Composition | Formula Brand Name | Features | HCPCS Code | Specifics |
Milk based/Whey protein | Advantage Infant Formula with Iron®, Up and Up (Target) | DHA, Lutein, Vitamin E; 20 kcal/oz | | Contains soy |
Milk based/Whey protein | ByHeart, ByHeart | DHA, alpha-lactalbumin and lactoferrin, 20 cal/oz, prebiotic, non-GMO | | |
Milk based/Whey protein | Enfamil® Enspire®, Mead Johnson | DHA, lactoferrin, 20 cal/oz, non-GMO | B4158 | Contains soy |
Milk based/Whey protein | Enfamil NeuroPro Infant®, Mead Johnson | DHA, 20 cal/oz, non-GMO, whey/casein 60/40 | B4158 | Contains soy |
Milk based/Whey protein | Enfamil® Infant, Mead Johnson | DHA, 20 cal/oz, whey/casein 60/40 | B4158 | Contains soy |
Milk based/Whey protein | Fortina®, Nutricia | DHA and ARA, 30 cal/oz | B4160 | Contains soy |
Milk based/Whey protein | Infant Non-GMO Formula®, Up and Up (Target) | 20 cal/oz, prebiotics, non-GMO | | Contains soy |
Milk based/Whey protein | Organic Dairy Infant Formula®, Earth's Best | DHA, lutein, prebiotics, non-GMO | | Contains soy |
Milk based/Whey protein | Organic Dairy Infant Formula - Non DHA®, Earth's Best | Lutein, 20 cal/oz, non-GMO | | Contains soy |
Milk based/Whey protein | Pure Bliss by Similac®, Abbott | Lutein, DHA and Vitamin E, 19 cal/oz, Non-GMO | | Contains soy |
Milk based/Whey protein | Similac Pro Advance®, Abbott | Lutein, DHA and Vitamin E, Human milk oligosaccharides; 19 cal/oz | | Contains soy |
Milk based/Whey protein | Similac Advance®, Abbott | Lutein, DHA and Vitamin E, Nucleotides; 19 cal/oz | | Contains soy |
Milk based/Whey protein | Similac Advance 20®, Abbott | Lutein, DHA and Vitamin E, Human milk oligosaccharides; 20 cal/oz | | Contains soy |
Milk based/Whey protein | Similac Organic®, Abbott | Lutein, DHA and Vitamin E, Human milk oligosaccharides; 19 cal/oz | | Contains soy |
Milk based/Whey protein | Similac for Supplementation Non GMO®, Abbott | Lutein, DHA and Vitamin E, Human milk oligosaccharides; 19 cal/oz | | Contains soy |
Milk based/Whey protein | Similac Advance for Neuro Support®, Abbott | Lutein, DHA and Vitamin E, Nucleotides; 19 cal/oz | | Contains soy |
Milk based/Whey protein | Similac® with Iron 24, Abbott | DHA; 24 cal/oz | | Contains soy |
Milk based/whey and casein | Added Rice Starch Infant Formula with Iron, Up and Up (Target) | 20 cal/oz, prebiotics, DHA, added rice starch, | | Contains soy |
Milk based/whey and casein | Gerber® Good Start® A2 infant formula, Nestlé | Whey/casein 70/30, (casein = A2 beta-casein), 20 cal/oz, DHA, probiotic L. reuteri, prebiotic 2’FL Human milk oligosaccharides, non-GMO | | Contains soy |
Milk based/whey and casein | Gerber® Good Start® Gentle infant formula, Nestlé | Whey/casein 70/30, 20 cal/oz,DHA, probiotic B. lactis, prebiotic 2’FL Human milk oligosaccharides, non-GMO, | | contains soy |
Milk based/whey and casein | Holle Stage 1 Organic (Bio) Infant Milk Formula, Organic Start | 20 cal/oz, non-GMO | | |
Milk based/whey and casein | Nestlé NAN 1Pro infant formula, Nestlé | Whey/casein 70:30, 20 cal/oz, DHA, probiotic L. reuteri, prebiotic 2’FL Human milk oligosaccharides, non-GMO | | Contains soy |
Milk based/whey and casein | Holle Stage Pre Organic (Bio) Infant Milk Formula, Organic Start | 20 cal oz, no maltodextrin, reduced vegetable oil, whole milk fat, non-GMO | | |
Milk based/whey and casein | Kendamil Infant Formula, Kendamil | Whey/casein 60/40 , 20 cal/oz, DHA, MFGM, HMOs and prebiotics | | |
Milk based/whey and casein | Organic Sensitivity® Infant Formula, Earth's Best | DHA, lutein, 20 cal/oz, reduced lactose | | Contains soy |
Milk based/whey and casein | Similac PM 60/40, Abbott | Whey/casein 60/40; 20 cal/oz; low mineral content | | Contains soy |
Milk based/milk protein isolate | Enfamil Sensitive, Mead Johnson | DHA, 20 cal/oz, non-GMO | | |
Milk based/milk protein isolate | Sensitivity® Infant Formula, Up and Up (Target) | DHA, lutein, prebiotics, non-GMO, reduced lactose | | Contains soy |
Milk based/milk protein isolate | Similac Pro Sensitive®, Abbott | Lutein, DHA and Vitamin E, Human milk oligosaccharides; 19 cal/oz | | |
Milk based/milk protein isolate | Similac Sensitive®, Abbott | Lutein, DHA and Vitamin E, 19 cal/oz, Non-GMO | | Contains soy |
Milk based/milk protein isolate | Similac Sensitive for Neuro Support®, Abbott | Lutein, DHA and Vitamin E, 19 cal/oz, Non-GMO | | Contains soy |
Milk based/milk protein isolate | Similac 360 Total Care Sensitive®, Abbott | Lutein, DHA/ARA and Vitamin E, 5 HMO Prebiotics, non-GMO | B4158 | Contains soy |
Milk based/milk protein isolate with rice starch | Enfamil A.R.®, Mead Johnson | DHA, 20 cal/oz, whey/casein 20:80 | B4158 | Contains soy |
Milk based/milk protein isolate with rice starch | Similac for Spit Up®, Abbott | Lutein, DHA and Vitamin E, 19 cal/oz | | Contains soy |
Milk based/milk protein isolate with rice starch | Similac for Spit Up-Non GMO®, Abbott | Lutein, DHA and Vitamin E, 19 cal/oz, Non-GMO | | Contains soy |
Soy protein isolate | Enfamil® ProSobee® Simply Pland Based, Mead Johnson | DHA, 20 cal/oz | B4158 | contains soy |
Soy protein isolate | Non-GMO Plant Based Formula®, Earth's Best | DHA, 20 cal/oz, soy based | | Contains soy |
Soy protein isolate | Similac® Soy Isomil, Abbott | Lutein, DHA and Vitamin E, Nucleotides; 19 cal/oz | | Contains soy |
Soy protein isolate | Similac® Soy Isomil 20, Abbott | Lutein, DHA and Vitamin E, 20 cal/oz | | Contains soy |
Soy protein isolate | Similac® for Diarrhea, Abbott | Soy fiber; 20 cal/oz | | Contains soy |
Goat milk | Holle Goat Stage 1 Organic Bio Infant Milk Formula®, Organic Start | 19.5 cal/oz | | |
Goat milk | Kendamil Infant Formula (Goat), Kendamil | A2 whole goat's milk and goat whey, MFGM, HMOs, DHA and prebiotics; 20 cal/oz | | |