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MMA/PA Anamix® Next

A methionine-, threonine-, valine-free, low isoleucine mildly-flavored powdered drink mix containing a balanced mix of the other essential and non-essential amino acids, carbohydrates (including a fiber mix), fat (including docosahexaenoic acid (DHA)), vitamins, minerals and trace elements. To be used for individuals ages 1+.



  • Methionine-, threonine-, valine-free
  • Low isoleucine
  • Contains a multi-fiber mix to promote digestive health.
  • Balanced mixture of all other essential and non-essential amino acids, carbohydrate, vitamins, minerals and trace elements.
  • Contains DHA, considered important for brain and eye development in children up to 24 months of age.
  • Age-appropriate DRI formulation
  • Available in Plain


  • Methylmalonic Acidemia
  • Propionic Acidemia


Nutrients Per 100 g Powder Per 10 g Protein Equivalent
Weight, g 100 36
Calories 377 135
Protein Equivalent, g 28 10
Fat, g 12.5 4.5
      DHA, mg 180 64
Carbohydrate, g 41.2 14.8
        Fiber, g 11.2 4
       of which Soluble, g 8 2.9
       of which Insoluble, g 3.2 1.1
Amino Acids, g Per 100 g Powder Per 10 g Protein Equivalent
L-Alanine 3.42 1.22
L-Arginine 3.0 1.07
L-Aspartic Acid 2.72 0.97
L-Cystine 1.56 0.56
L-Glutamine 3.61 1.29
Glycine 1.37 0.49
L-Histidine 2.02 0.72
L-Isoleucine <0.03 <0.03
L-Leucine 4.54 1.62
L-Lysine 3.05 1.09
L-Methionine Nil Added Nil Added
L-Phenylalanine 1.99 0.71
L-Proline 1.37 0.49
L-Serine 1.98 0.71
L-Threonine Nil Added Nil Added
L-Tryptophan 0.69 0.25
L-Tyrosine 1.99 0.71
L-Valine Nil Added Nil Added
L-Carnitine 0.02 0.01
Taurine 0.06 0.02
Vitamins Per 100 g Powder Per 10 g Protein Equivalent
Vit A, IU (mcg RE) 1748 (525) 628 (189)
Vit D, IU (mcg) 1052 (26.3) 379 (9.6)
Vit E, IU (mg-TE) 15.6 (10.5) 5.6 (3.8)
Vit K, mcg 17.5 6.4
Thiamin, mg 1.2 0.4
Riboflavin, mg 0.91 0.32
Vit B6, mg 0.91 0.32
Vit B12, mcg 1.6 0.56
Niacin, mg (NE) 14 5.2
Folic Acid, mcg 263 94.8
Pantothenic Acid, mg 5.3 1.92
Biotin, mcg 14 5.2
Vit C, mg 52.5 18.8
Choline, mg 280 100
Inositol, mg 70 25.2
Minerals Per 100 g Powder Per 10 g Protein Equivalent
Calcium, mg 1225 440
Phosphorus, mg 801 288
Magnesium, mg 140 50.4
Iron, mg 12.5 4.4
Zinc, mg 6.1 2.2
Manganese, mg 1.2 0.44
Copper, mcg 700 252
Iodine, mcg 174 62.8
Molybdenum, mcg 31.9 11.4
Chromium, mcg 12.8 4.8
Selenium, mcg 35.3 12.8
Sodium, mg 350 126
Potassium, mg 556 200
Chloride, mg 508 183


Corn Syrup Solids, Refined Vegetable Oils (High Oleic Sunflower, Canola, Medium Chain Triglycerides (Palm Kernel and/or Coconut Oil), Sunflower), L-Leucine, L-Lysine Acetate, L-Glutamine, Fructo-oligosaccharides, L-Alanine, Inulin, Calcium Phosphate Dibasic, L-Arginine, Corn Starch, L-Aspartic Acid, Microcrystalline Cellulose, Artificial Flavor, L-Histidine, L-Tyrosine, L-Phenylalanine, L-Serine, Gum Arabic, Tripotassium Citrate, Trisodium Citrate, L-Cystine, Glycine, L-Proline, Calcium Chloride, Magnesium Hydrogen Phosphate, Maltodextrin, Choline Bitartrate, L-Tryptophan, Tricalcium Citrate, CAEM (an emulsifier), C. Cohnii Oil**, L-Ascorbic Acid, M-Inositol, Soy Fiber, Taurine, Ferrous Sulfate, Sunflower Lecithin, L-Carnitine, Zinc Sulfate, DL-alpha Tocopheryl Acetate, Calcium D-Pantothenate, Manganese Sulfate, Niacinamide, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Acetate, Folic Acid, Ascorbyl Palmitate, Potassium iodide, Mixed Tocopherols, Sodium Molybdate, Sodium Selenite, Chromium Chloride, DL-alpha Tocopherol, Vitamin D3, Phylloquinone, D-Biotin, Cyanocobalamin

Preparation & Storage


The quantity of MMA/PA Anamix Next should be determined by a physician or dietitian only and is dependent on the age, bodyweight and medical condition of the patient.

The recommended dilution is 3.5 fl oz. (100 mL) water plus 36 g powder (approx. 4 scoops) made up to a final volume of approx. 4.3 fl oz. (126 mL).

Water or additional fluid may need to be consumed at the same time as MMA/PA Anamix Next to ensure adequate fluid intake. For greatest accuracy, use a gram scale when measuring MMA/PA Anamix Next powder.

If given orally, MMA/PA Anamix Next is best served chilled.

Pour the required amount of cold water into a shaker or container with a tight fitting lid. Add the prescribed amount of powder, replace lid, and shake until fully blended

In order to help in the transition from an MMA/PA infant formula (or other MMA/PA products) a progressive increase in concentration of MMA/PA Anamix Next may be used. Always follow your healthcare provider's guidance.


Dilution Cal/mL

MMA/PA Anamix


Final Volume


18 g
(approx. 2 scoops)

3.5 fl oz.
(100 mL)

3.9 fl oz.
(114 mL)


27 g
(approx. 3 scoops)

3.5 fl oz.
(100 mL)

4.0 fl oz.
(120 mL)


36 g
(approx. 4 scoops)

3.5 fl oz.
(100 mL)

4.3 fl oz.
(126 mL)

Fresh formula is best. For larger volumes, once prepared, store formula in a refrigerator for no longer than 24 hours from the time of preparation. Shake or stir prepared formula immediately before use.

Must only be consumed by individuals with proven methylmalonic or propionic acidemia while under strict medical supervision. Not intended for children under one year of age. Not for parenteral use. MMA/PA Anamix Next should not be used as a sole source of protein but must be given in conjunction with natural protein to supply the methionine, threonine, valine, fluid and general nutrition requirements of the patient in medically prescribed quantities.

Store unopened can in a cool, dry place (not in a refrigerator) away from sunlight. Do not store at extreme temperatures.
Once opened, reseal can and store in a cool, dry place (not in refrigerator) away from sunlight, and use within 2 weeks.

Ordering Information

Product Code Reimbursement Code HCPCS Code Product Packaging Calories Per Unit

89472 49735-0194-72 B4157 and B4162 6 x 400 g 1508