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By Nestle

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Vivonex RTF is a 100% free amino acids diet for total enteral nutrition to treat patients with severely compromised GI.
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Item# Description Size Price

Unflavored, 8.45 oz




Unflavored, 8.45 oz

Case of 24
$6.671 each



Unflavored 1000 mL


Regular Price: $37.62

Sale Price: $28.49


Unflavored 1000 mL

Case of 6
$28.488 each

Regular Price: $225.73

Sale Price: $170.93



Vivonex RTF is a complete elemental formula for oral consumption or tube feeding. Vivonex RTF Ready-to-Feed is a 100% free amino acids diet for total enteral nutrition to treat patients with severely compromised GI. Useful in stressed, catabolic patients, Vivonex RTF may be used post-operatively as an enteral alternative to TPN and may also benefit patients with gastrointestinal impairment. Vivonex RTF is appropriate for lactose-free, gluten-free, low-residue and kosher diets. Not for individuals with galactosemia

Vivonex RTF Features and Benefits

  • 100% free amino acid diet for severely compromised GI patients.
  • Only 10% calories from fat to support tolerance and reduce pancreatic stimulation.
  • Useful in stressed, catabolic patients.
  • Requires minimal digestive functionality for assimilation while providing benefits associated with continued use of the GI tract.
  • Can be used for tube feeding or oral supplementation.
  • Closed system with SpikeRight® PLUS port, the first available proximal-end enteral connector system designed to be incompatible with IV equipment.
  • Appropriate for these diets: lactose-free, gluten-free, low-residue and kosher. Not for individuals with galactosemia

Vivonex RTF Specifications

  • Vivonex RTF Product Numbers: 36250000, 36280100, 4390036283.
  • Flavor Options: Unflavored.
  • Sizes: 250 mL, 1000 mL or 1500 mL.
  • kcal/mL: 1.0.
  • Protein Source:  free amino acids (29% from BCAA).
  • Caloric Distribution (% of kcal)
    • Protein: 20%
    • Carbohydrate: 70%
    • Fat: 10%
  • Appropriate for these diets: lactose intolerance and gluten-free. Not for individuals with galactosemia . 
  • NPC:N Ratio 111:1.
  • MCT:LCT Ratio 40:60.
  • n6:n3 Ratio 6.7:1.
  • Osmolality (mOsm/kg water):630.
  • Renal Solute Load (mOsm/L): 255.
  • Water 85%
  • Meets 100% RDI for 24 key micronutrients: 1500 mL.
  • L-arginine: 5.9 g/L
  • Container Type: Tetra Prisma, SpikeRight® PLUS UltraPak® Bag.
  • Manufacturer: Nestle.
  • Brand: Vivonex RTF.
  • HCPCS code: B4153.

Vivonex RTF Nutritional Support

  • Severely impaired GI function:
    • Severe protein, fat malabsorption
    • Transitional feeding
    • Extensive bowel resection
    • Malabsorption syndrome
    • Select trauma/surgery
    • Early post-operative feeding
    • Intestinal failure
    • Chylothorax
    • Pancreatitis
    • Trophic feeding
    • TPN alternative
    • Dual feeding with TPN
  This product is a medical food intended for use under medical supervision.
  It is not intended to diagnose, treat, cure or prevent disease.

Vivonex RTF Ingredients

  • Water, Maltodextrin and less than 2% of Modified Cornstarch, L-Lysine Acetate, L-Leucine, Soybean Oil, L-Arginine, L-Glutamic Acid, Medium Chain Triglycerides (from Coconut and/or Palm Kernel Oil), Calcium Glycerophosphate, L-Threonine, L-Phenylalanine, L-Valine, L-Isoleucine, L-Proline, L-Histidine Hydrochloride, L-Methionine, Glycine, L-Tryptophan, Carrageenan, Dextrose, Potassium Citrate, Magnesium Sulfate, Sodium Citrate, L-Aspartic Acid, Citric Acid, L-Serine, Choline Bitartate, L-Alanine, Sodium Hexametaphosphate, Ascorbic Acid, Salt, Potassium Chloride, L-Tyrosine,  Taurine, L-Carnitine, L-Cystine, Alpha-Tocopheryl Acetate, Ferric Orthophosphate, Zinc Sulfate, Niacinamide, Vitamin A Palmitate, Calcium Pantothenate, Copper Gluconate, Manganese Sulfate, Pyridoxine Hydrochloride, Vitamin D3, Thiamine Hydrochloride, Riboflavin, Folic Acid, Chromium Chloride, Biotin, Potassium Iodide, Sodium Molybdate, Sodium Selenite, Phytonadione, Vitamin B12.
Additional Information

Additional Information

Manufacturer Nestle
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