Infant / Pediatric Formula Information Pertaining to Abbott Recall of Formula and Sporadic Scarcity of Formula Products

The original Recall Recommendation from Abbott and the Food and Drug Administration (FDA) from February 2022 are/were:

Do not use the following formulas:

  • Powdered Alimentum
  • Elecare Infant formula powder
  • Similac Infant formula powder with the lot numbers listed
    • The first two digits of the code were 22 through 37 plus
    • The code on the contain contains K8, SH or Z2 plus
    • The expiration date of the product is April 2002 (04-01-2022) or later
  • Similac PM 60 / 40
    • Lot number: 27032K80.

All ready-to-feed formula and concentrate products are unaffected by the recall. The recall pertains to powder formula only.

For more information about recalled products or for information about Abbott products (Similac, Alimentum, Elecare infant) Parents and caregivers can call: 1(800) 986-8540 or visit: www.Similacrecall.com


Abbott Updates:


Academy of Nutrition and Dietetics Updates:


FDA Updates:


USDA Updates:


Additional information about the recall and formula can be found at:

https://www.fns.usda.gov/ofs/infant-formula-safety

https://www.fns.usda.gov/wic/toll-free-numbers-wic-state-agencies


What is Cronobactor?

More information related to Cronobacter and infant formulas from the Centers for Disease Control is available at: https://www.cdc.gov/cronobacter/outbreaks/infant-formula.html


     

video-conference-g7c91005f3_1920.jpgPNPG Pop-in 2022: Infant Formula Shortage: How to Communicate with Clients and Advocate for Change

On April 28, 2022, PNPG hosted a pop-in event with field experts to help troubleshoot problems related to the infant formula shortage, share resources, and network.

Listen Here

     


     

Imported Formula

The Publications team has been working on 100kcal and 100ml nutrient reference sheets for the imported infant formulas. Formulas are continuously being added and the Publications team will continue to provide updated versions.

     


     

Table 1 Includes information on the recalled formulas and appropriate alternative formulas

(Do not substitute toddler formula for infant formula. They do not meet the nutritional needs of infants.)

FORMULA

ALTERNATIVE FORMULA

Elecare infant (powdered infant amino acid based formula)

Alfamino - Nestlé

Neocate infant - Nutricia

Neocate Syneo (contains probiotics - NOT for use in kids with short bowel syndrome) - Nutricia

PurAmino DHA & ARA infant – Reckitt Mead Johnson

Elecare Jr.

Alfamino Jr. – Nestlé

Equaquare Jr. - Cambrooke

Essential Care Jr. - Cambrooke

Neocate Jr – Nutricia

Neocate Splash - Nutricia

PurAmino Jr. – Reckitt Mead Johnson

Similac Alimentum

Gerber Extensive HA - Gerber/Nestlé

Nutramingen - Reckitt Mead Johnson

Pregestimil - Reckitt Mead Johnson

Similac Alimentum Ready to Feed Liquid - Abbott

Perrigo – Store brand hypoallergenic infant formula

Amazon: Mama Bear Hypoallergenic

CVS: CVS Health Hypoallergenic

HEB: Baby Hypoallergenic

Kroger: Comforts Hypoallergenic

Meijer: Meijer Baby Hypoallergenic

SpartanNash: Tippy Toes Hypoallergenic

Target: Up & Up Hypoallergenic infant

Walgreens: Well Beginnings Hypoallergenic

Walmart: Parent’s Choice Hypoallergenic

Similac Soy

Earth's Best Organic Soy - Earth's Best

Enfamil Prosobee Simply Plant Based - Reckitt Mead Johnson

Good Start Soy - Gerber

Store Brand Soy Infant Formula - Perrigo

Similac Sensitive / Pro Sensitive / 360 Total Care Sensitive

ByHeart Whole Nutrition Infant Formula - ByHeart

Earth's Best Organic Sensitivity - Earth's Best

Earth's Best Gentle Formula - Earth's Best

Enfamil Gentlease – Reckitt Mead Johnson

Enfamil Newborn Infant - Reckitt Mead Johnson

Enfamil Neuro Pro Gentlease - Reckitt Mead Johnson

Enfamil Neuro Pro Sensitive - Reckitt Mead Johnson

Enfamil Reguline - Reckitt Mead Johnson

Good Start Gentle - Gerber

Good Start Soothe Pro - Gerber

Similac Sensitive Ready to Feed liquid or concentrate liquid - Abbott

Store brand Sensitivity infant formulas - Perrigo

Similac Spit Up

Enfamil AR - Reckitt Mead Johnson

Similac for Spit Up Ready to Feed liquid - Abbott

Store brand Added Rice Infant Formula - Perrigo

Similac Total Comfort / Pro Total Comfort

ByHeart Whole Nutrition Infant Formula - ByHeart

Enfamil Gentlease - Reckitt Mead Johnson

Enfamil Neuro Pro Gentlease - Reckitt Mead Johnson

Good Start Gentle - Gerber/Nestlé

Good Start GentlePro - Gerber/Nestlé

Similac Total Comfort Ready to Feed liquid - Abbott

Store Brand Complete Comfort Infant Formula - Perrigo

Chart from NASPGHAN: https://naspghan.org/recent-news/naspghan-tools-for-hcps-affected-by-formula-recall/


