These products should only be prescribed under the recommendation of a dietitian, or a health care professional with expertise in this area. See Oral Nutritional Supplements to view standard first and second line choices
Products within the first line choices category are suitable for most people.
Products within the ‘dietitian led products’ categories should only be considered where first line products are not suitable and there is clinical justification for their use.
Other products not listed in this formulary may be requested by dietitians to meet the specific clinical needs of individual patients.
Fibre containing ONS
- Fibre containing products are not first line options.
- Use of a fibre containing product must meet the ACBS criteria and must not be prescribed when the criteria is not met
- Use of fibre containing ONS should be part of a constipation management plan including assessment of dietary fibre and fluid intake.
Powdered ONS 1.5kcal/ml with Fibre (make up with 200ml whole milk)
| Formulary choice | Product name | Presentation | Nutritional content# | Flavours |
|---|---|---|---|---|
| First choice | Foodlink complete with fibre® | 63g sachet Available as 1 box of 7 x 63g sachets of one flavour | 397 kcal 19 g protein 5g fibre | Strawberry, Chocolate, Banana, Natural, Vanilla |
Ready Made ONS 1.5Kcal/ml Milkshake Style with Fibre
| Formulary Choice | Product name | Presentation | Nutritional content# | Flavours |
|---|---|---|---|---|
| If powdered ONS is not suitable | Ensure® Plus Fibre | 200ml bottle | 310 kcal 13g protein 5g fibre | Banana, Chocolate, Raspberry, Strawberry, Vanilla |
Ready Made ONS 2.4kcal/ml Compact Milkshake Style with Fibre
| Formulary choice | Product name | Presentation | Nutritional content# | Flavours |
|---|---|---|---|---|
| If powdered ONS not suitable | Fortisip® compact fibre | 125ml bottle | 300 kcal 12g protein 5g fibre | Mocha, Strawberry, Vanilla |
High Protein ONS
Prescribing Notes
- All first line powdered ONS products are high in protein and should be considered prior to choosing a specialist product
Ready Made ONS Milkshake Style High Protein
| Formulary choice | Product name | Presentation | Nutritional content# | Flavours |
|---|---|---|---|---|
| First choices | Altraplen Protein® | 200ml bottle | 300 kcal 20g protein | Strawberry, Vanilla |
| AYMES ActaGain 2.4 Complete Maxi®* *cost effective choice | 200ml bottle | 480 kcal 19g protein | Strawberry, Vanilla, Banana |
Ready Made ONS Compact Milkshake Style High Protein
| Formulary choice | Product name | Presentation | Nutritional content# | Flavours |
|---|---|---|---|---|
| Fortisip Compact Protein® | 125ml bottle | 300 kcal 18g protein | Vanilla, Banana, Mocha Strawberry, Berry, Neutral, Hot Tropical, Cool Red Fruits, Peach and Mango |
Dessert Style ONS
Prescribing Notes
- Dessert style products are not routinely recommended due to their lower calorie content per dose.
- Suitable for those requiring low volume.
Powdered ONS Dessert Style (>200kcal and >10g protein per portion)
| Formulary choice | Product name | Presentation | Nutritional content# | Flavours |
|---|---|---|---|---|
| First choice | AYMES Actasolve Delight® | 57g Sachet Available as 1 box of 7x57g sachets of one flavour | 300 kcal 11g protein | Butterscotch, mixed berries, Lemon |
Ready Made ONS Dessert style (>200kcal and >10g protein per portion)
| Formulary choice | Product name | Presentation | Nutritional content# | Flavours |
|---|---|---|---|---|
| If powdered ONS not suitable | Nutricrem®* *cost effective choice | 125g pot Available as1 pack of 4x125g in one flavour | 225 kcal 13g protein | Strawberry, Vanilla, Chocolate orange, Mint Chocolate |
| Fresubin® 2kcal creme | 125g pot Available as 1 pack of 4x125g in one flavour | 250kcal 13g protein | Vanilla, Chocolate, Praline, Wild strawberry, Cappuccino |
Modular Supplements
Prescribing notes
Modular Products do not contain a balance of nutrients and should not be initiated in primary care and should only be prescribed on the request of a dietitian (or a health care professional with expertise in this area) with clinical justification.
#Nutritional content per unit (e.g. per ready-made bottle or per sachet made up as directed). Protein content rounded to the nearest whole number