Dear Hospital Pharmacist or NICU Provider: FloraTummys Probiotic is being used in preterm infants to help prevent NEC in the NICU. Most protocols include mixing one FloraTummys packet with 3ml of breastmilk or formula during feeding or NG Tube with normal saline. For list of hospitals and protocols contact
Non-Dairy, Gluten & Sugar-Free
FloraTummys Probiotic Sprinkles for Kids
  • Individual bar-coded powder packets
  • 5 billion CFU
  • L. acidophilus & B. lactis
  • Prebiotic (FOS)
  • Non-Dairy, Gluten & Sugar-Free
  • Free of 8 Top Food allergens
  • Completely dissolves in liquids
  • Won’t clog NG Tubes (see mix test vs Florastor & Culturelle)

“…our NEC rate dropped from 14.6% to 3.4% during the six months of probiotic use.”

From a Clinical NICU Pharm, D. using FloraTummys Feb 28, 2017  

    The Cochrane Review: (24 NEC-Probiotic studies) The authors concluded: “Enteral supplementation of probiotics prevents severe NEC and all cause mortality in preterm infants. Our updated review of available evidence strongly supports a change in practice. Head to head comparative studies are required to assess the most effective preparations, timing, and length of therapy to be utilized.”

    2016 Pediatric Pharmacy Advocacy Group (PPAG) Probiotics-NEC Review. Recommendations were to use:  

    • Multi-strain probiotics with both lactobacillus and bifidobacterium
    • At least 1 billion CFU
    • Powder packets vs bulk powder to reduce risk of cross contamination

    Protective Effects of Dual Strain Probiotics in Preterm Infants: A Multi-Center Time Series Analysis (June 2016).

    Denkel LA1, Schwab F1, Garten L2, Geffers C1, Gastmeier P1, Piening B1.Institute of Hygiene and Environmental Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany.2 Dept. of Neonatology, Charité Universitätsmedizin Berlin, Berlin, Germany.

    Results: …“The use of dual-strain probiotics significantly reduced the risk of NEC (HR = 0.48; 95% CI = 0.38-0.62), overall mortality (HR = 0.60, 95% CI = 0.44-0.83), mortality after NEC (HR = 0.51, 95% CI = 0.26-0.999) and nosocomial BSI (HR = 0.89, 95% CI = 0.81-0.98). These effects were even more pronounced in the subgroup analysis of preterm infants with birth weights below 1,000 g.”


Probiotics and Necrotizing Enterocolitis: Finding the Missing Pieces of the Probiotic Puzzle “NEC rate should be one of the first determinants when considering the use of probiotics for the prevention of NEC in the NICU.” Sherry A. Luedtke, PharmD, Jacob T. Yang, PharmD, and Heather E. Wild, PharmD Texas Tech University Health Sciences Center School of Pharmacy, Amarillo, Texas

FloraTummys is available in a 30ct and 10ct through the following drug wholesalers
FloraTummys Probiotic Kids!
Wholesaler 30ct item # 10ct item #
Amerisource Bergen 236521 321844
Bellco 500398
Burlington Drug 357566 361923
Cardinal 4918934 4976585
Dakota Drug, Inc. 027540 079780
HD Smith 531-8811 545-2560
Kinray 123414 969923
McKesson 2027563 3229341
Rochester Drug 10665362 10665354
Smith Drug Co. 689844
Value Drug 146129 146131

For office use only

If you are interested in wholesale quantity discount pricing contact Frank Melfa at 201-819-7643 or