123 PEDIASURE ® PEPTIDE 1.5 CAL HCPCS Code B4161 www.AbbottNutrition.com PediaSure ® Peptide 1.5 Cal Ingredients Vanilla Water, Corn Maltodextrin, Structured Lipid (Interesterified Canola Oil & Medium Chain Triglycerides), Whey Protein Hydrolysate, Hydrolyzed Sodium Caseinate, Medium-Chain Triglycerides, Short-chain Fructooligosaccharides, Less than 0.5% of: Vitamins & Minerals (Calcium Phosphate, Potassium Citrate, Potassium Chloride, Potassium Phosphate, Magnesium Phosphate, Calcium Carbonate, Sodium Citrate, Ascorbic Acid, Choline Chloride, Ferrous Sulfate, Magnesium Chloride, Zinc Sulfate, dl-Alpha-Tocopheryl Acetate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Thiamine Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Copper Sulfate, Vitamin A Palmitate, Folic Acid, Biotin, Potassium Iodide, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Phylloquinone, Vitamin D3, Vitamin B12), Canola Oil, Artificial Flavor, Cellulose Gel, Soy Lecithin, Tuna Oil,* Inositol, Taurine, Cellulose Gum, Potassium Hydroxide, Acesulfame Potassium, Sucralose, L-Carnitine, Lutein Contains milk and soy ingredients. Nutrition Information Vanilla 8 fl oz 1 L 1.5 L Protein, g 10.7 45 68 Total Fat, g 14.4 61 91.5 Saturated Fat, g 8 35 52.5 Polyunsaturated Fat, g 1 4 6 Monounsaturated Fat, g 2.5 11 16.5 Trans Fat, g 0 0 0 Cholesterol, mg 15 65 97.5 Total Carbohydrate, g 47.6 201 301.5 Dietary Fiber, g 1 5 7.5 scFOS, g 1.1 4.6 7.5 Total Sugars, g 2 7 11 Added Sugars, g 2 7 11 L-Carnitine, mg 6.0 25 38 Taurine, mg 45 190 285 Water, mL 182 768 1152 Calories 356 1500 2250 Vitamin A, mcg RAE 200 850 1275 Vitamin D, mcg 5.9 25 37.5 Vitamin E, mg 3.7 15.5 23.3 Vitamin K, mcg 24 101 152 Vitamin C, mg 36 152 228 Folate, mcg DFE 180 750 1125 Folic Acid, mcg 107 450 675 Vit B1 (Thiamin), mg 1 4.2 6.3 Vit B2 (Riboflavin), mg 0.8 3.4 5.1 Vitamin B6, mg 1 4.2 6.3 Vitamin B12, mcg 2.1 8.9 13.4 Niacin, mg NE 7.6 31.9 47.9 Choline, mg 120 510 765 Biotin, mcg 30 127 190.5 Pantothenic Acid, mg 3.6 15 22.5 Inositol, mg 47 200 300 Vanilla 8 fl oz 1 L 1.5 L Sodium, mg 255 1075 1615 Potassium, mg 710 2975 4465 Chloride, mg 360 1520 2280 Calcium, mg 500 2090 3135 Phosphorus, mg 380 1580 2370 Magnesium, mg 60 255 382.5 Iodine, mcg 35 148 222 Manganese, mg 0.7 2.9 4.35 Copper, mg 0.2 0.89 1.34 Zinc, mg 4.3 18.1 27.2 Iron, mg 5 21.1 31.7 Selenium, mcg 12 51 76.5 Chromium, mcg 14 57 85.5 Molybdenum, mcg 14 57 85.5 Vanilla Caloric Density, Cal/mL 1.5 Protein, % Cal 12 Carbohydrate, % Cal 53 Fat, % Cal 35 Omega-6:Omega-3 2.3:1 MCT:LCT 60:40 Total Cal:g Nitrogen 212:1 Nonprotein Cal:g Nitrogen 187:1 Osmolality, mOsm/kg H2O 480 Renal Solute Load, mOsm/L 424 Recommended Tube Size for Gravity/Pump Feeding (Fr) 10/10 Technical Data * Tuna Oil is a source of docosahexaenoic acid (DHA)