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. Two hospitals so far have reported a decrease in NEC since using FloraTummys. For list of hospitals and protocols contact

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

From a Clinical NICU PharmD, using FloraTummys, Feb 28, 2017

Non-Dairy, Gluten & Sugar-Free
FloraTummys Probiotic Sprinkles for Kids
  • Bifidobacterium lactis & Lactobacillus acidophilus
  • 5 Billion CFU
  • Prebiotic (FOS)
  • Non-Dairy, Gluten & Sugar-Free
  • Non-GMO & Taste Free
  • NEW Barcoded Powder Packets Made in the USA!
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. The 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
  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

Protective Effect of Dual-Strain Probiotics in Preterm Infants: A Multi-Center Time Series Analysis

Luisa A. Denkel Frank Schwab, Lars Garten, Christine Geffers, Petra Gastmeier, Brar Piening

Published: June 22, 2016

Conclusion: “This large observational multi-center study demonstrated that routine medication with dual-strain probiotics in German neonatal wards was significantly associated with reduced incidences of NEC and overall mortality…”

Available through the following 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