If a patient cannot afford formula, which option is appropriate?

• A. Alternate formula or store brand; nonprofit assistance.
• B. Switch to parenteral nutrition
• C. Switch to oral supplements only
• D. Cease all nutrition support

Answer: (A)

When affordability affects access to formula, the goal is to maintain adequate nutrition by finding cost-effective, appropriate options and connecting the patient with assistance resources. Using a store-brand or alternate formula can provide the same calories, protein, and micronutrients as the name-brand product, often at a lower cost, provided it matches the patient’s feeding method and nutritional needs. At the same time, exploring nonprofit assistance programs or hospital social work support can help cover formula costs and keep nutrition uninterrupted. Switching to parenteral nutrition is not a typical or appropriate response to affordability alone, since it is more expensive, carries greater risk, and is reserved for patients who cannot receive enteral nutrition. Switching to oral supplements only may fail to meet the patient’s full energy and nutrient requirements if tube feeding is needed, and ceasing nutrition support would be unsafe. The practical approach is to preserve nutrition with affordable, suitable formulas and to pursue assistance to maintain access.