Contact: Mia Greenstein Director of Customer Service 1.805.845.2446 or [email protected] Mia can answer your questions and also put you in touch with our Kate Farms Registered Dieticians, if desired as well.

Introducing a non-dairy, vegan, ready-to-drink meal replacement option!

Nutritional Benefits • • * * • • • • • • • •

Dairy-free, soy-free, gluten-free, whey-free, casein-free 16-18g of plant-based protein: organic brown rice and pea protein for growth and maintaining muscle mass. Certified Organic and Non-GMO Hypoallergenic 21 antioxidant rich superfoods (including blueberries, turmeric, spinach, and broccoli). 290-310 calories and 5 grams of fiber make it a full meal and keeps you satisfied for hours. 22 Vitamins and Minerals in one carton (35% of daily requirements). 8-9 grams of fat for satiety and absorption of fat soluble vitamins. 1 year shelf-stable; can be stored at room temperature. Chocolate, Vanilla and Coffee Flavors for variety. For enteral feeding, Kate Farms flows smoothly through the pump Available for purchase OTC at Vitamin Shoppe, Sprouts, and 4,000 other major stores.

Assigned HCPCS code for DME Billing

B4150 - Enteral Formula, Nutritionally Complete with Intact Nutrients. Includes Protein, Fat, Carbohydrates, Vitamins, Minerals and Fiber. Administered Through an Enteral Feeding Tube.

Food Sensitivities

Tube Feeding and Digestive Conditions

• 30-50 million people are lactose intolerant. • 90 million Americans follow a gluten-free diet.* • 24 million avoid gluten for medical reasons.** • Soy is one of 8 foods that account for 90% of food allergies in children***. Kate Farms does not contain the top 8 food items that are allergens.

•Kate Farms is covered by code B4150 for enteral feeding. Kate Farms flows smoothly through a pump and contains the benefits stated above. * Our customers have reported that Kate Farms Komplete has played a unique role as a source of their nutrition.

* National Institute of Health Clearinghouse of Digestive Diseases ** Center for Celiac Disease Research and Treatment *** American Academy of Asthma, Allergy, and Immunology

Patients are advised to check with their doctor or dietitian to see if Kate Farms is right for them.

Kate Farms Story Kate Farms was created by Richard and Michelle Laver in order to save their daughter Kate, born with Cerebral Palsy and fed via a tube. Kate weighed only 16 pounds when she was almost 5 years old. They needed a solution quickly as she was failing to thrive. Kate’s parents, with support from her doctors and dietician, went to work and created what is now known as Kate Farms Komplete. Kate is now 9 years old and thriving, having consumed 4-5 Kate Farms Kompletes per day for the last 4 years. More and more patients are being prescribed Komplete as part of their nutritional program, and responses pour into Kate Farms telling the stories of how Komplete is impacting their lives and those who are caring for their loved ones. Kate Farms has helped thousands of people with health issues and is now available and covered by insurance for others who are enteral feeding. Check with your doctor or dietician to see if Kate Farms Komplete is right for you.

• A meal replacement shake should include calories composed of appropriate percentages of carbohydrates, fat and protein. Institute of Medcine (www.iom.edu) reports that adults should get 45-65% of calories from carbs, 20-35% from fat, and 10-35% from protein. • Hypoallergenic items contain relatively few or no potentially irritating substances.

Physicians Written Order Enteral Nutrition & Supplies All fields are required to process an order.

Start date: ____ / ____ / ____

First: __________________ Last: __________________ MI: __________________ Patient DOB: ___ /___ /___ Gender: M F Address: ____________________________________________________ City: ____________________ State: ______ Zip: ________ Phone Number: _______________________________ Email Address: _____________________________________________________

Prescribing Physician Name: _______________________ Street Address: __________________________________ City: ___________________ State: ______ Zip: _______ Phone: ________________ Fax: _____________________ NPI#: ____________________________________________

Insurance

Doctor

Patient

Please have your doctor fill out for insurance and fax form to Mia Greenstein, Director of Customer Service, at 805-832-6119 or call 805-845-2446.

