Costs Of Infant Milks Marketed In The UK

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Costs ofinfant milksmarketed inthe UKFebruary 2017February 2016First Steps Nutrition Trust: Cost of infant milks February 2017: page 1

Costs of Infant Milks Marketed in the UKFebruary 2017We have calculated the cost of all the infant milks currently marketed over the counter inthe UK that are featured in the Infant Milks in the UK report, February 2017. We havecalculated this based on the cost of 100ml of made-up powdered product, or 100ml of theready to feed (RTF) equivalent.How did we calculate prices?We have taken prices from the Boots the Chemist website, Ocado or Tesco onlinesupermarket or for organic products from the organic supermarkets Planet Organic andWholefoods. Prices may vary between retailers, and some products which are not coveredby specific regulations that prohibit it, can be price reduced, but these represent typicalprices at the time the calculations were made. We used scoop weights either from our ownanalysis work (where they were measured in duplicate in a chemistry laboratory) or frommanufacturer information. There might be some slight discrepancy in weights as somemanufacturers give a more general scoop weight for all products, and in some cases wehave estimated scoop weight from the nearest product equivalent as the data has not beenprovided.We calculated the amount of powder in g that would be in 100ml of made up infant milkusing the standard of 1 scoop to 30ml of water (or 1 scoop to 60ml of water for Similacproducts), and recalculating to the amount of powder that would then be present in 100mlof made up formula. Typically 3 scoops of formula and 90ml of water make 102-104g offormula, so weights have been adjusted accordingly for each milk type.First Steps Nutrition Trust: Cost of infant milks February 2017: page 2

1.0 Starter packs of First infant formulaThese 70ml bottles are marketed in packs, for families to use in the first days after birth. Wehave calculated the cost per day if these milks are used, based on guidance thatapproximately 8 feeds are given in 24hours in the first week of life (Table 1). This is anextremely expensive way of giving infant milk: giving an infant given Aptamil Profutura 1First Infant Milk RTF starter pack bottles in the first week, based on 8 bottles a day, wouldcost a family 102.34 a week, using Aptamil 1 First Infant Milk starter pack bottles wouldcost 74.48, using SMA Pro First Infant Milk RTF starter packs would cost 65.45 a week andusing Cow & Gate 1 First Infant Milk RTF starter packs would cost 60.76 a week.Table 1. Cost of starter packs of first infant formulaMilk nameWeightCost(Feb2017)WherecostedCost per 100mlmade up milkCost per daybirth – 2weeks8 bottles per day (560ml)AptamilProfutura 1First MIlk RTFAptamil 1 FirstInfant Milk6 x70 mlstarterpack6 x 70mlstarterpack6 x 70mlStarterpack6 x 70mlstarterpack 10.99Boots 2.61 14.62 8.00Boots 1.90 10.64 7.00Boots 1.67 9.35 6.50Boots 1.55 8.68SMA Pro FirstMilkRTFCow & Gate 1First Milk RTFFirst Steps Nutrition Trust: Cost of infant milks February 2017: page 3

