Infant Formula Substitution Guide

The table below provides categories of formulas for premature and term infants. Formulas within each category are comparable and safe to substitute for each other, in case of shortages. Any substitution should only be done under the recommendation and supervision of a healthcare professional.

Please be aware that formula mixing instructions, including proper ratios of powder to water, can vary significantly. Follow all mixing instructions on the container. Use the specific scoop that comes with each can.

NASPGHAN does not endorse any specific formulas, nor the general use of formula over possible use of human milk as the optimal source of infant nutrition.

The information provided is intended solely for educational purposes and not as medical advice. It is not a substitute for care by a trained medical provider. NASPGHAN does not endorse any of these products and is not responsible for any omissions. 


FDA Notified formulas as of March 2025

*Contains probiotics, use with caution if infant is immunosuppressed or has a central line

^ Formulas in this standard formula/intact and/or partially hydrolyzed cow’s milk protein category are safe to substitute for each other.  All formulas listed are FDA reviewed and meet US Government and American Academy of Pediatrics (AAP) nutritional standards, with variation in ingredients, including but not limited to macronutrients (protein, carbohydrates, and fats) and micronutrient blends, subtypes and/or added levels (vitamins and minerals).

~ Goat Milk intact protein formulas should be safe to interchange with cow milk intact protein formulas.  Goat milk intact protein formulas should NOT be used in infants with milk protein allergy and are NOT interchangeable with either extensively hydrolyzed or amino-acid based formulas.

#Private Label/Store brand formulas are available at many retail outlets and will have a variety of names.  Retail outlets include but are not limited to: Aldi, Amazon, Costco CVS, HEB, Kroger, Meijer, Safeway, Sam’s Club, Target, Topco, Walgreens, and Walmart.

north american society for pediatric gastroenterology, hepatology and nutrition, footer logo naspghanNorth American Society for Pediatric Gastroenterology, Hepatology and Nutrition
the association of pediatric gastroenterology and nutrition nurses, footer logo apgnnThe Association of Pediatric Gastroenterology and Nutrition Nurses
north american society for pediatric gastroenterology, hepatology and nutrition foundation, footer logo nasp foundationNorth American Society for Pediatric Gastroenterology, Hepatology and Nutrition Foundation
the naspghan council for pediatric nutrition professionals, cpnpfooterlogoThe NASPGHAN Council For Pediatric Nutrition Professionals