Primary Insurance:  ______________________________ Policy/ID: ______________________________________ Group #:   ______________________________________ Phone #: _______________________________________ Secondary Insurance: ____________________________ Policy/ID: ______________________________________ Group #:   ______________________________________ Phone #: _______________________________________

Description

HCPCS

Enteral formula, nutritionally complete with intact nutrients; includes proteins, fats, carbohydrates, vitamins and minerals; may include fiber; adminsitered through an enteral feeding tube. 100 calories = 1 billable unit

B4150

ICD-10 Description V44.1/Z93.1    Gastronomy 560.9/K56.60      Intestinal Obstruction Unspecified 783.21/R63.    Abnormal Loss of Weight 783.41/R62.51   Failure to Thrive/Gain Weight (Pediatric) _____________  ____________________________________

Estimated Length of need ______ months (99 = lifetime) *** FOR MEDICARE PATIENTS, PLEASE INCLUDE MEDICAL RECORDS*** Use Y for Yes, N for No, or D for Does Not Apply unless otherwise noted: _____ 1.  Is Enteral nutrition the only source of nutritional intake which the patient can consume/ingest?

Diagnosis

_____ 2.   Does the patient require Enteral feeding to provide sufficient nutrients to maintain weight and strength to     

commensurate with the patient’s overall heath status?

Please circle and/or write the answers to questions 3 - 5. 3.  If Enteral Nutrition is being routed for administration via tube, please indicate the route: 1 - Gastronomy Tube   2 - Jejunostomy Tube    3 - Nasogastric Tube    4 - Other 4.  Please indicate the prescribed calories per day ________________ or ________________ (ounces/day) 5.  Method of administration of the enteral nutrition is (circle all that apply): 1 - Syringe (B4034)    2 - Pump (B4035)    3 - Gravity (B4036)    4 - Other _________________ 6.  Formula Type/s used to fill order   700175588920 Kate Farms Komplete - Vanilla     700175588913 Kate Farms Komplete - Chocolate     700175588937 Kate Farms Komplete - Coffee _____ 7.  Days per week administered? (Enter 1 - 7) Formulated to be administered 7 day units unless otherwise noted _____ 8.  Please indicate if the patient has a documented allergy or intolerance to semi-synthetic nutrients? *Quantities will be provided in daily and/or only unit increments, where 1 unit = 100 calories. Quantity to Dispense ________________   Frequency of Use ________________ MEDICAL RECORDS ARE REQUIRED FOR INSURANCE COVERAGE

I certify that I am the physician/practitioner identified on this form and I have reviewed the Physicians Written Order. Any statement on my letterhead attached hereto, has been reviewed and signed by me. I certify that the medical necessity information is true, accurate and complete, to the best of my knowledge. I certify I am qualified, under CMS guidelines, to sign and prescribe medical equipment and supplies. I certify that the patient/caregiver is capable and has successfully completed training or will be trained on the proper use of the products prescribed on this Written Order. The patient’s record supporting documentation that substantiates the utilization and medical necessity of the products listed and physical notes and other supporting documentation will be provided to Kate Farms upon request. I understand falsification, omission, or concealment of material fact in that section may subject me to civil or criminal liability. A copy of this order will be retained as part of the patient’s medical record.

Physician/Practitioner Signature:  ___________________________________________________________ Date: ______________________                                 

(Stamps are not acceptable)

Printed Name:  _______________________________________________________________________________________________________ This fax message and any attachments may contain confidential information. If you are not the intended recipient and have received this message in error, please inform sender and delete the contents without copying, distributing or forwarding. By faxing this form, you are acknowledging that the patient is aware that a Kate Farms representative and/or authorized distributor may be contacting them for any additional information to process this order. Thank you.