2.0 First Infant milks – Ready to feed (RTF)Table 2 shows milks marketed as first milks suitable from birth sold as ready to feed milks.We have compared costs by cost per 100ml milk, and costed a day’s intake based on anaverage intake at 2-3 months of 920ml/day.Table 2: Cost of first infant milks: RTF formulationsMilk nameWeightCost(Feb2017)WherecostedCost per100mlmade upmilkAptamil Profutura 1 FirstInfant Milk RTFAptamil 1 First InfantMilk RTFAptamil Hungry MilkRTFSMA Pro First Infant MilkRTFSMA Extra Hungry RTF200ml99pBoots50pCost per day basedon average intakeformula at 2 -3months(920ml/day) 4.60200ml85pBoots43p 3.96200ml85pBoots43p 3.96200ml69pBoots38p 3.22200ml75pBoots38p 3.50HiPP Organic CombioticFirst Infant Milk RTFHiPP Organic CombioticHungry Infant Milk RTFCow & Gate 1 FirstInfant Milk RTFCow & Gate Infant Milkfor hungrier babies RTFAptamil 1 First InfantMilk RTFAptamil Hungry Milk200ml75pBoots38p 3.50200ml75pOcado38p 3.50200ml75pBoots38p 3.50200ml75pBoots38p 3.501000ml3.70Boots37p 3.401000ml3.70Boots37p 3.40Cow & Gate 1 FirstInfant Milk RTFCow & Gate Infant Milkfor hungrier babies RTFSMA Extra Hungry frombirth RTF1000ml3.19Boots32p 2.941000ml3.19Boots32p 2.941000ml3.00Boots30p 2.76RTF milks maybe a useful option when facilities to make up milks safely are lacking or whentravelling, but are around three times more expensive than powdered formula. The mostexpensive RTF (Aptamil Profutura 1 First Infant Milk) costs 50p per 100ml, the cheapest firstinfant milk in RTF format is Cow & Gate 1 First Infant Milk in 1litre bottles which costs 32pper 100ml (we do not recommend milks marketed for hungrier babies).First Steps Nutrition Trust: Cost of infant milks February 2017: page 4

3.0 First Infant milks – powdered formulations (PIF)Infant milks can be made from cows’ or goats’ milk or be soy protein based by law, and firstmilks detailed here include first infant formula, hungry baby milks and those specialisedmilks sold over the counter. We have compared costs by cost per 100ml made up milk, andcosted a day’s intake based on an average intake at 2-3 months of 920ml/day.Powdered infant milks are highly variable in cost. The most expensive Holle Organic InfantGoats Milk Formula 1 costs 35p per 100ml. All three goats’ milk based formula on themarket are the most expensive powdered milks, with Kabrita Gold 1 and NANNYCare FirstInfant Milk both costing 33p per 100ml. For powdered cows’ milk based infant formulathere are considerable cost differences: Holle Organic infant formula 1 at 28p per 100mland Aptamil Profutura 1 First Infant Milk at 21p per 100ml are the most expensive –compared to the cheapest powdered first infant formula Bebivita First Infant Milk costing11p per 100ml and Mamia First Infant Milk costing 10p per 100ml. As all first infant milksmust meet current EU regulations for infant formula composition, there is no need forfamilies to buy more expensive formula. Many of the more expensive brands make healthclaims, but can only do so for those ingredients that are not needed, and these unnecessaryingredients may in fact be a burden on a young child’s metabolism. The cheaper milks donot currently make claims through marketing and advertising and therefore families benefitwhen companies simply produce a product which meets regulations without making healthclaims. For more information on infant milks see the other reports atwww.firststepsnutrition.org.Table 3: Cost of first infant milks: powdered formulations (PIF)Milk nameWeightCost(Feb2017)WherecostedCost per100mlmade upmilkHolle Organic InfantGoat Milk Formula 1NANNYCare First InfantMilk (goats’ milk based)Kabrita Gold 1 (goats’milk based)Holle Organic InfantFormula 1Aptamil Profutura 1 FirstInfant MilkSimilac First Infant Milk400g 10.9535p900g 22.9833p 3.04800g 19.9533p 3.04400g 8.8528p 2.58800g OrganicsupplierBootsCost per day basedon average intakeformula at 2 -3months(920ml/day) 3.2221p 1.93850g 14.00Boots20p 1.84Aptamil Lactose Free400g 5.99Boots20p 1.84First Steps Nutrition Trust: Cost of infant milks February 2017: page 5

