69 JEVITY ® 1.5 CAL HCPCS Code B4152 www.AbbottNutrition.com * 2.6 g total dietary fiber from a unique fiber blend and 2.4 g of short-chain fructooligosaccharides. † 11 g total dietary fiber from a unique fiber blend and 10 g of short-chain fructooligosaccharides. ‡ 16.5 g total dietary fiber from a unique fiber blend and 15 g of short-chain fructooligosaccharides. Jevity ® 1.5 Cal Ingredients Unflavored Water, Corn Maltodextrin, Corn Syrup Solids, Sodium Caseinate, Canola Oil, Corn Oil, Short-chain Fructooligosaccharides, Soy Protein Isolate, Medium Chain Triglycerides, Calcium Caseinate, Oat Fiber, Less than 0.5% of: Soy Fiber, Potassium Citrate, Calcium Phosphate, Gum Arabic, Magnesium Phosphate, Soy Lecithin, Sodium Citrate, Magnesium Chloride, Cellulose Gum, Ascorbic Acid, Choline Chloride, Potassium Chloride, Potassium Hydroxide, Taurine, L-Carnitine, dl-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Zinc Sulfate, Manganese Sulfate, Niacinamide, Copper Sulfate, Calcium Pantothenate, Riboflavin, Thiamine Hydrochloride, Vitamin A Palmitate, Pyridoxine Hydrochloride, Folic Acid, Chromium Chloride, Sodium Molybdate, Potassium Iodide, Biotin, Phylloquinone, Sodium Selenate, Vitamin D3, Vitamin B12 Contains milk and soy ingredients. Nutrition Information Unflavored 8 fl oz 1 L 1.5 L Protein, g 15.1 63.8 95.7 Total Fat, g 11.8 49.8 74.7 Total Carbohydrate, g 51.1 215.7 323.6 Dietary Fiber, g 5* 21 † 31.5 ‡ scFOS, g 2.4 10 15 Total Sugars, g 3.6 15 22.5 Added Sugars, g 3.6 15 22.5 L-Carnitine, mg 36 150 225 Taurine, mg 36 150 225 Water, mL 180 760 1140 Calories 355 1500 2250 Vitamin A, mcg RAE 213 900 1350 Vitamin D, mcg 4.7 20 30 Vitamin E, mg 13 55 82 Vitamin K, mcg 40 170 255 Vitamin C, mg 71 300 450 Folate, mcg DFE 95 400 600 Folic Acid, mcg 57 240 360 Vit B1 (Thiamin), mg 0.45 1.9 2.8 Vit B2 (Riboflavin), mg 0.76 3.2 4.8 Vitamin B6, mg 0.54 2.3 3.4 Vitamin B12, mcg 2.8 12 18 Niacin, mg NE 4.7 20 30 Choline, mg 142 600 900 Biotin, mcg 7.1 30 45 Pantothenic Acid, mg 1.9 7.9 12 Sodium, mg 316 1330 1995 Sodium, mEq 13.7 57.8 86.7 Potassium, mg 517 2180 3270 Potassium, mEq 13.3 55.9 83.8 Chloride, mg 322 1360 2040 Chloride, mEq 9.1 38.4 57.6 Unflavored 8 fl oz 1 L 1.5 L Calcium, mg 308 1300 1950 Calcium, mEq 15.4 65 97.5 Phosphorus, mg 296 1250 1875 Phosphorus, mmol 9.5 40.3 60.5 Magnesium, mg 100 420 630 Magnesium, mEq 8.2 34.6 51.9 Iodine, mcg 36 150 225 Manganese, mg 1 4.3 6.5 Copper, mg 0.52 2.2 3.3 Zinc, mg 3.1 13 20 Iron, mg 4.3 18 27 Selenium, mcg 18 74 111 Chromium, mcg 18 74 111 Molybdenum, mcg 30 128 192 Unflavored Caloric Density, Cal/mL 1.5 Protein, % Cal 17.0 Carbohydrate, % Cal 54.4 Fat, % Cal 28.6 Omega-6:Omega-3 5.9:1 MCT:LCT 19:81 Total Cal:g Nitrogen 150:1 Nonprotein Cal:g Nitrogen 124:1 Osmolality, mOsm/kg H2O 525 Renal Solute Load, mOsm/L 515 Recommended Tube Size for Gravity/Pump Feeding (Fr) 12/10 Technical Data