TECHNICAL INFORMATION Kate Farms Komplete Chocolate PRODUCT

KATE FARMS KOMPLETE CHOCOLATE (11.0 FLUID OUNCES / 325ML)

INSURANCE COVERAGE

Yes: HCPCS Code B4150 for enteral feeding

DESCRIPTION

Vegan, Soy-Free, Dairy-Free, Gluten-Free, Non-GMO, Certified Organic 22 vitamins and minerals, 21 Superfoods Chocolate Flavor provides 310 Calories, 18 grams protein, 9 grams fat Can also be used as a meal replacement, oral supplement or for enteral tube feeding

INGREDIENTS

Purified Water, Organic Brown Rice Syrup Solids, Organic Agave Syrup, Organic Rice Protein, Organic Pea Protein, Organic Sunflower Oil, Organic Cocoa Powder, Organic Inulin, Natural Chocolate Flavor, Tricalcium Phosphate, Vitamins/Minerals Blend, Carrageenan (derived from seaweed), Sunflower Lecithin, Spectra TM 100mg Superfoods Blend

CALORIC DISTRIBUTION

55% calories from carbohydrates, 20% calories from protein 25% calories from fat

PROTEIN SOURCE

Organic Pea Protein, Organic Rice Protein

CARBOHYDRATE SOURCE

Organic Brown Rice Solids, Organic Agave Syrup

FAT SOURCE

Organic High Oleic Sunflower Oil

FIBER/SOURCE

5 gm fiber per serving / Organic Inulin

WATER CONTENT

79%

CAFFEINE CONTENT

3.8 milligrams per 11.0 fluid ounces’ container.

ALLERGENS

Does not contain any of the top 8 allergens: Milk, Eggs, Fish, Crustacean Shellfish, Tree Nuts, Peanuts, Wheat, Soy

ORGANIC

Yes

NON-GMO

Yes

GLUTEN FREE

Yes

LACTOSE FREE

Yes

DAIRY FREE

Yes

CASEIN FREE

Yes

KOSHER

Yes, certification pending

HALAL

Yes, certification pending

INSTRUCTIONS FOR USE

Enteral tube feeding via gravity drip, pump or bolus method of administration. Flush the tube with water before and after feeding. Can also be used orally as a supplement or meal replacement. For any unused portions, replace the cap on the package and refrigerate for up to 96 hours.

SHELF LIFE

Product is shelf stable and if unopened can be safely consumed up to the Best by Date on the package which is one year from date of manufacturing.

TECHNICAL INFORMATION, CONT. Kate Farms Komplete Chocolate

Nutrition information is calculated based on USDA Nutrient Database Standard Reference from source ingredietns Certificate of Analysis.

ESSENTIAL AMINO ACIDS

NUTRITION PANEL Unit Measure Calories

11ounces/325 ml

% Daily Value

310

Amino Acid

Cow’s Milk

Kate Farms

Variance

Histidine

5.03

5.16

103%

Total Fat, g

g

9

14%

Isoleucine

12.11

11.56

95%

Saturated Fat, g

g

1

5%

Leucine

18.56

19.04

103%

Trans Fat, g

g

0

0%

Lysine

14.69

14.17

96%

Cholesterol, mg

mg

0

0%

Methionine

6.31

7.25

115%

Sodium, mg

mg

120

5%

Phenylalanine

18.81

19.14

102%

Potassium, mg

mg

190

5%

Threonine

8.76

8.96

102%

Total Carbohydrate, g

g

43

14%

Tryptophan

2.71

2.64

97%

Dietary Fiber, g

g

5

20%

Valine

13.02

12.08

93%

Sugars, g

g

18

Protein, g

g

18

36%

Vitamin A, IU

IU

1750

35%

Calcium, mg

mg

350

35%

Nutrient Density

1.08 gm/cc

Vitamin D, IU

IU

140

35%

n6:n3

15:01

Thiamin, mg

mg

0.5

35%

Calories to meet 100% RDI for protein for ages 1-3

224

Niacin, mg

mg

7

35%

mL to meet 100% RDI for protein for ages 1-3

229

Folic Acid, mcg

mcg

140

35%

Calories to meet 100% RDI for protein for ages 4-8

325

Biotin, mcg

mcg

105

35%

mL to meet 100% RDI for protein for ages 4-8

330

Phosphorous, mg

mg

350

35%

Calories to meet 100% RDI for protein for ages 9-13

586

Magnesium, mg

mg

140

35%

mL to meet 100% RDI for protein for ages 9-13

598

Selenium, mcg

mcg

24.5

35%

Calories to meet 100% RDI for protein and for ages 14+

896

Manganese, mg

mg

0.7

35%

mL to meet 100% RDI for protein and for ages 14+

914

Molybdenum, mcg

mcg

26.25

35%

Suitable for Lactose Intolerance (Y/N)

