TABLE 1.

Cost comparison of Enfamil HMF (Mead Johnson Nutrition) and Prolact+ 4 (Prolacta Bioscience) H²MF to prepare enteral feeds of 0.8 kcal/mL for a preterm infant

	Enfamil HMF1 (powder)	Prolact+4 H2MF (liquid)
Cost of fortifier	$1.20/sachet2 × 4 sachets = $4.80	20 mL Prolact+4 H2MF × $6.25/mL3 = $125
Volume to prepare 0.8 kcal/mL	(0.71-g sachet2 × 4 sachets × 0.84 mL/g4 displacement) + 100 mL breast milk = 102.4 mL	20 mL Prolact+4 H2MF + 80 mL breast milk5 = 100 mL
If mixed with MOM	$4.80/102.4 mL = $0.05/mL	$125/(100 mL) = $1.25/mL
If mixed with donor human milk	[$4.80 fortifier + ($0.10/mL3)(100 mL)]/102.4 mL = $0.14/mL	[$125 + ($0.10/mL3)(80 mL)]/100 mL = $1.33/mL

¹HMF, human milk fortifier; MOM, mother’s own milk.

²From reference 44.

³From reference 16.

⁴From Mead Johnson Nutrition product information database.

⁵From reference 43.