To be purchased over the counter under medical supervision.

Cow’s Milk Allergy: Soya Formula: NO LONGER AVAILABLE

Gastro-oesophageal reflux disease (GORD) Thickened Formula: Aptamil Anti-reflux®, Cow and Gate Anti- Reflux®, SMA Anti- Reflux®

Lactose-free Formula: SMA LF, Aptamil Lactose-Free. For use in managing symptoms of secondary lactose intolerance. Not suitable for infants with suspected cow’s milk allergy. Should only be used for a maximum of 6-8 weeks after which infant should be challenged with a standard cow’s milk based infant formula. 

After 1 year can use shop bought full fat lactose free milk. 

Entry reviewed: December 2024

For use first line if mild to moderate cow's milk allergy suspected

Birth to 1-2 years

SMA Althera (Whey-based) Whey-based formula contain lactose.

Aptamil Pepti 1 (Whey-based) Whey-based formula contain lactose.

Nutramigen 1 LGG (Casein-based) Use casein-based first line in infants with severe diarrhoea/severe GI symptoms who would benefit from a lactose free formula

Entry reviewed: December 2024

Second line choice: For use with treatment for symptoms of a cow’s milk allergy if symptoms have not improved after use of an EHF following a 2-4 week trial

Entry reviewed: September 2025

Third line choice: For use with treatment of severe symptoms of cow’s milk allergy.

Birth to 1-2 years

First line AAF: Puramino

Should only be used in the event of stock unavailability of first line AAF:

Neocate LCP

SMA Alfamino 

Entry reviewed: December 2024

To be started in secondary or specialist care if an infant is at risk of or has been diagnosed with faltering growth.

Birth to 18 months or > 8kg of body weight

Brands:

SMA High Energy

Similac High Energy

Infatrini

Entry reviewed: December 2024

For use in pre-term neonates. Initiation via dietitian.

 For Beds/Luton: Hospital only prescribing until discharge supply pathway developed.

 For Milton Keynes: GP may prescribe the remainder of the course when provided with full information from dietician via template letter.

Entry reviewed: June 2024

To be started in secondary or specialist care only. For infants under 2kg birth weight AND less than 34 weeks gestation.

From birth to 3-6 months corrected age

NB: Liquid preparations are not routinely recommended for use in the community due to cost, unless under the care of a dietitian and there is a specific indication

SMA Gold Prem 2 powder

Cow & Gate Nutriprem 2 powder

Entry reviewed: December 2024