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International Formula Comparison

Due to the formula shortage, the FDA created an expedited approval pathway for international formulas. This means that we are now seeing some formulas from other countries on our shelves.

For the first time, we have goat milk formulas available. These formulas are generally considered “gentle” and can be tolerated by babies with mild tummy problems on a standard formula.

One major concern with the importation of international formula was that the mixing instructions can be different. I have included mixing instructions that were available as information on the formula became available, however formulations can change. Always check your can of formula for the correct mixing instructions. Many of the labels have mixing instructions in ml. For easy conversion, 1 ounce is about 30 ml. 2 ounces is about 60 ml.

If you find all this overwhelming (you’re not alone), definitely check out my Formula Feeding Guide for all the info you need about formula feeding your baby!

This post may contain affiliate links and when you click on the links I may earn a small commission at no charge to you. As an Amazon affiliate, I earn a commission from qualifying purchases.

International Formula Comparisons

Stage 1 vs Stage 2 Formulas

While not popular in the US, other countries utilize a staging system for their formulas. Stage 1 formulas are designed for infants 0-6 months whereas stage 2 formulas are designed for infants 6-12 months. There are only slight differences between the formulas. I compared the Grass Fed Formula as an example. During the shortage, I would prioritize finding an infant formula over the staging, but if you’re able to find the correct stage, definitely choose it.

Stage 1Stage 2
Calories6967
Protein1.56 grams (60:40 whey:casein)2.3 grams (50:50 whey:casein)
Fat3.7 grams3.4 grams
Carbohydrate7.3 grams6.9 grams
Calcium70 mg77 mg
Iron1.0 mg1.2 mg
Phosphorus47 mg56 mg
Probiotic80 million colony forming units120 million colony forming units
Comparison of Grass Fed Formula 100 ml prepared formula per aussiebubs.com

The main differences are an increase in protein between stage 1 and 2 with a different ratio of whey to casein. There is also an increase in calcium and phosphorus to help with bone mineralization and iron due to the increase in iron needs at 7 months.

Kendamil

Kendamil is a British formula. All of their formulas use whole milk, which means they are palm oil and soy oil free. As of 6/18/2022, it is available in Target stores. Kendamil has also released a statement that they plan on applying to stay in the US long term.

  • Kendamil Classic First Infant Milk: Standard formula with added whey protein and a variety of prebiotics. It’s most similar to ByHeart, Enfamil Enspire, and Similac 360 Total Care. It’s appropriate for infants with no allergies on standard formulas. Mix 1 scoop to 1 ounce water.
  • Kendamil Organic First Infant Milk: Organic version of the classic formula with added whey and prebiotics. It’s most similar to ByHeart, Bobbie, and Similac Pure Bliss. It’s appropriate for infants with no allergies on standard formulas who would like an organic option. Mix 1 scoop to 1 ounce water.
  • Kendamil Goat First Infant Milk: Naturally gentle formula with added why protein and prebiotics. It’s most similar to Similac Organic A2 and Gerber A2. It’s appropriate for infants on an A2 or gentle formula or those on standard formulas who may not be tolerating well. Mix 1 scoop to 1 ounce water.
  • Kendamil First Infant Formula with Iron (Kosher Formula): A press release from the FDA stated that there would be a Kosher formula sold through Kosher stores. A rep from Kendamil states that the formula is actually Kendamil Classic. It is certified Kosher.

Bubs

Bubs is based out of Australia. All products are Clean Label Project Purity Award Winners. It is currently available through Kroger, Albertsons, and Walmart (locations vary). You can check out their formula locator to find formula near you or purchase directly from their website. Bubs has also released a statement that they plan on applying to stay in the US long term.