Y

Vitamin C, mg

mg

21

35%

Total Cal/g Nitrogen

108

Iron, mg

mg

6.3

35%

Nonprotein Cal/g Nitrogen

82

Vitamin E, IU

IU

10.5

35%

Osmolality Renal Solute Load, mOsm/kg

610

Viscosity (room temp), Brookfield

192

Shelf-Life

12 months

After open instructions (how long is unused portion good - if refrigerated)

96 hours

Free Water %/ ml per carton

Riboflavin (Vit B2), mg

mg

0.6

35%

Vitamin B6, mg

mg

0.46

35%

Vitmain B12, mcg

mcg

2.1

35%

Panthothenic Acid, mg

mg

3.5

35%

Iodine, mcg

mcg

52.5

35%

Zinc, mg

mg

5.25

35%

Copper, mg

mg

0.7

35%

Chromium, mcg

mcg

42

Vitamin K, mcg

mcg

28

Calories from Fat

NUTRIENT DENSITY

35%

80

Sugars, g

g

18

Calories per fl oz

fl oz

28.18

Calories per mL

mL

0.95

*Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie intake.

CONTACT INFORMATION: To purchase for home delivery or to find a store, please visit: www.katefarms.com For information on insurance coverage for enteral feeding: [email protected] To reach a Kate Farms Registered Dietician with questions: [email protected] To reach Kate Farms by Phone: 1.805.845.2446

TECHNICAL INFORMATION Kate Farms Komplete Vanilla PRODUCT

KATE FARMS KOMPLETE VANILLA (11.0 FLUID OUNCES / 325ML)

INSURANCE COVERAGE

Yes: HCPCS Code B4150 for enteral feeding

DESCRIPTION

Vegan, Soy-Free, Dairy-Free, Gluten-Free, Non-GMO, Certified Organic 22 vitamins and minerals, 21 Superfoods Vanilla Flavor provides 290 Calories, 16 grams protein, 8 grams fat Can be used as a meal replacement, oral supplement or for enteral tube feeding

INGREDIENTS

Purified Water, Organic Brown Rice Syrup Solids, Organic Agave Syrup, Organic Rice Protein, Organic Pea Protein, Organic High Oleic Sunflower Oil, Organic Inulin, Natural Vanilla Flavor, Tricalcium Phosphate, Vitamins/Minerals Blend, Carrageenan (derived from seaweed), Sunflower Lecithin, SpectraTM 100mg Superfoods Blend

CALORIC DISTRIBUTION

55% calories from carbohydrates, 20% calories from protein 25% calories from fat

PROTEIN SOURCE

Organic Pea Protein, Organic Rice Protein

CARBOHYDRATE SOURCE

Organic Brown Rice Solids, Organic Agave Syrup

FAT SOURCE

Organic High Oleic Sunflower Oil

FIBER/SOURCE

5 gm fiber per serving / Organic Inulin

WATER CONTENT

79%

CAFFEINE CONTENT

None

ALLERGENS

Does not contain any of the top 8 allergens: Milk, Eggs, Fish, Crustacean Shellfish, Tree Nuts, Peanuts, Wheat, Soy

ORGANIC

Yes

NON-GMO

Yes

GLUTEN FREE

Yes

LACTOSE FREE

Yes

DAIRY FREE

Yes

CASEIN FREE

Yes

KOSHER

Yes, certification pending

HALAL

Yes, certification pending

INSTRUCTIONS FOR USE

Enteral tube feeding via gravity drip, pump or bolus method of administration. Flush the tube with water before and after feeding. Can also be used orally as a supplement or meal replacement. For any unused portions, replace the cap on the package and refrigerate for up to 96 hours.

SHELF LIFE

Product is shelf stable and if unopened can be safely consumed up to the Best by Date on the package which is one year from date of manufacturing.

