1. Cheryl Alto, MS, RD Cheryl.l.alto@state.or.us Julie Aalbers, RD Julie.aalbers@state.or.us

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4.  Formula  TWIST  Resources for you  Providence HME

6. WIC vouchers reflect what is on the label: e.g. “Similac Expert Care Neosure” TWIST search keeps it simple: Neosure

7. Similac Sensitive for Spit Up  Returning to market after manufacturer shortage  Food modules will be available to assign September 1 st  Smaller stores, rural areas may be slower to receive stock  Food module code in TWIST is changing: SMS-RS SSS

8. Old New: Available in Unflavored only  Name and graphic change  Elecare unflavored becomes Elecare for Infants  Food module code in TWIST: ELE ELI

9.  Name, graphic change and addition of unflavored  Elecare flavored becomes Elecare Jr  Food module code in TWIST: ELE-F ELJ Old New: Elecare Jr, Unflavored or Vanilla

10.  New addition to Oregon WIC formulary  Formerly known as Vital Jr  Comparable to Peptamen Jr  Contains 3 gram fiber  Food code module in TWIST: PEP-1.0 Vanilla, Strawberry or Unflavored

11.  Food code module in TWIST: PEP-1.5  8 oz (237 ml)/bottle  1.0 providing 237 Kcal per serving  1.5 providing 355 Kcal per serving  24 bottles/case Vanilla only

12. Source of graphic: Abbott website Elecare for infants, Neocate infant, Nutramigen AA Alimentum, Nutramigen, Pregestimil Common examples of formulas for infants Common examples of formulas for children Peptamen Jr, Pediasure Peptide Elecare Jr, Neocate Junior, EO28 Splash Similac AdvancePediasure, Nutren Jr, Boost Kid Essentials

13. Old 12 oz can size New 12.7 oz can size Name, label and container size changes

14. 12.7 oz can, powder Yields 90 oz. 12.1 oz box, concentrate Yields 24.2 oz 4-pack 8.45 oz boxes ready-to-feed Yields 33.8 oz

15. Good Start Gentle Plus Gerber Good Start Gentle Formula Module Search Name Good Start – oldGerber Good Start - new Formula Module CodeGOSGGS Voucher Description Powder “Can 12.7 oz Good Start Gentle or 12 oz Gentle Plus powder” “Can 12.7 oz Gerber Good Start Gentle powder” Voucher Description Concentrate “Can 13 oz Good Start Gentle or Gentle Plus concentrate” “Box 12.1 oz Gerber Good Start Gentle concentrate” Voucher Description RTF “Can 32 oz Good Start Gentle or Gentle Plus ready-to-feed” “Four-pack 8.45 oz boxes Gerber Good Start Gentle RTF”

16.  Assign formula modules based on what is available at the participant’s store  Both old and new formula modules will be in TWIST  Void and replace vouchers to match what’s in the store

17.  Contains probiotics, live cultures  Recent reports of health care providers recommending probiotics in the form of drops, formula or even foods  2010 AAP position: insufficient research to recommend routine use in formula  Suitable alternative would be Gerber Good Start Gentle Gerber Good Start Protect

18.  A new product that you may be hearing about  Just like all other Mead Johnson standard infant formulas, Oregon WIC, by contract, cannot provide  A suitable alternative would be Similac Advance Enfamil Premium Newborn

21. Formula NameOld Food Code New Food Code Elecare for InfantsELEELI Elecare JrELE-FELJ Gerber Good StartGOSGGS Neocate InfantNECNEI Neocate JuniorNEC-JRNEJ PediaSure Peptide 1.0NonePEP-1.0 PediaSure Peptide 1.5NonePEP-1.5 Peptamen Jr 1.0PEP-1.0PEJ-1.0 Peptamen Jr 1.5PEP-1.5PEJ-1.5 Similac Soy IsomilISASSI Similac Sensitive for Fussiness & GasSMSSSF Similac Sensitive for Spit UpSMS-RSSSS

22. Old ISA code Same screen as it will look on Sept 1 with new SSI code. Even past codes change.

23. Search - Old Elecare Flavored Name Search – New Elecare Jr. Name

24.  To assign an infant formula for a child 24 months or older (C2-C5) you will need to call your assigned Nutrition Consultant  There may be another formula that is more age appropriate to meet the nutrient and calorie needs of the child  Start a discussion with families: work to develop a transition plan before child is 18 months of age

25.  Check address for accuracy-each month  If address has changed, indicate in special instructions section

29. Revised September 1, 2011

32. Today’s materials will be available on the Oregon WIC website at: http://public.health.oregon.gov/HealthyPeople Families/wic/Pages/training.aspx#inservice