*Step 1
Your doctor has recommended that your infant or toddler be supplemented with Enfamil® Enfalyte®. Enfamil® Enfalyte® is designed to be fed to infants and children for the maintenance of water and electrolytes that might otherwise be lost during vomiting and diarrhea.
Enfamil® Enfalyte® is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 026509 |
Enfamil Enfalyte |
2 fl oz Ready-to-Use |
48 bottles/case |
00875100943 |
300875101483 |
| 026506 |
Enfamil Enfalyte |
6 fl oz Ready-to-Use |
24 bottles/case |
0087026524 |
300870265067 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your breast milk be supplemented with Enfamil® Human Milk Fortifier Acidified Liquid. Enfamil® Human Milk Fortifier Acidified Liquid is a commercially sterile, milk-based nutritional supplement to be added to expressed breast milk for premature or low-birth-weight infants.
Enfamil® Human Milk Fortifier Acidified Liquid is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. 30087 |
| 146301 |
Enfamil Human Milk Fortifer Acidified Liquid |
5 mL vial |
200 vials/case |
0087146341 |
300871463011 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be fed PurAmino™, an amino acid-based formula for dietary management of severe cow's milk allergy and/or multiple food allergies.
PurAmino™ is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 129023 |
PurAmino |
14.1 oz |
4 cans/case |
00087510478 |
300875104781 (ea) 300875104811 (cs) |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your newborn be fed Enfamil® Premature Low Iron. Enfamil® Premature is specifically formulated to meet the unique nutritional needs of rapidly growing premature or low-birth-weight infants who do not receive human milk.
Enfamil® Premature is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 139401 |
Enfamil Premature Low Iron 20 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139441 |
300871394018 |
| 139101 |
Enfamil Premature Low Iron 24 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139141 |
300871391017 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your newborn be fed Enfamil® Premature Low Iron. Enfamil® Premature is specifically formulated to meet the unique nutritional needs of rapidly growing premature or low-birth-weight infants who do not receive human milk.
Enfamil® Premature is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 139401 |
Enfamil Premature Low Iron 20 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139441 |
300871394018 |
| 139101 |
Enfamil Premature Low Iron 24 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139141 |
300871391017 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your newborn be fed Enfamil® Premature Low Iron. Enfamil® Premature is specifically formulated to meet the unique nutritional needs of rapidly growing premature or low-birth-weight infants who do not receive human milk.
Enfamil® Premature is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 139401 |
Enfamil Premature Low Iron 20 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139441 |
300871394018 |
| 139101 |
Enfamil Premature Low Iron 24 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139141 |
300871391017 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your newborn be fed Enfamil® Premature with Iron. Enfamil® Premature is specifically formulated to meet the unique nutritional needs of rapidly growing premature or low-birth-weight infants who do not receive human milk.
Enfamil® Premature is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 139201 |
Enfamil Premature with Iron 20 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139241 |
300871392014 |
| 139301 |
Enfamil Premature with Iron 24 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139341 |
300871393011 |
| 148101 |
Enfamil Premature HP 24 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087148141 |
300087148141 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your newborn be fed Enfamil® Premature with Iron. Enfamil® Premature is specifically formulated to meet the unique nutritional needs of rapidly growing premature or low-birth-weight infants who do not receive human milk.
Enfamil® Premature is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 139201 |
Enfamil Premature with Iron 20 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139241 |
300871392014 |
| 139301 |
Enfamil Premature with Iron 24 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139341 |
300871393011 |
| 148101 |
Enfamil Premature HP 24 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087148141 |
300087148141 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your newborn be fed Enfamil® Premature with Iron. Enfamil® Premature is specifically formulated to meet the unique nutritional needs of rapidly growing premature or low-birth-weight infants who do not receive human milk.
Enfamil® Premature is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 139201 |
Enfamil Premature with Iron 20 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139241 |
300871392014 |
| 139301 |
Enfamil Premature with Iron 24 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087139341 |
300871393011 |
| 148101 |
Enfamil Premature HP 24 Cal Ready to Use |
2 fl oz |
48 bottles/case |
0087148141 |
300087148141 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be fed Enfaport™. Enfaport™ is designed to meet the unique nutritional needs of infants with Chylothorax or LCHAD deficiency.
Enfaport™ is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 128901 |
Enfaport |
8 fl oz |
24 cans/case |
0087128941 |
300871289017 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be fed BCAD 1. BCAD 1 is an isoleucine-, leucine-, and valine-free, iron-fortified dietary powder for the dietary management of infants and toddlers with maple syrup urine disease (MSUD).
BCAD 1 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 406002 |
BCAD 1 |
1 lb Powder Can |
6 cans/case |
0087406042 |
300874060026 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order BCAD 2 for an adult or child. BCAD 2 is a medical food powder that is free of the branched chain amino acids isoleucine, leucine, and valine for the dietary management of children and adults with maple syrup urine disease (MSUD).
BCAD 2 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 891501 |
BCAD 2 |
1 lb Powder Can |
6 cans/case |
0087008341 |
300875101100 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order GA for an infant, child, or adult. GA is a lysine- and tryptophan-free, iron-fortified dietary powder for infants, children, and adults with glutaric acidemia type I.
GA is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 019801 |
GA |
1 lb Powder Can |
6 cans/case |
0087019841 |
300870198013 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be fed HCY 1. HCY 1 is a methionine-free, iron-fortified dietary powder for infants and toddlers with homocystinuria.
HCY 1 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 009501 |
HCY 1 |
1 lb Powder Can |
6 cans/case |
0087009541 |
300870095015 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order HCY 2 for a child or adult. HCY 2 is a medical food powder that is free of the essential amino acid methionine for children and adults with homocystinuria.