  • Bubs Organic Grass-Fed Formula Stage 1&2 (affiliate link): Standard term formula made with whole milk and added whey protein. It does have prebiotics and probiotics. It’s most similar to Happy Baby Organic, Earth’s Best Premium, and Bobbie. It’s appropriate for any baby without allergies who tolerates a standard formula. Mix 1 scoop to 2 ounces water.
  • Bubs Supreme A2 Infant Formula Stage 1&2 (affiliate link): Gentle formula made with whole milk and added whey protein. It uses A2 beta-casein milk protein for better tolerance. It also has prebiotics and probiotics. It’s most similar to Similac Organic A2, Gerber A2, and Enfamil A2. It’s appropriate for any baby on A2 or gentle formulas or on standard formulas who may not be tolerating it well. Mix 1 scoop to 2 ounces water.
  • Bubs Goat Milk Infant Formula Stage 1&2 (affiliate link): Gentle formula made with whole goat milk and added whey protein. It has prebiotics. It’s most similar to Organic A2 formulas. The US doesn’t have any goat milk infant formulas. It’s appropriate for any baby who is on an A2, gentle, or standard formula or for families who have wanted a goat milk option. Mix 1 scoop to 2 ounces of water.

Nan

Nan is made by Nestle, who also makes Gerber products. Formula arrived 6/9 and should be available online through the Gerber website, Walmart, Kroger, and Amazon. The plan is to sell it online so that the company can give parents and caregivers important instructions on how to use it.

  • SupremePro will be available in Stage 1 (for 0-6 months) and Stage 2 (for 6-12 months). It is made from 100% whey protein that is hydrolyzed (or broken down). It is palm oil and soy oil free. It uses fish oil for DHA. Also, it contains HMO prebiotics. It is most similar to Gerber GentlePro, Burt’s Bees Ultra Gentle, and ByHeart. It’s appropriate for infants with no allergies who are looking for a gentle formula or may be having pooping problems. Mix 1 scoop with 1 ounce water.
  • ExpertPro Sensi Pro (affiliate link) is very similar to the SupremePro. The main difference seems to be the type of probiotic used. It also uses a partially hydrolyzed whey protein. The labeling doesn’t require the specific types of vegetable oils used in formulation to be listed, so it may be similar or different than SupremePro. It uses fish oil for DHA. It is most similar to Gerber GentlePro, Burt’s Bees Ultra Gentle, and ByHeart. It’s appropriate for infants with no allergies who are looking for a gentle formula or may be having pooping problems. Mix 1 scoop with 1 ounce of water.
  • NanPro does not use partially hydrolyzed whey protein. It contains probiotics. It is most similar to Gerber Good Start Gentle. It would be appropriate for any baby who uses a standard formula. Mix 1 scoop with 2 ounces of water.

Aptamil

Aptamil was recently approved to be imported. It is made by Nutricia who already makes Neocate in the US. Aptamil is currently available at Walgreens and Albertsons.

  • Aptamil Stage 1 First Infant Milk Powder (affiliate link): standard formula with added whey protein. It is palm oil free. It contains HMO prebiotics as well. It is most similar to Enfamil Infant, NeuroPro, Similac Pro-Advance, or generic standard formulas. It’s appropriate for any baby on a standard formula. This is a lower iron formula so may not be appropriate for infants born prematurely (even once they are term), born at a low birth weight, born with low iron levels, or infants who are at risk for becoming iron deficient due to illness. For babies over 6 months, it will be extra important to incorporate high iron food pairings.
  • Aptamil Gold+ (affiliate link): standard formula with added whey protein, 2 types of prebiotics and a probiotic. Unlike the other Aptamil formula, it is not considered low iron. It is most similar to Enfamil Infant, NeuroPro, Similac Pro-Advance, or generic standard formulas. It’s appropriate for any baby on a standard formula. Mix 1 scoop of formula to 50 ml of water which is just under 2 ounces.
  • Aptamil Care: standard formula with added whey protein. Contain prebiotics as well as probiotics. It has added DHA from fish oil and does not contain palm oil. It is most similar to Enfamil Infant, NeuroPro, Similac Pro-Advance, or generic standard formulas. It’s appropriate for any baby on a standard formula. Mix 1 scoop of formula to 30 ml of water which is about 1 ounce.

Bellamy’s Organic

Bellamy’s is an Australian based formula company founded in 2004 by a Tasmanian mother. They have added a section to their US website to help find formula.

  • Bellamy’s Organic Infant Formula (affiliate link): standard formula with prebiotics. It is made using whole milk with added whey protein. It has intact protein. It’s most similar to ByHeart, Bobbie, and Similac Pure Bliss. It’s appropriate for infants with no allergies on standard formulas who would like an organic option. Mix 1 scoop to 2 ounces water.

