
^* Source of docosahexaenoic acid (DHA)
Contains milk and soy ingredients.
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Preparation

Instructions for Use: Ready-To-Hang Container

All liquid medical foods, regardless of type of administration system, require careful handling because they can support microbial growth. Follow these instructions for clean technique and proper setup to reduce the potential for microbial contamination. NOTE: Failure to follow the Instructions for Use increases the potential for microbial contamination and reduces hangtime.
- Administer product at room temperature.
- THOROUGHLY wash hands with soap and water before handling container or feeding set.
- Turn container upside down and SHAKE VIGOROUSLY, using a twisting motion for at least 10 seconds.
- DO NOT touch any part of the container or feeding set that comes into contact with the formula.
- When initiating feeding, follow physician's instructions. Adjust flow rate and volume according to patient's condition and tolerance.
- Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
- Follow Directions for Use provided with Abbott feeding set.
For Use with Abbott Safety Screw Connector Set:
- Remove the dust cover from the RTH Safety Screw Cap.
- Remove the dust cover from the Safety Screw Connector Set.
- Insert the Safety Screw Connector Set into the port on the RTH Safety Screw Cap, completely pierce foil.
- Turn the Safety Screw Connector Clockwise until it is securely fastened.
- Close clamp on set before inverting container.
- Invert container and suspend, using the hanging ring on the bottom of the container.
- Hang product up to 48 hours when clean technique and only one Screw Cap feeding set is used.
Instructions for Use: 8-fl-oz Can
- Shake well.
- Store unopened at room temperature.
- Clean top of container thoroughly before opening.
- After opening, refrigerate and use within 48 hours.
Tube Feeding:
- Follow physician's instructions for flow rate, volume, dilution and need for additional fluids.
Oral Feeding:
- Best Served Chilled

Supporting Materials

Medicare Rates and HCPCS Codes