HCY 2 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 891901 |
HCY 2 |
1 lb Powder Can |
6 cans/case |
0087019941 |
300875100048 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order LMD for an infant, child, or adult. LMD is a leucine-free, iron-fortified dietary powder for infants, children, and adults with disorders of leucine metabolism, including isovaleric acidemia.
LMD is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 007801 |
LMD |
1 lb Powder Can |
6 cans/case |
0087007841 |
300870078018 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be fed OA 1. OA 1 is an isoleucine-, methionine-, threonine-, and valine-free, iron-fortified dietary powder for infants and toddlers with propionic acidemia or methylmalonic acidemia.
OA 1 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 008501 |
OA 1 |
1 lb Powder Can |
6 cans/case |
0087008541 |
300870085016 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order OA 2 for a child or adult. OA 2 is a medical food powder that is free of the essential amino acids isoleucine, methionine, threonine, and valine for children and adults with propionic or methylmalonic acidemia (organic acidemia).
OA 2 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 891701 |
OA 2 |
1 lb Powder Can |
6 cans/case |
0087019141 |
300875101124 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be fed PFD 1. PFD 1 is a protein- and amino acid-free product* designed with carbohydrates, vitamins, and minerals as well as the essential fatty acids for infants and toddlers with various amino acid metabolic disorders.
PFD 1 is a special order product. * This product does contain taurine, a non-protein-building amino acid. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 099401 |
PFD 1 |
1 lb Powder Can |
6 cans/case |
0087099441 |
300870994011 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order PFD 2 for a child or adult. PFD 2 is a protein- and amino acid-free product designed to help meet the calorie, vitamin, mineral, and essential fatty acid needs of children and adults with amino acid metabolic disorders.
PFD 2 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 891601 |
PFD 2 |
1 lb Powder Can |
6 cans/case |
0087007941 |
300875101117 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be fed Phenyl-Free® 1. Phenyl-Free® 1 is a phenylalanine-free, iron-fortified dietary powder for infants and toddlers with phenylketonuria (PKU).
Phenyl-Free® 1 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 007407 |
Phenyl-Free |
1 lb Powder Can |
6 cans/case |
0087007447 |
300870074072 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order Phenyl-Free® 2 for a child or adult. Phenyl-Free® 2 is a medical food powder that is free of the essential amino acid phenylalanine for children and adults with phenylketonuria (PKU).
Phenyl-Free® 2 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 891301 |
Phenyl-Free 2 |
1 lb Powder Can |
6 cans/case |
0087008041 |
300875101087 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order Phenyl-Free® 2HP for a child or adult. Phenyl-Free® 2 HP is a high protein medical food powder that is free of the essential amino acid phenylalanine for children and adults with phenylketonuria (PKU).
Phenyl-Free® 2HP is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 891401 |
Phenyl-Free 2 HP |
1 lb Powder Can |
6 cans/case |
0087008141 |
300875101087 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order Portagen® for a child or adult. Portagen® is a nutritional powder for children and adults with defects in the intraluminal hydrolysis of fat (decreased pancreatic lipase, decreased bile salts); defective mucosal fat absorption (decreased mucosal permeability, decreased absorptive surface); and/or defective lymphatic transport of fat (ie, intestinal lymphatic obstruction).
Portagen® is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 038721 |
Portagen |
1 lb Powder Can |
6 cans/case |
0087038701 |
300870387219 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be fed Product 3232 A™. 3232 A™ is a protein hydrolysate formula base that is to be used with added carbohydrate. It contains tapioca starch. It is for use in the dietary management of infants and children with disaccharidase deficiencies or other disorders of carbohydrate metabolism under the direct and continuing supervision of a doctor.
3232 A™ is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 042521 |
Product 3232 A |
1 lb Powder Can |
6 cans/case |
0087042541 |
300870425218 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be fed TYROS™ 1. TYROS™ 1 is a phenylalanine- and tyrosine-free, iron-fortified dietary powder for infants and toddlers with tyrosinemia.
TYROS™ 1 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 019401 |
TYROS 1 |
1 lb Powder Can |
6 cans/case |
0087019441 |
300870194015 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order TYROS 2 for a child or adult. TYROS 2 is an iron-fortified medical food powder that is free of the essential amino acids phenylalanine and tyrosine for children and adults with tyrosinemia.
TYROS 2 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 891801 |
TYROS 2 |
1 lb Powder Can |
6 cans/case |
0087008241 |
300875101131 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be fed WND® 1. WND® 1 is a nonessential amino acid-free, iron-fortified dietary powder for infants and toddlers with inborn errors of the urea cycle.
WND® 1 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 009201 |
WND 1 |
1 lb Powder Can |
6 cans/case |
0087009241 |
300870092014 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that you order WND® 2 for a child or adult. WND® 2 is an iron-fortified medical food powder that is free of nonessential amino acids for children and adults with inborn errors of the urea cycle (waste nitrogen disorders).
WND® 2 is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or Drugstore.com
- Calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 892001 |
WND 2 |
1 lb Powder Can |
6 cans/case |
0087009341 |
300870093011 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request
Your doctor has recommended that your infant or toddler be supplemented with Enfamil® Fer-In-Sol® Iron Supplement.
Enfamil® Fer-In-Sol® is a special order product. It can be purchased through these convenient options:
- Online at Enfamil Home Delivery or by calling 1-800-BABY123
- Through your local pharmacy
| If you order through your local pharmacists they may require the following information: |
| MJN Item # |
Description |
Unit Size |
Case configuration |
Reimbursement No. |
UPC mfg. No. |
| 074026 |
Enfamil Fer-In-Sol with Dropper |
50 ml |
12 bottles/case |
0087074002 |
300870740267 |
Pharmacy Request Form
For ease of ordering, take this form to your local pharmacy to request a product.
Pharmacy Request