Enteral nutrition products and food supplements

1 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.

2 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 Specialist Staff and Country Medical Superintendents. Powder Oral No ENSURE POWDER 850g can Liquid Oral No FRESUBIN Original 200mL bottle Enteral nutrition products and food supplements 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, Standard Energy Density, Moderately High Protein, Standard to Moderately High Osmolality, Low Lactose, Low Fibre Specialist Staff and Country Medical Superintendents.

3 Liquid, Liquid-RTH and Oral No OSMOLITE 1000mL RTH; 250mL can ISOSOURCE HN 1000mL 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 Specialist Staff and Country Medical Superintendents. Liquid No FIBERSOURCE HN 237mL Tetra Pack Liquid-RTH No NUTRISON MULTI FIBRE 1000mL RTH; 500mL bottle FIBERSOURCE HN 250mL CAN Enteral nutrition Product, Adult, Complete, Moderately High Energy Density, Standard or Moderately High Protein, Low Lactose, Low Fibre Specialist Staff and Country Medical Superintendents. Liquid - oral No No No RESOURCE PLUS 237mL tetrapak ENSURE PLUS 200mL tetrapak ENSURE PLUS HN 250mL can Liquid - RTH No ENSURE PLUS HN 1000mL RTH Nutrison Energy 1000mL Enteral nutrition Product, Adult, Complete, Moderately High Energy Density, Standard or Moderately High Protein, Low Lactose, Moderately High Fibre Specialist Staff and Country Medical Superintendents.

4 Liquid - oral JEVITY HICAL 250mL can FRESUBIN ENERGY FIBRE 200mL FORTISIP MULTI FIBRE 200mL BOTTLE Liquid - RTH JEVITY HICAL 500mL, 1000mL RTH NUTRISON ENERGY MULTI FIBRE 1000mL PACK RTH Enteral nutrition products and food supplements Page 3 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 No No RESOURCE 237mL tetrapak RESOURCE FIBRE 200mL bottle FORTISIP MULTI FIBRE 200mL bottle Liquid - RTH No No No No No No No ISOSOURCE ENERGY FIBRE Smartflex 1000mL ISOSOURCE SOY ENERGY FIBRE Smartflex 1000mL ISOSOURCE 1000mL NOVASOURCE GI Forte Smartflex 1000mL NUTRISON CONCENTRATED 500mL RTH NUTRISON ENERGY 1000mL RTH; 500mL bottle NUTRISON ENERGY MULTIFIBRE 1000mL RTH.

5 500mL bottle Enteral nutrition Product, Adult, Complete, Low to Standard Energy Density, High Protein, Low Lactose For use in adults with reduced energy expenditure but high protein requirement Liquid No RESOURCE PROTEIN 200mL bottle Liquid - RTH No NUTRISON 800 Complete Multifibre 1000mL RTH Enteral nutrition Product, Adult, Complete, Standard to Moderately High Energy Density, Standard or Moderately High Protein, Lactose Free, fructose Free, Sucrose Free, Hypoallergenic 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. Liquid - RTH No NUTRISON ADVANCED DIASON 1000mL RTH Enteral nutrition Product, Adult, Complete, High Energy Density, Standard Protein, Low Lactose, Low Electrolyte Specialist Staff and Country Medical Superintendents.

6 Liquid oral No No NEPRO HP 220mL resealable plastic bottle NOVASOURCE RENAL 237mL TETRA PACK Enteral nutrition products and food supplements Page 4 Preparations (bolded items show April 2019 amendments) PBS listed LAM restriction SOA product incoming/remaining (outgoing SOA product) Liquid - RTH No NEPRO HP 500mL RTH Enteral nutrition Product, Adult, Complete, Moderately High Energy Density, Moderately High to High Protein, Standard to Moderately High Osmolality, Low Lactose Specialist Staff and Country Medical Superintendents. Liquid - RTH (with fibre) No (NUTRISON PROTEIN PLUS MULTI FIBRE 1000mL PACK RTH) Liquid - RTH (without fibre) No NUTRISON PROTEIN PLUS 1000mL RTH Enteral nutrition Product, Adult, Standard or Moderately High Energy Density, Standard to High Protein, Low Fat Specialist Staff and Country Medical Superintendents.

7 Powder - oral No SUSTAGEN HOSPITAL FORMULA 840g CAN ADVITAL ADVANCED nutrition 920g Liquid - oral No Specialist Staff and Country Medical Superintendents for inpatient use only SUSTAGEN 250mL tetrapak Enteral nutrition Product, Adult, Low Energy Density, High Protein, Very Low Fat, Suitable for Very Low Energy Diets Specialist Staff for inpatient use only for morbid obesity, or for treatment-resistant obesity. Caution should be used in growing patients. Oral No OPTIFAST VLCD 53g SACHET Enteral nutrition Product, Adult, Complete, Low to Standard Energy Density, Standard to High Protein, Extensively hydrolysed or amino acid based, Low Lactose, Low Fibre Specialist Staff and Country Medical Superintendents. Powder - oral No VIVONEX 80g SACHET Liquid RTH No NUTRISON ADVANCED PEPTISORB 500mL, 1000mL PACK RTH Enteral nutrition Product, High Protein, Low Electrolyte, Non-liquid, Non-Powder (Cat.)

8 59) 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 5 Preparations (bolded items show April 2019 amendments) PBS listed LAM restriction SOA product incoming/remaining (outgoing SOA product) Solid - oral No ENSURE PLUS CR ME 125g (PROTEIN FX BAR) Enteral nutrition Product, High Energy Density, Standard to High Protein, Standard to High Fat Specialist Staff and Country Medical Superintendents for hypermetabolic patients and those with fluid restrictions. Liquid No FORTISIP COMPACT PROTEIN 125mL Powder oral No SCANDISHAKE 85g SACHET Enteral nutrition Product, Standard to Moderately High Energy Density, Standard to High Protein, Low Lactose, Low Fibre, Very Low Fat, Clear Liquid Specialist Staff and Country Medical Superintendents.

9 Oral No RESOURCE FRUIT 237mL tetrapak Enlive Plus / Ensure Plus JUICE 220mL RESEALABLE BOTTLE PAEDIATRIC LISTINGS Enteral nutrition Product, Paediatric Complete, Enriched with Branched Chain Amino Acids, Low Sodium, Contains Medium Chain Triglycerides Specialist Staff and Country Medical Superintendents. Powder - oral No HEPARON JUNIOR 400g CAN 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. 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 6 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 Specialist Staff and Country Medical Superintendents.

10 FORTINI MULTI FIBRE 200mL TENTRINI ENERGY MULTI FIBRE 500mL BOTTLE Liquid RTH No No NUTRINI ENERGY MULTI FIBRE 500mL PACK RTH EASYBAG FREBINI ENERGY FIBRE 500mL Enteral nutrition Product, Paediatric, Complete, Standard Energy Density, Amino Acid, Gluten free, Lactose free Specialist Staff for use as per the PBS restrictions Powder - oral Yes NEOCATE JUNIOR 400g CAN NEOCATE ADVANCE 400g CAN Enteral nutrition Product, Paediatric, Complete, Standard to High Energy Density, Extensively hydrolysed, Gluten free, Low Lactose, Supplemented with Medium Chain Triglycerides 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.