Milk nameWeightCost(Feb 2017)WherecostedCost per100mlmade upmilkCost per daybased on averageintake formula at2 -3 months(920ml/day) 1.75Kendamil MehadrinFirst Infant Milk800g 13.99Manufacturer 19pInformationSMA LF (lactose free)430g 6.00Boots19p 1.75SMA HA800g 12.00Boots19p 1.75Aptamil Comfort900g 12.99Boots18p 1.66Cow & Gate Antireflux900g 11.50Boots18p 1.66Hipp CombioticComfort800g 10.99Ocado18p 1.66Hipp OrganicCombiotic Anti-refluxSMA Comfort800g 10.99Ocado18p 1.66800g 11.00Boots18p 1.66SMA Wysoy860g 12.95Boots18p 1.66Aptamil Anti-reflux900g 12.99Boots17p 1.56Aptamil 1 First Milk900g 11.00Boots17p 1.56Aptamil Hungry Milk900g 11.00Boots17p 1.56SMA Pro First InfantMilk800g 10.00Boots16p 1.47SMA Extra Hungry800g 10.00Boots16p 1.47Cow & Gate Comfort900g 11.50Boots15p 1.38SMA Staydown900g 10.00Boots15p 1.38Cow & Gate 1 FirstInfant MilkCow & Gate InfantMilk for hungrierbabiesHiPP OrganicCombiotic HungryInfant MilkKendamil 1 First Milk900g 9.00Boots14p 1.29900g 9.00Boots14p 1.29800g 8.50Boots14p 1.29900g 9.49Manufacturer 13pinformation 1.20First Steps Nutrition Trust: Cost of infant milks February 2017: page 6

Milk nameWeightCost(Feb 2017)WherecostedCost per100mlmade upmilkHiPP OrganicCombiotic First InfantMilkBebivita First InfantMilk800g 8.50Boots13pCost per daybased on averageintake formula at2 -3 months(920ml/day) 1.20500g 4.4911p 1.01Mamia First InfantMilk900g 6.99LIDL (onlyavailable atthissupermarket)ALDI (onlyavailable atthissupermarket)10p92pThe cost of feeding a 2-3 month baby over a month (30 days) can therefore vary in cost from 96.60 to 27.60. Considering the most available brands in supermarkets, a family choosingAptamil 1 Profutura powdered infant milk would spend 57.90 a month compared to 36.00if Hipp Organic Combiotic First Infant Milk was chosen.First Steps Nutrition Trust: Cost of infant milks February 2017: page 7

4.0 Follow-on FormulaFollow-on formula are not recommended, but are marketed for infants from 6 months ofage, both as powdered and RTF milks. Table 4 summarises the cost of these milks, andconsiders a daily cost of 600ml formula per day used at 7-12 months of age. RTF and goats’milk based products remain the most expensive, and there are some small differences incost between first and follow-on formula dependent on scoop weight differences. The costof the follow on milk packs however are generally the same as those for first milks and it isrecommended that a first infant milk is used throughout the first year if formula is used.Table 4: Cost of Follow-on milk products marketed in the UKMilk nameWeightCost (Feb2017)Where costedCost per100mlmade upmilkCost per day at7-12 months(600ml)85pBoots43p 2.58200ml75pTesco38p 2.281000ml250ml* 3.70Boots37p 2.2289p36p 2.16200ml69pManufacturerInformationBoots35p 2.101000ml 3.19Tesco32p 1.921000ml 3.00Boots30p 1.80900g 22.9833p 1.98800g 19.9533p 1.98Holle Organic Goat milkFollow on Formula 2Holle Organic InfantFollow on Formula 2Aptamil Profutura 2 Followon MilkSimilac Follow on Formula400g 9.1031p 1.86600g 12.7529p 1.74800g OrganicsupplierBoots24p 1.44850g 14.00Boots21p 1.26Aptamil 2 Follow-on milk900g 11.00Boots19p 1.14SMA Pro Follow on Milk800g 10.00Boots17p 1.02Ready to feed follow-on milksAptamil 2 Follow-on Milk200mlCow & Gate 2 Follow onMilk RTFAptamil 2 Follow-on MilkHipp Organic CombioticFollow-on MilkSMA Pro Follow on MilkCow & Gate 2 Follow onMilk RTFSMA Pro Follow-on MilkPowdered follow-on milksNANNYCare Follow onMilkKabrita Gold 2First Steps Nutrition Trust: Cost of infant milks February 2017: page 8

