Re: Important changes to Fortisip Powder

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1 18 June 2014 Dear valued customer Nutricia Ltd 37 Banks Road, Mount Wellington Auckland, New Zealand PO Box Greenlane, Auckland 1546 Tel: Re: Important changes to Fortisip Powder Nutricia has recently experienced ongoing supply issues with the current manufacturing site (Indonesia) for Fortisip Powder. As a result, we are pleased to inform you that a new formulation of Fortisip Powder will now be produced in a different manufacturing site (Germany) which will enable continuity of supply to our customers. The new formulation is expected to be available from Mid July Due to the change in manufacturing site, Nutricia would like to notify you of the following upcoming changes to Fortisip Powder 900g Vanilla: New upgraded formulation New product code New packaging Further details and information on each of these changes is explained in this letter. New Upgraded Formulation Nutricia has utilised the change in manufacturing site as an opportunity to introduce an upgraded Fortisip Powder recipe. The following nutritional changes will occur to Fortisip Powder with the formulation upgrade: Per 100g Current New Higher protein content 18.7g 21.9g Reduced fat content 18.9g 14.5g Addition of fibre 0g 2.6g There are also some minor changes to the micronutrient profile. For a more detailed nutritional analysis, please refer to the Fortisip Powder Fact Sheet and Fortisip old vs new comparison which is enclosed with this letter. Product Code Changes CURRENT Old Product Code Old Pharmacode Old Description NEW NEW Product Code NEW Pharmacode NEW Description Fortisip Powder 900g Vanilla Fortisip Powder 350g Vanilla NZMN222Jun14

2 New Packaging Nutricia is pleased to inform you of the improved look and feel of the new Fortisip Powder, which will now be consistent with our Advanced Medical Nutrition product portfolio. This is also reflected in the product label being identified as for Adult Use Only. Furthermore, due to the change of manufacturing site, it is no longer possible to produce Fortisip Powder in a 900g can with 6 cans per carton. As such, Fortisip Powder will now be produced in a 350g can with 12 cans per carton (as pictured). The change in packaging will also result in updated mixing instructions due to a change in the scoop size, which will be reduced from 8g (current) to 5.7g (new). PHARMAC Reimbursement Please note: there will be no change to the current PHARMAC Special Authority for Fortisip Powder. Due to the change in volume, the new reimbursed price per 350g can is $3.67 excl GST. Supporting you with the transition If you would like a Nutricia representative to arrange a taste test, receive a detailed update or require updated resources please fill in the attached fax form. Nutricia is also working closely with Retail Pharmacists to ensure the transition to the new product is simple for you and your patients. If you have any questions regarding these changes you can contact our Nutricia Clinical Care Line on (#2) or alternatively you can contact me directly. We hope that the new Fortisip Powder formulation will not only be of benefit to your patients, but also positively contribute to your clinical practice. Yours Sincerely Jane Lauder Senior Brand Manager - Medical Nutrition NZ Nutricia Advanced Medical Nutrition P M jane.lauder@nutricia.com NZMN222Jun14

3 Request for resources Nutricia Ltd 37 Banks Road, Mount Wellington Auckland, New Zealand PO Box Greenlane, Auckland 1546 Tel: TO: Nutricia Advanced Medical - Jane Lauder FROM: FAX: PHONE: RE: Fortisip Powder Resource Request I would like to request the following items for use in my clinical practice (please your selection): Fortisip Powder Mixing Instructions Fortisip Powder Tear Off Patient Information (with mixing instructions) Fortisip Powder Recipe Booklet Fortisip Powder Ready Reckoner Nutricia representative to contact me for a detailed update on the upgraded Fortisip Powder Nutricia representative to arrange a taste test of the upgraded Fortisip Powder Other: Contact Name: Place of Work: Phone Number: NZMN222Jun14

