Provider Alert! Updated Notice: Kate Farms Pediatric Standard 1.2 Vanilla Formula Recall Expanded
Date: September 2, 2022
Attention: All Providers
Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.
Call to action: Texas Children’s Health Plan (TCHP) received an urgent notice of the voluntary recall of Kate Farms Pediatric Standard 1.2 Vanilla formula which has been expanded to include additional Kate Farms products and several lots of Pediasure Harvest. These products are manufactured by Lyons Magnus and primarily obtained through a pharmacy or Durable Medical Equipment (DME) provider for members and WIC clients with a medical request. Lyons is conducting this voluntary recall due to the potential for microbial contamination.
Click here to view the August 10, 2022 Expanded Lyons Recall: https://myproductinformation.com/product-information/
Resource: Kate Farms Notice.pdf
TCHP wants to ensure that our providers are aware of this important member safety matter and are prepared to assist our Members in obtaining appropriate replacement formulas.
Please inform Members DO NOT USE:
| Product Name | Lot Code | Item No. | Expiration Date | Package Type |
| Pediatric Standard
1.2 Vanilla |
2512 | 851823006997 | 6/1/2023 | 12 / case of
250mL cartons |
| Pediatric Standard
1.2 Vanilla |
3512 | 851823006997 | 6/2/2023 | 12 / case of
250mL cartons |
| Pediatric Standard
1.2 Vanilla |
4512 | 851823006997 | 6/3/2023 | 12 / case of
250mL cartons |
| Pediatric Standard
1.2 Vanilla |
5512 | 851823006997 | 6/4/2023 | 12 / case of
250mL cartons |
| Pediatric Standard
1.2 Vanilla |
6512 | 851823006997 | 6/5/2023 | 12 / case of
250mL cartons |
| Description | UPC Carton | UPC Case (If Sold in Cases) | Item Batch In Original Recall? | Lot Code | Best By Date |
| Pediatric Peptide 1.0 Vanilla 12ct/250ml cartons |
811112030522 | 00811112030539 | N | 2031 | 10/24/2022 |
| Standard 1.0 Vanilla 12ct/325ml cartons |
851823006638 | 00851823006683 | N | 5621 6621 7621 |
09/17/2022 09/18/2022 09/19/2022 |
| Nutrition Shake Coffee 12ct/11 fl oz cartons |
811112030621 | 00811112030638 | N | 7331 8031 |
12/03/2022 11/04/2022 |
| Nutrition Shake Chocolate 12ct/11 fl oz cartons |
811112030607 | 00811112030614 | N | 0602 1602 2621 1821 2821 6102 7031 7102 |
03/01/2023 03/02/2023 09/19/2022 10/08/2022 10/09/2022 01/16/2023 11/03/2022 01/17/2023 |
| Nutrition Shake Vanilla 12ct/11 fl oz cartons |
811112030584 | 00811112030591 | N | 0602 0621 5031 5102 6031 6102 9502 |
03/01/2023 09/17/2022 11/01/2022 01/15/2023 11/02/2022 01/16/2023 02/28/2023 |
| Standard 1.4 Plain 12ct/325ml cartons |
811112030010 | 00811112030027 | N | 8031 | 11/04/2022 |
| Peptide 1.5 Plain 12ct/325ml cartons |
851823006461 | 00851823006379 | N | 9031 | 11/05/2022 |
| Pediatric Standard 1.2 Vanilla 12ct/250ml cartons |
851823006904 | 00851823006997 | N | 0031 0431 1221 1431 1521 2221 2521 3131 6302 7302 |
10/27/2022 12/06/2022 08/09/2022 12/07/2022 09/08/2022 08/10/2022 09/09/2022 11/09/2022 02/05/2023 02/06/2023 |
| Pediatric Standard 1.2 Vanilla 12ct/250ml cartons |
851823006904 | 00851823006997 | Y | 2512 3512 4512 5512 6512 |
06/01/2023 06/02/2023 06/03/2023 06/04/2023 06/05/2023 |
| Pediatric Peptide 1.5 Vanilla 12ct/250ml cartons |
851823006874 | 00851823006201 | N | 0031 1031 3221 3531 4221 4531 6131 6721 7131 |
10/27/2022 10/28/2022 08/11/2022 12/19/2022 08/12/2022 12/20/2022 11/12/2022 10/03/2022 11/13/2022 |
Next steps for providers: Please inform Members that they should check to see if their child’s formula is part of the recall.
Members can find instructions for determining if their formula is part of the recall on the Texas WIC website at https://texaswic.org/about-wic/special-wic-food-updates. The WIC office has sent text notifications to their clients who are prescribed this formula.
Members may use transportation services available as a value-added service or on a case-by-case basis to travel to WIC offices to make the necessary changes to their WIC documentation. For more information on this service, click here or go to https://www.texaschildrenshealthplan.org/transportation.
If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.
For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers
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