Nutri Sup (Jevity 1.2 Cal) Oral Liquid (Jevity 1.2 Cal)

Nutri Sup (Jevity 1.2 Cal) Oral Liquid (Jevity 1.2 Cal)

Advisories: PHYSICIAN /DENTIST/DIETITIAN USE ONLY Non-tube feed patients must consume prescribed dose at pill line. Container must be opened prior to distribution to tubefeed inmate
Non-Formulary Use Criteria: 1. Request for its non-formulary use requires completion of the “Nutritional Supplements Worksheet 2. Failure of medical diets, special diets, and supplemental feeding options available through Food Service, AND 3. A documented medical diagnosis affecting nutritional status, AND 4. Nutritional Assessment Consult by BOP registered dietician for therapy > 60 days. MLP Requires Cosign

Dr. M Blatstein

Comments are closed.