Abbott Nutrition (Ireland)

Abbott is the parent company of Similac. Some of the formulas we are seeing on shelves now are actually being made in Ireland.

  • Similac Advance 2’FL Stage 1: very similar, if not identical to the Similac formulas we are used to seeing on the shelves. It is most similar to Similac Pro-Advance, Enfamil Infant, Neuropro, or generic standard formulas. It’s appropriate for any baby on a standard formula.

Care A2+

Care is another Australian company. They make only A2 formula using A2 cows. Plans are to distribute to CVS/Rite Aid, Whole Foods, Kroger, HCA Healthcare, Publix Supermarkets, Safeway, the Vitamin Shoppe, Duane Reade Convenience Store, and Peapod Online Grocer. It is estimated to be shipped the first week of August.

  • Care A2+: A2 formula with intact protein. Added lactoferrin for immune support. Contains prebiotics. Palm oil free. It’s most similar to Similac Organic A2, Gerber A2, and Enfamil A2. It’s appropriate for any baby on A2 or gentle formulas or on standard formulas who may not be tolerating it well. Mix 1 scoop to 2 ounces of water.

The A2 Milk Company

The a2 Milk Company was founded in New Zealand. It started as a milk company in 2000, but expanded to infant formulas in 2013. They use only A2 milk. Per the FDA statement, formula will be available at “major US retail outlets.”

  • a2 Platinum Infant Formula: This is a standard infant formula with added whey protein, prebiotics, and DHA from fish oil. It has no palm oil. It’s available in an infant and follow-on version. As implied by the name, it uses only A2 milk, so should be easier to tolerate. It’s most similar to Similac Organic A2, Gerber A2, and Enfamil A2. It’s appropriate for any baby on A2 or gentle formulas or on standard formulas who may not be tolerating it well.

