Similac Alimentum Powder Alternatives
Extensive HA: 20kcal/oz, hypoallergenic, extensively hydrolyzed whey protein
Nutramigen: 20 kcal/oz hypoallergenic, casein hydrolysate (due to shortage, please indicate if generic option is ok)
Pregestimil DHA/ARA: hypoallergenic casein hydrolysate
EleCare Powder Alternatives
Alfamino Infant: 20kcal/oz, hypoallergenic, 100% free amino acids
Neocate DHA/ARA: 20kcal/oz, hypoallergenic, 100% free amino acids
Neocate Syneo 20kcal/oz, hypoallergenic, 100% free amino acids, contains prebiotics and probiotics.
PurAmino: 20kcal/oz, hypoallergenic, 100% free amino acids
EleCare Jr. Powder Alternatives
Alfamino Jr. 30kcal/oz, hypoallergenic, 100% free amino acids
Equacare Jr. 30kcal/oz, hypoallergenic, 100% free amino acids
Essential Care Jr. 30kcal/oz, hypoallergenic, 100% free amino acids, contains low FODMAP prebiotics
Neocate Jr. 30kcal/oz, hypoallergenic, 100% free amino acids
Puramino Jr. 30kcal/oz, hypoallergenic, 100% free amino acids
Similac PM 60/40
Possible alternatives include:
Human milk*
Standard infant formula, used with phosphate binders
Renastart (currently only available from WIC for children over age 1)
*Donor human milk has a similar composition of phosphorus and is covered with a prescription by Texas Medicaid. Information about coverage of donor human milk is outlined in the Texas Medicaid Provider Procedures Manual, Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook, Section 2.2.13.
If your patient needs breastfeeding support, please refer them to the free 24/7 Texas Lactation Support Hotline at 855-550-6667 to speak with a lactation consultant. In-person and virtual breastfeeding assistance is available at one of our five lactation support centers, available to all moms regardless of WIC enrollment. Refer moms to this webpage: We’re Here to Help | Texas WIC.