4 Fortisip Powder A high energy, high protein, nutritionally complete, powder supplement that can be mixed to desired energy concentration Features Flexibility to prepare to various energy concentrations: 1kcal/ml, 1.5kcal/ml or 2kcal/ml 10g protein/200ml (20%E) when made at standard dilution (1kcal/ml) 1.2g Fibre/200ml when made at standard dilution (1kcal/ml) Suitable to be used as a sole source of nutrition in adults ( 18 years of age) Suitable to be used as a supplement and for food fortification (recipes available) Low in lactose (0.9g/100g) Available in vanilla flavour kcal* 200 Protein* 10 g Fibre* 1.2 g *When made to 1kcal/ml dilution Indications For the dietary management of: Disease related malnutrition Important Notice Not suitable for patients with galactosaemia Only for adult use Directions for Use Mix recommended amount of powder with water, and stir until the powder is completely dissolved Use only the scoop provided in the packaging. One level scoop provides 5.7g of powder Mixing guidelines (to make to a final volume of 200ml): Concentration Fortisip Powder (scoops) Water (ml) 1kcal/ml kcal/ml kcal/ml Best served chilled. Keep prepared Fortisip Powder portions in the refrigerator and use within 24 hours. If not stored in the refrigerator discard after 2 hours Usage to be determined by a healthcare professional Please contact Nutricia Clinical Care Line for Fortisip Powder recipes Storage Store in a cool, dry place Keep can lid tightly closed Once opened, use contents within 4 weeks Ordering Information To order contact Nutricia Customer Care Fortisip Powder Code Units per carton Pharmacode Vanilla 350g can Ingredients Fortisip Powder Vanilla: Glucose syrup, soy protein, vegetable oils (palm oil, sunflower oil, rapeseed oil), sucrose, caseinate (from cow s milk), galacto-oligosaccharide (from cow s milk), tri potassium citrate, calcium carbonate, pectin, flavouring (vanilla), magnesium hydrogen phosphate, sodium chloride, flavouring (cream), fructooligosaccharide, emulsifier (soy lecithin), choline chloride, potassium chloride, L-ascorbic acid, sodium L-ascorbate, ferrous sulphate, zinc sulphate, nicotinamide, manganese sulphate, DL-α-tocopheryl acetate, calcium D-pantothenate, cupric sulphate, retinyl acetate, D- biotin, pteroylmonoglutamic acid, cyanocobalamin, pyridoxine hydrochloride, thiamin hydrochloride, riboflavin, sodium fluoride, retinyl palmitate, DL-α-tocopherol, cholecalciferol, chromium chloride, sodium molybdate, potassium iodide, sodium selenite, phytomenadione A food for special medical purposes; to be used under strict medical supervision. For more information call the Nutricia Clinical Care Line NZMN221JUN14

5 Fortisip Powder Nutrition Information Per 100g Per Energy kcal kj Protein g 21.9 (20%E) Casein g Carbohydrate g 53.5 (49% E) Sugars g as Lactose g Fat g 14.5 (30%E) 3.3 Saturates g Monounsaturates g Polyunsaturates g ω6 / ω3 ratio 5.5:1 Vitamins Per 100g Per Vitamin A μg RE Vitamin D μg Vitamin E mg α-te Vitamin K μg Vitamin C mg Thiamin mg Riboflavin mg Niacin mg NE Vitamin B6 mg Vitamin B12 μg Folic Acid μg Pantothenic Acid mg Biotin μg Fibre g 2.6 (1%E) 0.6 Trace Elements Per 100g Per Minerals Per 100g Per Sodium mg Potassium mg Calcium mg Phosphorus mg Magnesium mg Chloride mg Ca:P ratio 1.8:1 Iron mg Zinc mg Manganese mg Copper μg Iodine μg Molybdenum μg Selenium μg Chromium μg Fluoride mg *When made at standard dilution at 1kcal/ml. Other Per 100g Per Other Choline mg Per 100ml 155 Per serve* 36 Choline mg Inositol Osmolality mg mosmol/kg H Osmolality mosmol/kg H

6 Fortisip Powder New vs Current Comparison PER 100g Fortisip Powder NEW Fortisip Powder CURRENT MACRONUTRIENTS VITAMINS MINERALS TRACE ELEMENTS Energy (kcal) (kj) Protein (g) Fat (g) Saturates (g) Monounsaturates (g) Polyunsaturates (g) Carbohydrate (g) Sugars (g) Fibre (g) Vitamin A ( g RE) Vitamin D ( g) Vitamin E (mg a-te) Vitamin K ( g) Thiamin (mg) Riboflavin (mg) Niacin (mg NE) Vitamin B6 (mg) Folic Acid ( g) Vitamin B12 ( g) Pantothenic acid (mg) Biotin ( g) Choline (mg) Vitamin C (mg) Inositol (mg) 3 26 Sodium (mg) Potassium (mg) Chloride (mg) Calcium (mg) Phosphorus (mg) Magnesium (mg) Iron (mg) Zinc (mg) Copper (mg) Manganese (mg) Iodine ( g) Molybdenum ( g) Selenium ( g) Chromium ( g) Fluoride (mg) For more information on Fortisip powder, please contact the Nutricia Clinical Care Line Nutricia Australia Pty Ltd Nutricia Ltd. Talavera Corporate Centre, Level 4, Building D 37 Banks Road Talavera Road Mt Wellington Macquarie Park, NSW 2113 Auckland 1060 New Zealand Clinical Care Line Clinical Care Line NZMN219JUN14

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