Nutri Sup (Isosource 1.5 Cal Liquid RTU 1500ML (Isosource 1.5 Cal) Liq

Nutri Sup (Isosource 1.5 Cal Liquid RTU 1500ML (Isosource 1.5 Cal) Liq

Non-Formulary Use Criteria: **1. Request for non-formulary use requires clinical justification from BOP dietitian or completion of the ” Nutritional Supplements Worksheet”** **2. Failure of medical diets, special diets, and supplemental feeding options available through FoodService, AND****3. A documented medical diagnosis affecting nutritional status, AND****4. Nutritional Assessment Consult by BOP registered dietician for therapy > 30 days.**

Dr. M Blatstein

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