67 JEVITY ® 1.2 CAL HCPCS Code B4150 www.AbbottNutrition.com * 2.1 g of total dietary fiber from a unique fiber blend and 1.9 g of short-chain fructooligosaccharides. † 9 g of total dietary fiber from a unique fiber blend and 8 g of short-chain fructooligosaccharides. ‡ 13.5 g of total dietary fiber from a unique fiber blend and 12 g of short-chain fructooligosaccharides. § 122 mcg RAE of vitamin A activity supplied by 307 mcg of beta-carotene. || 515 mcg RAE of vitamin A activity supplied by 1295 mcg of beta-carotene. ¶ 773 mcg RAE of vitamin A activity supplied by 1943 mcg of beta-carotene. Jevity ® 1.2 Cal Ingredients Unflavored Water, Corn Maltodextrin, Corn Syrup Solids, Sodium Caseinate, Soy Protein Isolate, Canola Oil, Corn Oil, Short-chain Fructooligosaccharides, Medium Chain Triglycerides, Calcium Caseinate, Soy Fiber, Less than 0.5% of: Oat Fiber, Potassium Citrate, Calcium Phosphate, Magnesium Phosphate, Gum Arabic, Potassium Chloride, Soy Lecithin, Cellulose Gum, Choline Chloride, Ascorbic Acid, Salt, Potassium Hydroxide, L-Carnitine, Taurine, dl-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Sodium Citrate, Zinc Sulfate, Manganese Sulfate, Niacinamide, Copper Sulfate, Calcium Pantothenate, Thiamine Hydrochloride, Riboflavin, Pyridoxine Hydrochloride, Beta-Carotene, Vitamin A Palmitate, Chromium Chloride, Folic Acid, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Biotin, Phylloquinone, Vitamin D3, Vitamin B12 Contains milk and soy ingredients. Nutrition Information Unflavored 8 fl oz 1 L 1.5 L Protein, g 13.2 55.5 83.3 Total Fat, g 9.3 39.3 59 Total Carbohydrate, g 40.2 169.4 254 Dietary Fiber, g 4* 17 † 25.5 ‡ scFOS, g 1.9 8 12 Total Sugars, g 3 13 20 Added Sugars, g 3 13 20 L-Carnitine, mg 36 150 225 Taurine, mg 36 150 225 Water, mL 191 807 1211 Calories 285 1200 1800 Vitamin A, mcg RAE 171 § 720 || 1080 ¶ Vitamin D, mcg 3.8 16 24 Vitamin E, mg 9.2 38 57 Vitamin K, mcg 29 123 185 Vitamin C, mg 59 250 375 Folate, mcg DFE 76 320 480 Folic Acid, mcg 46 192 288 Vit B1 (Thiamin), mg 0.41 1.7 2.6 Vit B2 (Riboflavin), mg 0.59 2.5 3.7 Vitamin B6, mg 0.33 1.4 2.1 Vitamin B12, mcg 2.3 9.6 14.4 Niacin, mg NE 4 17 26 Choline, mg 142 600 900 Biotin, mcg 5.7 24 36 Pantothenic Acid, mg 0.95 4 6.0 Sodium, mg 253 1067 1600 Sodium, mEq 11 46.4 69.6 Potassium, mg 566 2390 3585 Potassium, mEq 14.5 61.3 91.9 Chloride, mg 356 1500 2250 Chloride, mEq 10 42.4 63.5 Unflavored 8 fl oz 1 L 1.5 L Calcium, mg 284 1200 1800 Calcium, mEq 14.2 60 90 Phosphorus, mg 284 1200 1800 Phosphorus, mmol 9.2 38.7 58.1 Magnesium, mg 88 370 555 Magnesium, mEq 7.2 30.4 45.7 Iodine, mcg 36 150 225 Manganese, mg 0.81 3.4 5.1 Copper, mg 0.41 1.7 2.6 Zinc, mg 2.5 11 16 Iron, mg 3.4 14.4 22 Selenium, mcg 14 58 87 Chromium, mcg 14 58 87 Molybdenum, mcg 23 99 148 Unflavored Caloric Density, Cal/mL 1.2 Protein, % Cal 18.5 Carbohydrate, % Cal 53.3 Fat, % Cal 28.2 Omega-6:Omega-3 5.5:1 MCT:LCT 19:81 Total Cal:g Nitrogen 135:1 Nonprotein Cal:g Nitrogen 110:1 Osmolality, mOsm/kg H2O 450 Renal Solute Load, mOsm/L 467 Recommended Tube Size for Gravity/Pump Feeding (Fr) 10/10 Technical Data