Comparison of International Formulas

FormulaStagesProteinFatPrebioticsProbioticsBonusesMixingCompare toPricing (per 800 grams)
Kendamil Classic First Infant Milkno60:40 whey:casein, intactwhole milk, vegetable oils, plant based DHAGOS, FOS, 3′-GL HMOnono palm oil, soy oil, or corn syrup; vegetarian, Kosher1 scoop: 1 oz waterByHeart, Enfamil Enspire, Similac 360 Total Care$30.21
Kendamil Organic First Infant Milkno60:40 whey:casein, intactwhole milk, vegetable oils, plant based DHAGOS, 3′-GL HMOnono palm oil, soy oil, or corn syrup; vegetarian1 scoop: 1 oz waterByHeart, Bobbie, Similac Pure Bliss$39.99
Kendamil Goat First Infant MilknoA2 casein; 60:40 whey:casein, intactwhole milk, vegetable oils, plant based DHAGOS, 3′-GL HMOnono palm oil, soy oil, or corn syrup; vegetarian1 scoop: 1 oz waterSimilac Organic A2, Gerber A2$44.99
Bubs Organic Grass Fed Formula1 & 260:40 whey:casein, intactwhole milk, vegetable oil, plant based DHAGOSBifidobacterium longum BB536clean label award, no palm oil1 scoop: 2 oz waterHappy Baby Organic, Earth’s Best Premium, Bobbie$35.99
Bubs Supreme A2 Infant Formula1 & 2A2 beta casein; 60:40 whey:casein, intactwhole milk, vegetable oil, plant based DHAGOS, FOSBifidobacterium longum BB536clean label award1 scoop: 2 oz waterSimilac Organic A2, Gerber A2, Enfamil A2$44.78
Bubs Goat Milk Infant Formula1 & 2A2 casein; 60:40 whey:casein, intactwhole milk, vegetable oil, plant based DHAGOSnoclean label award1 scoop: 2 oz waterSimilac Organic A2, Gerber A2, ENfamil A2$54.99
Nan SupremePro1 & 2100% whey, partially hydrolyzedvegetable oil, DHA from fish oil2’FL HMObifidobacterium lactispartially hydrolyzed, 100% whey protein, fish oil DHA1 scoop: 1 oz waterGerber GentlePro, Burt’s Bees Ultra Gentle, and ByHeart$38.99
Nan ExpertPro Sensi Prono100% whey, partially hydrolyzedvegetable oils, DHA from fish oil2’FL HMOlactobacillus reuteripartially hydrolyzed, 100% whey protein, fish oil DHA1 scoop: 1 oz waterGerber GentlePro, Burt’s Bees Ultra Gentle, and ByHeart$38.99
NanPro1 & 270:30 whey:casein, intactvegetable oils2’FL HMOlactobacillus reuteri1 scoop: 2 oz waterGerber Good Start Gentle$22.20
Aptamil Infant1 & 260:40 whey:casein, intactmilk fat, vegetable oil, fish oilGOS, 2’FL HMO, FOSnono palm oil, fish oil DHA1 scoop: 1 oz waterEnfamil Infant, NeuroPro, Similac Pro-Advance, generic standard formulas$34.99
Aptamil Gold+1 & 260:40 whey: casein, intactvegetable oils, fish oilGOS, FOSbifidobacterium brevefish oil DHA1 scoop: 50 ml water (not quite 2 oz)Enfamil Infant, NeuroPro, Similac Pro-Advance, generic standard formulas$34.66
Aptamil Care1intactvegetable oils, fish oilGOS, FOSbifidobacterium breveno palm oil, fish oil DHA1 scoop: 1 oz waterEnfamil Infant, NeuroPro, Similac Pro-Advance, generic standard formulasTBD
Bellamy’s Organic Infant Formula1 & 260: 40 whey:casein, intactmilk fat, vegetable oil, fish oilGOSnofish oil DHA and ARA1 scoop: 2 oz waterByHeart, Bobbie, Similac Pure Bliss$28.44
Similac Advance 2’FL Stage 1150:50 whey:casein, intactvegetable oilsFOS, 2’FL HMOnono palm oil, vegetarian1 scoop:1 oz waterSimilac ProAdvance, Enfamil Infant, Neuropro, generic standard formulas$38.77
Care A2+1 & 2A2 casein, 65:35 whey:casein, intactvegetable oilsGOS, FOSnolactoferrin, no palm oil, Halal1 scoop: 2 oz waterSimilac Organic A2, Gerber A2TBD
a2 Platinum1&2A2 casein, 60:40 whey:casein, intactvegetable oils, fish oilGOSnono palm oil1 scoop: 50 ml water (not quite 2 oz)Similac Organic A2, Gerber A2, Enfamil A2TBD
All international formulas use lactose as their carbohydrate source. GOS = Galacto-oligosaccharides, FOS = Fructo-oligosaccharides, 3’GL HMO = galactosyllactose human milk oligosaccharides, 2’FL HMO = fucosullactose human milk oligosaccharides. Pricing per The Formula Mom.

Open chart in new window.

Specialty Formulas

These are technically part of the international formulas, however they are not standard formulas, so I feel like they deserve their own section. Most of the international formulas have been standard formulas with the plan for US factories to be prioritizing specialty formula production. However, there is still a need for specialty formulas, so there have been a couple that have been approved.

On August 25th, the White House announce that they were facilitating a shipment of Alfamino Infant and Alfamino Junior formulas as well as Nestle SMA Nutrition Althera on August 26th. They will be distributed through retail, hospital, and home health care providers.

Vitaflow

PKU Start

This is a specialty/metabolic formula for infants with phenylketonuria (PKU), a rare genetic disorder in which the amino acid phenylalanine builds up in the body. It can be purchased through Vitaflow or through medical channels.

Nutricia

You may recognize the name Nutricia as they are also the makers of Aptamil which was also approved.

Pepticate and Pepticate Syneo

Pepticate and Pepticate Syneo are both extensively hydrolyzed formulas, meaning they are appropriate for infants with allergies. They syneo version has a probiotic and prebiotic whereas the original does not. They will be available through medical and retail channels including WIC.

Nestle Health Science

Based out of the Netherlands. Nestle is the parent company of Gerber.

Nestle SMA Nutrition Althera

This is another hypoallergenic, extensively hydrolyzed formula. Appropriate for babies with cow’s milk allergy or other food allergies. It’s the first hypoallergenic formula with lactose as the carbohydrate source that we will have in the US. It will be available for purchase online.

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