Milk nameWeightCost (Feb2017)Where costedCost per100mlmade upmilk15pCost per day at7-12 months(600ml)HiPP Organic CombioticFollow on Milk 2Kendamil 2 Follow-on Milk800g 8.50Boots900g 9.49ManufacturerInformationBoots13p78pCow & Gate 2 Follow onFormulaBebivita Follow onFormula900g 9.0013p78p500g 4.49LIDL (onlyavailable at thissupermarket)ALDI (onlyavailable at thissupermarket)11p66pMamia Follow on Milk900g 6.9910p60p90p* This product will be available from February 2017First Steps Nutrition Trust: Cost of infant milks February 2017: page 9

5.0. Other infant milks: ‘Growing up’ and toddler milksThese milks are not recommended. The cost of these have been compared to a whole cows’milk equivalent, which is suitable for most children from 1 year of age who are eating well.Using the more expensive of these milks would cost a family over 11 per week, and theremay be disadvantages to using these products as they are typically sweeter than wholeanimal milk, may be flavoured, and may be lower in many important nutrients. A summaryof the composition of these milks can be found in the report Infant Milks in the UK atwww.firststepsnutrition.org.Table 5: Cost of growing up and toddler milksMilk nameWeightCost(Feb2017)Cost per day1 year (400ml)TescoCost per100mlmade upmilk7pBoots40p 1.60Boots40p 1.60Manufacturer 36pInformationTesco33p 1.44Boots33p 1.32Boots28p 1.12Boots28p 1.12Tesco24p96pBoots24p96pBoots23p92pPowdered growing up and follow-on milksNANNYCare Growing Up 900g 24.99MilkKabrita Gold 3800g 19.95OrganicsupplierBoots36p 1.4433p 1.32PaediaSure Shake400g 10.00Boots33p 1.32Aptamil Profutura 3800g 12.99Boots23p92pFull fat cows’ milk1136ml (2 75ppints)Ready to feed growing up and toddler milksAptamil 3 Growing up200ml80pMilk 1-2 yearsAptamil 4 Growing up200ml80pMilk 2-3 yearsHipp Organic Combiotic250ml*89pGrowing Up Milk 3Cow & Gate 3 Growing200ml65pup Milk 1-2 years RTFCow & Gate 4 Growing200ml65pup Milk 2-3 yearsAptamil 4 Growing up1000ml 2.75Milk 2-3 yearsAptamil 3 Growing up1000ml 2.75Milk 1-2 yearsCow & Gate 3 Growing1000ml 2.39up Milk 1-2 yearsCow & Gate 4 Growing1000ml 2.39up Milk 2-3 yearsSMA Pro Toddler Milk1000ml 2.30Wherecosted28p 1.32First Steps Nutrition Trust: Cost of infant milks February 2017: page 10

Holle Organic Growingup Milk 3Similac Growing Up Milk800g 12.75850g 14.00Kendamil MehadrinToddler MilkAptamil 3 Growing upMilk 1-2 yearsSMA Pro Toddler Milk800g 13.99800gOrganicsupplierBoots22p88p21p84p76p 10.00Manufacturer 19pInformationBoots17p800g 9.49Boots15p60pAptamil 4 Growing upMilk 2-3 yearsHiPP Organic CombioticGrowing Up Milk 3HiPP Combiotic GrowingUp Milk 4Kendamil 3 Toddler Milk800g 10.00Boots15p60p600g 6.45Boots14p56p600g 6.45Ocado14p56p900g 9.4952pCow & Gate 3 Growingup Milk 1-2 yearsCow & Gate 4 Growingup Milk 2-3 yearsBebivita Growing upMilk800g 8.50Manufacturer 13pinformationTesco13p800g 8.50Boots13p52p500g 3.99LIDL10p40p68p52p* This product will be available from February 2017First Steps Nutrition Trust: Cost of infant milks February 2017: page 11

there are considerable cost differences: Holle Organic infant formula 1 at 28p per 100ml and Aptamil Profutura 1 First Infant Milk at 21p per 100ml are the most expensive – compared to the cheapest powdered first infant formula Bebivita First Infant Milk costing 11p per 100ml and Mamia

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