TECHNICAL INFORMATION, CONT. Kate Farms Komplete Vanilla

Nutrition information is calculated based on USDA Nutrient Database Standard Reference from source ingredietns Certificate of Analysis.

NUTRITION PANEL Unit Measure Calories

11ounces/325 ml

ESSENTIAL AMINO ACIDS % Daily Value

290

Amino Acid

Cow’s Milk

Kate Farms

Variance

Histidine

5.03

5.16

103%

Total Fat, g

g

8

12%

Isoleucine

12.11

11.56

95%

Saturated Fat, g

g

1

5%

Leucine

18.56

19.04

103%

Trans Fat, g

g

0

0%

Lysine

14.69

14.17

96%

Cholesterol, mg

mg

0

0%

Methionine

6.31

7.25

115%

Sodium, mg

mg

120

5%

Phenylalanine

18.81

19.14

102%

Potassium, mg

mg

70

2%

Threonine

8.76

8.96

102%

Total Carbohydrate, g

g

41

14%

Tryptophan

2.71

2.64

97%

Dietary Fiber, g

g

5

20%

Valine

13.02

12.08

93%

Sugars, g

g

18

Protein, g

g

16

32%

Vitamin A, IU

IU

1750

35%

NUTRIENT DENSITY

Calcium, mg

mg

350

35%

Nutrient Density

1.08 gm/cc

Vitamin D, IU

IU

140

35%

n6:n3

15:01

Thiamin, mg

mg

0.5

35%

Calories to meet 100% RDI for protein for ages 1-3

224

Niacin, mg

mg

7

35%

mL to meet 100% RDI for protein for ages 1-3

229

Folic Acid, mcg

mcg

140

35%

Calories to meet 100% RDI for protein for ages 4-8

325

Biotin, mcg

mcg

105

35%

mL to meet 100% RDI for protein for ages 4-8

330

Phosphorous, mg

mg

350

35%

Calories to meet 100% RDI for protein for ages 9-13

586

Magnesium, mg

mg

140

35%

mL to meet 100% RDI for protein for ages 9-13

598

Selenium, mcg

mcg

24.5

35%

Calories to meet 100% RDI for protein and for ages 14+

896

Manganese, mg

mg

0.7

35%

mL to meet 100% RDI for protein and for ages 14+

914

Molybdenum, mcg

mcg

26.25

35%

Suitable for Lactose Intolerance (Y/N)

Y

Vitamin C, mg

mg

21

35%

Total Cal/g Nitrogen

108

Iron, mg

mg

6.3

35%

Nonprotein Cal/g Nitrogen

82

Vitamin E, IU

IU

10.5

35%

Osmolality Renal Solute Load, mOsm/kg

550

Viscosity (room temp), Brookfield

110

Free Water %/ ml per carton

Riboflavin (Vit B2), mg

mg

0.6

35%

Vitamin B6, mg

mg

0.46

35%

Vitmain B12, mcg

mcg

2.1

35%

Shelf-Life

12 months

Panthothenic Acid, mg

mg

3.5

35%

After open instructions (how long is unused portion good - if refrigerated)

96 hours

Iodine, mcg

mcg

52.5

35%

Zinc, mg

mg

5.25

35%

Copper, mg

mg

0.7

35%

Chromium, mcg

mcg

42

Vitamin K, mcg

mcg

28

Calories from Fat

35%

70

Sugars, g

g

18

Calories per fl oz

fl oz

26.4

Calories per mL

mL

0.89

*Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie intake.

CONTACT INFORMATION: To purchase for home delivery or to find a store, please visit: www.katefarms.com For information on insurance coverage for enteral feeding: [email protected] To reach a Kate Farms Registered Dietician with questions: [email protected] To reach Kate Farms by Phone: 1.805.845.2446

TECHNICAL INFORMATION Kate Farms Komplete Coffee PRODUCT

KATE FARMS KOMPLETE COFFEE (11.0 FLUID OUNCES / 325ML)