 

Hypoallergenic Product Similar to Alimentum

Enfamil Nutramingen Gerber Extensive HA Mead Johnson Pregestimil Amazon: Mama Bear
CVS Health Hypoallergenic H-E-B Baby Hypoallergenic Infant Formula Powder with Iron - Shop Food ...HEB: Baby Hypoallergenic Comforts™ Hypoallergenic Infant Formula Powder with Iron, 12.6 oz - KrogerKroger: Comforts Hypoallergenic Meijer Baby Hypoallergenic
Tippy Toes 0 To 12 Months Hypoallergenic Infant Formula Powder With Iron  12.6 Oz | Shop | Fate's MarketSpartanNash: Tippy Toes Hypoallergenic Target: Up & Up Hypoallergenic infant Walgreens: Well Beginnings Walmart: Parent’s Choice Hypoallergenic

     

For families receiving formula from WIC (the Special Supplemental Nutrition Program for Women, Infants, and Children), you may need to contact other WIC accepting stores or pharmacies in your area if your usual location is unable to provide formula at this time. By downloading the WIC Shopper App, caregivers are able to search for other stores accepting WIC.   https://ebtshopper.com

Families have also noted difficulties finding other powder formulas that are typically available on store shelves including formula for premature infants and hypoallergenic formulas. If the child is a health term infant changing to another infant formula is okay and should be tolerated by the infant. If the formula was “prescribed” by a medical professional contact the child’s healthcare provider or pediatric dietitian if problems finding the child’s formula continues. The table below has links to assist with locating infant formula for families.

Resources for Finding Hypoallergenic and Amino Acid-based Formulas

manufacturer

formula name(s)

website(s)

Abbott

Elecare, Elecare Jr, Alimentum powder

Check if included in recall
Store Locator

Nutricia

Neocate Syneo, Neocate Infant DHA/ARA, Neocate Jr, Neocate Splash

Where to Buy

Nestlé

Alfamino Infant, Alfamino Jr

Formula4success

Cambrooke

Equacare Jr, Essential Care Jr

Sample Requests

Mead Johnson

PurAmino DHA & ARA, Nutramigen, Pregestimil

Nutramigen Savings
myPurAmino program
Store Locator

Gerber

Store Locator

Store Brand Formula

Store Locator

    

Formula handling and storage

Safe preparation and storage of formula is important when feeding your child to help prevent contamination. Following these guidelines can help!

  1. Wash your hands thoroughly before preparing your child's formula
  2. Ensure appropriate cleaning, sanitizing and storage of bottles
  3. Use liquid formula when possible
  4. Prepare and store powdered infant formula safely

Please refer to the CDC recommendations for more in-depth guidance on formula preparation and storage.

Homemade Formula

American Academy of Pediatrics (AAP) warns parents NOT to make or provide homemade infant formula.

Homemade formulas may not have the right levels of certain nutrients, which could cause nutrient imbalances that may be harmful. Using raw/unpasteurized cow’s milk or goat’s milk is not safe due to the potential for bacteria present (such as E. coli, Listeria, or Salmonella) which can be harmful for anyone: babies, children and adults included!

If your child is under 1 year of age (or corrected age, if your child was born prematurely), do not provide non-dairy cow’s milk alternatives such as almond, soy, coconut, or oat milks. These options are not safe for infants and do not provide the right nutrition for your baby. Infants should not be fed Toddler formulas or formulas intended for older children as these have higher nutrient levels that are not suitable for infants.

For more information read The Risks of Homemade Infant Formula.


Cow's Milk

The AAP just updated their website with guidance that cow's milk maybe acceptable for some infants over six months of age if infant formula cannot be obtained during the formula shortage. This only applies to infants using standard formulas. This is not ideal and should not become routine, but is better than diluting formula or using homemade formula.
Read their statement here: With the baby formula shortage, what should I do if I can't find any?  and Why Do Infants Need Baby Formula Instead of Cow's Milk


What should I do if I cannot afford formula?

  • Special Supplemental Nutrition Program for Women, Infants and Children (WIC): Mothers who qualify based on income can enroll in WIC to receive vouchers for formula, https://www.fns.usda.gov/wic/wic-how-apply
  • Supplemental Nutrition Assistance Program (SNAP): You can use your SNAP Electronic Benefits Transfer card (formerly called food stamps) to buy formula. If you are enrolled in WIC, you also might qualify for SNAP.
  • Temporary Assistance for Needy Families (TANF): This program offers temporary cash assistance to qualified families. Locate your state TANF program at https://www.acf.hhs.gov/ofa/map/about/help-families.


Where can I get help if I do not qualify for benefits?


Breastfeeding Support:


Useful Articles:


     page updated 5/26/2022