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Nepro RTH

Nepro RTH

Nepro® with Carb Steady®

HCPCS Code:  B4154

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Therapeutic Nutrition for People on Dialysis

  • NEPRO WITH CARBSTEADY® is therapeutic nutrition specifically designed to help meet the nutritional needs of patients on dialysis (Stage 5 chronic kidney disease).
  • For tube or oral feeding.
  • For supplemental or sole-source nutrition.
  • Use under medical supervision.


  • In a study of NEPRO as supplemental nutrition1, patients on dialysis had increased serum albumin, increased serum prealbumin and improved nutritional status (as signified by subjective global assessment).
  • Has CARBSTEADY carbohydrate blend designed to help manage blood glucose response.
  • Excellent source of high-quality protein (19.1 g /8 fl oz) to help meet nutritional needs and replace protein lost during dialysis.
  • Vitamin and mineral profile designed for people on dialysis.
  • High in calories—1.8 Cal/mL.
  • Low in phosphorus, potassium, and sodium.
  • A good source of fiber, including prebiotics.
  • Halal (certain flavors).
  • Kosher.
  • Gluten-free.
  • Suitable for lactose intolerance.
Feeding sets are for single-patient use only. Use clean technique to avoid set and/or product contamination.


  • Not for people with galactosemia.
  • Not for IV use.
1 Caglar K, et al. Kidney Int 2002;62(3):1054-1059.

Instructions for Use: Ready-To-Hang Container

All liquid medical foods, regardless of type of administration system, require careful handling because they can support microbial growth. Follow these instructions for clean technique and proper setup to reduce the potential for microbial contamination. NOTE: Failure to follow the Instructions for Use increases the potential for microbial contamination and reduces hangtime.

  • Pump feeding is recommended; use an 8 Fr or larger tube. Gravity feeding not recommended.
  • Administer product at room temperature.
  • THOROUGHLY wash hands with soap and water before handling container or feeding set.
  • Turn container upside down and SHAKE VIGOROUSLY, using a twisting motion for at least 10 seconds.
  • DO NOT touch any part of the container or feeding set that comes into contact with the formula.
  • When initiating feeding, follow physician's instructions. Adjust flow rate and volume according to patient's condition and tolerance.
  • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
  • Follow Directions for Use provided with feeding set.

For Use with Enteral Feeding Pumps:
  • Remove dust cover from RTH Safety Screw Cap.
  • Remove dust cover from feeding set connector.
  • Insert feeding set connector into port of RTH Safety Screw Cap and completely pierce foil.
  • Turn connector collar clockwise until it is securely fastened.
  • Close clamp on set before inverting container.
  • Invert container and suspend, using hanging ring on bottom of container.
  • Follow directions for use provided by manufacturer of feeding sets.
  • Unless a shorter hang time is specified by the set manufacturer, hang product for up to 48 hours after initial connection when clean technique and only one new set are used. Otherwise hang for no more than 24 hours.


Serving Size: 1.1 QT(1 L)

Amount Per Serving % DV % RDI*
    Nutrient Density, Cal/mL:1.8    
    Calories per fl oz:53.1    
    Protein, % Cal:18    
    Carbohydrate, % Cal:34    
    Fat, % Cal:48    
    Cal to Meet 100% RDIs:1700    
    mL to Meet 100% RDIs:944    
    Total Cal:g Nitrogen:139:1    
    Nonprotein Cal:g Nitrogen:121:1    
    Osmolality, mOsm/kg H2O:745    
    Viscosity:Nectar-Like (Room Temperature and Chilled)    
    Minimum Tube Size for Gravity/Pump Feeding (Fr):Not Recommended/8    
Nutrient Data
Protein, g:81.0    
Fat, g:96.0    
    Saturated Fat, g:8.4    
    Trans Fat, g:0    
    Polyunsaturated Fat, g:17.3    
    Monounsaturated Fat, g:67.5    
    Cholesterol, mg:27.4    
Carbohydrate, g:161    
    Dietary Fiber, g:12.6    
    Sugars, g:36    
    Glycerine, g:11    
L-Carnitine, mg:265    
Taurine, mg:160    
Water, g:727    
Vitamin A, IU:3180   64 
Vitamin D, IU:85   21 
Vitamin E, IU:95   315 
Vitamin K, mcg:85   105 
Vitamin C, mg:105   175 
Folic Acid, mcg:1060   265 
Thiamin (Vitamin B1), mg:2.4   160 
Riboflavin (Vitamin B2), mg:2.7   160 
Vitamin B6, mg:8.5   425 
Vitamin B12, mcg:9.5   160 
Niacin, mg:32   160 
Choline, mg:635   Not established 
Biotin, mcg:506   170 
Pantothenic Acid, mg:16   160 
Sodium, mg:1060   Not established 
Potassium, mg:1060   Not established 
Chloride, mg:845   25 
Calcium, mg:1060   105 
Phosphorus, mg:720   72 
Magnesium, mg:210   53 
Iodine, mcg:160   105 
Manganese, mg:2.1   105 
Copper, mg:2.1   105 
Zinc, mg:27   180 
Iron, mg:19   105 
Selenium, mcg:74   105 
Chromium, mcg:125   105 
Molybdenum, mcg:79   105 
* RDI percentages for adults and children 4 or more years of age.


Nepro with Carb Steady Ready-to-Hang Vanilla / 1000-mL (1.1-QT) bottle / 8 ct
Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Milk Protein Isolate, Sugar, Corn Maltodextrin, Glycerine, Short-Chain Fructooligosaccharides. Less than 1.0% of: Soy Lecithin, Natural & Artificial Flavor, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt, Ascorbic Acid, L-Carnitine, Taurine, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Pyridoxine Hydrochloride, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Riboflavin, Vitamin A Palmitate, Magnesium Phosphate, Folic Acid, Chromium Chloride, Biotin, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.
Contains milk and soy ingredients.