INSURANCE COVERAGE

Yes: HCPCS Code B4150 for enteral feeding

DESCRIPTION

Vegan, Soy-Free, Dairy-Free, Gluten-Free, Non-GMO, Certified Organic 22 vitamins and minerals, 21 Superfoods Coffee Flavor provides 300 Calories, 16 grams protein, 8 grams fat Used for meal replacement, oral supplement or enteral tube feeding

INGREDIENTS

Purified Water, Organic Brown Rice Syrup Solids, Organic Agave Syrup, Organic Rice Protein, Organic Pea Protein, Organic High Oleic Sunflower Oil, Organic Inulin, Organic Coffee, Natural Coffee Flavor, Tricalcium Phosphate, Vitamins/Minerals Blend, Carrageenan (derived from seaweed), Sunflower Lecithin, SpectraTM 100mg Superfoods Blend

CALORIC DISTRIBUTION

55% calories from carbohydrates, 20% calories from protein 25% calories from fat

PROTEIN SOURCE

Organic Pea Protein, Organic Rice Protein

CARBOHYDRATE SOURCE

Organic Brown Rice Solids, Organic Agave Syrup

FAT SOURCE

Organic High Oleic Sunflower Oil

FIBER/SOURCE

5 gm fiber per serving / Organic Inulin

WATER CONTENT

79%

CAFFEINE CONTENT

80 milligrams per 11.0 fluid ounce container

ALLERGENS

Does not contain any of the top 8 allergens: Milk, Eggs, Fish, Crustacean Shellfish, Tree Nuts, Peanuts, Wheat, Soy

ORGANIC

Yes

NON-GMO

Yes

GLUTEN FREE

Yes

LACTOSE FREE

Yes

DAIRY FREE

Yes

CASEIN FREE

Yes

KOSHER

Yes, certification pending

HALAL

Yes, certification pending

INSTRUCTIONS FOR USE

Enteral tube feeding via gravity drip, pump or bolus method of administration. Flush the tube with water before and after feeding. Can also be used orally as a supplement or meal replacement. For any unused portions, replace the cap on the package and refrigerate for up to 96 hours.

SHELF LIFE

Product is shelf stable and if unopened can be safely consumed up to the Best by Date on the package which is one year from date of manufacturing.

TECHNICAL INFORMATION, CONT. Kate Farms Komplete Coffee

Nutrition information is calculated based on USDA Nutrient Database Standard Reference from source ingredietns Certificate of Analysis.

NUTRITION PANEL Unit Measure Calories

11ounces/325 ml

ESSENTIAL AMINO ACIDS % Daily Value

300

Amino Acid

Cow’s Milk

Kate Farms

Variance

Histidine

5.03

5.16

103%

Total Fat, g

g

8

12%

Isoleucine

12.11

11.56

95%

Saturated Fat, g

g

1

5%

Leucine

18.56

19.04

103%

Trans Fat, g

g

0

0%

Lysine

14.69

14.17

96%

Cholesterol, mg

mg

0

0%

Methionine

6.31

7.25

115%

Sodium, mg

mg

120

5%

Phenylalanine

18.81

19.14

102%

Potassium, mg

mg

160

5%

Threonine

8.76

8.96

102%

Total Carbohydrate, g

g

43

14%

Tryptophan

2.71

2.64

97%

Dietary Fiber, g

g

5

20%

Valine

13.02

12.08

93%

Sugars, g

g

18

Protein, g

g

16

32%

Vitamin A, IU

IU

1750

35%

NUTRIENT DENSITY

Calcium, mg

mg

350

35%

Nutrient Density

1.08 gm/cc

Vitamin D, IU

IU

140

35%

n6:n3

15:01

Thiamin, mg

mg

0.5

35%

Calories to meet 100% RDI for protein for ages 1-3

224

Niacin, mg

mg

7

35%

mL to meet 100% RDI for protein for ages 1-3

229

Folic Acid, mcg

mcg

140

35%

Calories to meet 100% RDI for protein for ages 4-8

325

Biotin, mcg

mcg

105

35%

mL to meet 100% RDI for protein for ages 4-8

330

Phosphorous, mg

mg

350

35%

Calories to meet 100% RDI for protein for ages 9-13

586

Magnesium, mg

mg

140

35%

mL to meet 100% RDI for protein for ages 9-13

598

Selenium, mcg

mcg

24.5

35%

Calories to meet 100% RDI for protein and for ages 14+

896

Manganese, mg

mg

0.7

35%

mL to meet 100% RDI for protein and for ages 14+

914

Molybdenum, mcg

mcg

26.25

35%

Suitable for Lactose Intolerance (Y/N)

