What can the dietitian recommend in the event the patient cannot afford the cost of their enteral formula?

• A. Stop PN entirely
• B. Increase the formula dose
• C. Switch to intravenous nutrition
• D. The dietitian may be able to recommend an alternate formula or store brand that is less expensive, and point to nonprofit organizations or indigent care.

Answer: (D)

When cost is a barrier, the goal is to maintain a safe and effective nutrition plan by using a less expensive but nutritionally appropriate option and connecting the patient with financial resources. The dietitian can identify an alternate enteral formula or a store-brand product that provides similar calories, protein, fiber, and micronutrients, ensuring compatibility with the patient’s tube and tolerance. This preserves the intended intake and nutrition goals without over- or underfeeding. In addition, the dietitian can point the patient to nonprofit organizations, patient assistance programs, or indigent-care resources that help cover formula costs. This approach avoids interrupting the prescribed nutrition support and avoids unnecessary shifts to parenteral nutrition or increased dosing solely for cost reasons.