Y

Vitamin C, mg

mg

21

35%

Total Cal/g Nitrogen

108

Iron, mg

mg

6.3

35%

Nonprotein Cal/g Nitrogen

82

Vitamin E, IU

IU

10.5

35%

Osmolality Renal Solute Load, mOsm/kg

569

Viscosity (room temp), Brookfield

70

Free Water %/ ml per carton

Riboflavin (Vit B2), mg

mg

0.6

35%

Vitamin B6, mg

mg

0.46

35%

Vitmain B12, mcg

mcg

2.1

35%

Shelf-Life

12 months

Panthothenic Acid, mg

mg

3.5

35%

After open instructions (how long is unused portion good - if refrigerated)

96 hours

Iodine, mcg

mcg

52.5

35%

Zinc, mg

mg

5.25

35%

Copper, mg

mg

0.7

35%

Chromium, mcg

mcg

42

Vitamin K, mcg

mcg

28

Calories from Fat

35%

70

Sugars, g

g

18

Calories per fl oz

fl oz

27.27

Calories per mL

mL

0.92

*Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie intake.

CONTACT INFORMATION: To purchase for home delivery or to find a store, please visit: www.katefarms.com For information on insurance coverage for enteral feeding: [email protected] To reach a Kate Farms Registered Dietician with questions: [email protected] To reach Kate Farms by Phone: 1.805.845.2446

FREQUENTLY ASKED QUESTIONS Q: What is Kate Farms Komplete? A: Kate Farms Komplete is a ready-to-drink meal replacement shake that is formulated to have complete nutrition in one 11 oz container.

Product attributes: • • • • • • • • •

Dairy Free, Soy-Free, Gluten Free, Non-GMO Certified Organic Does not contain the top 8 allergens: Milk, Eggs, Fish, Crustacean Shellfish, Tree Nuts, Peanuts, Wheat, Soy. 45 grams of carbohydrate 16-18 grams of plant based protein for growth and maintaining muscle mass 9 grams of fat for satiety and absorption of fat soluble vitamins 22 vitamins and minerals 21 super foods for antioxidants Three Great Flavors: Vanilla (290 Calories), Chocolate (310 Calories) and Coffee (300 Calories)

Q: How was Kate Farms Komplete created? A: The Founders of Kate Farms, Richard and Michelle Laver, were looking for a solution for their daughter Kate, born with advanced cerebral palsy, because she could not eat solid food. At the age of 5, Kate was only 16 pounds and her health was failing. They needed a solution. Working with a team of doctors, registered dieticians and vegan chefs at Loma Linda University Medical Center, they worked to create what is now known as Kate Farms Komplete. After consuming four Komplete meal Replacement Shakes per day for four years, Kate, at 9 years old, is happy, healthy and thriving. Every day, more patients are prescribed Komplete as part of their daily nutritional program and the company’s email is full from people sharing their stories of how Komplete is impacting lives across the world. Check with your doctor to see if Kate Farms Komplete is right for you.

Q. Is Kate Farms Komplete covered by insurance? A. Kate Farms Komplete is covered by Medicare and Medicaid under the HCSCP Code: B4150 for Enteral Feeding as a medical food. For assistance with reimbursement, email us at [email protected] and we will send you the form and information to give to your doctor or dietician to help you get it covered and shipped directly to your home.

Q. Can Kate Farms Komplete be used for tube feeding? A: Kate Farms Komplete can be used as tube feeding via gravity drip, pump or bolus method of administration. To prevent the tube from clogging, it is imperative to flush the tube with water before and after feeding, as well as before, between, and after administration of medications.1

Q: How long can I store an open container of Kate Farms Komplete when I’m using it for tube feeding? A: Once a container is opened, unused portions should go directly into the refrigerator with the cap put back on and used within 96 hours.

Q: Is Kate Farms Komplete suitable for vegetarians, vegans, or people with certain food allergies and intolerances? A: Kate Farms Komplete is suitable for vegetarians and vegan and is formulated without wheat and gluten, milk and lactose, peanuts and tree nuts, soy, egg, casein and whey.

Q: Are your products safe for children and adults? * A: Although Kate Farms was originally designed for a child, people of all ages can benefit from Komplete.* Children may need less volume to meet 100% of their estimated nutritional needs compared to adults.2

Q: Can I drink Kate Farms Komplete if I have Inflammatory Bowel Disease?* A: Kate Farms Komplete may be suitable for patients with Inflammatory Bowel Disease (IBD) as it is 100% Vegan, Gluten-Free, Soy-Free, Dairy-Free, Lactose-Free, Casein and Whey Free.

Q. Can I drink Kate Farms Komplete for Crohn’s Disease?* A: Kate Farms Komplete may be suitable for someone with Crohn’s Disease as it is 100% Vegan, Gluten-Free, SoyFree, Dairy-Free, Lactose-Free, Casein and Whey Free.

Q. Can people with Celiac Disease drink Kate Farms Komplete?* A: Kate Farms Komplete may be suitable for someone with Celiac Disease because it is Gluten Free.

Q: Can I drink Kate Farms Komplete while I’m pregnant?* A: Kate Farms Komplete may be suitable for pregnant women in addition to consuming a well-balanced diet.* Kate Farms Komplete provides the extra calories, protein, fat, vitamins and minerals pregnant women need. Most women need an extra 300 calories per day, 75 to 100 grams of protein per day, extra fiber to prevent constipation, and additional vitamins and minerals.3 All of which can be found in Kate Farms Komplete.

Q: Can I drink Kate Farms Komplete while I’m receiving chemotherapy?* A: Komplete may be suitable for people undergoing chemotherapy to provide patients with convenient, tasty nutrition during or after treatment.

Q: Is Kate Farms Komplete suitable for diabetics?* A: Kate Farms Komplete may be used as a meal replacement by diabetic patients.* One 11oz container equals three carbohydrate exchanges. Many diabetic diets contain three to five carbohydrate exchanges per meal.Kate Farms Komplete is 55% carbohydrate, and many diabetic diets are between 45-55% carbohydrates. The fiber present in Kate Farms Komplete may also help with blood sugar control.4

Q: How much caffeine is in Kate Farms’ Coffee product? A: Kate Farms Coffee contains 80 milligrams of caffeine per 11oz serving. An 8 ounce cup of coffee provides 100-150 mg of caffeine.

Q. Is there Caffeine in the Chocolate and Vanilla Flavors? A: There are 3.8 mg of caffeine per 11oz container in the Chocolate flavor and no caffeine in the Vanilla flavor.

Q: Can I purchase Kate Farms Komplete over the counter? A: All three flavors can be purchased at a variety of health food stores, including Vitamin Shoppe, Wegmans, Vitamin Cottage, Sprouts, Whole Foods (Northern CA) and thousands of independent stores. Go to Kate Farms’ website www.katefarms.com to find the store locator to search for nearby retailers. Kate Farms can also be found online at Amazon.com.

*All patients, women who are pregnant or nursing, and children should check with their doctor about Kate Farms Komplete. References: 1. A.S.P.E.N Adult Nutrition Support Core Curriculum 2nd Edition 2. United States Department of Agriculture Dietary Reference Intakes: usda.gov 3. American Pregnancy Association: americanpregnancy.org 4. Joslin Diabetes Center: www.joslin.org

CONTACT INFORMATION: To purchase for home delivery or to find a store, please visit: www.katefarms.com For information on insurance coverage for enteral feeding: [email protected] To reach a Kate Farms Registered Dietician with questions: [email protected] To reach Kate Farms by Phone: 1.805.845.2446

Kate Farms Medical Packet and PWO.pdf

Sign in. Page. 1. /. 11. Loading… ... Dairy-free, soy-free, gluten-free, whey-free, casein-free. • 16-18g of ... 90 million Americans follow a gluten-free diet.*.

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