Produced by - Mead Johnson Nutrition

EXHIBIT 15 - EXAMPLE OF INDICATIONS FOR USE AND REQUIREDJUSTIFICATION FOR REIMBURSEMENT OF A CATEGORY IV FORMULA (CONTINUED)Formula ICD-9 Indications/JustificationTraumacal ®Sepsis/Infection038.0- Sepsis038.9041.9 Bacterial infection136.9 Infection, unspecified480-487 Pneumonia599.0 Urinary tract879.3,879.5 Abdominal wound infection997.3 Postoperative pneumonia998.5 Postoperative infection999.3 Complicating infectionJustification:May be primary or secondary diagnosis; the diagnosis of infection may also be coded as specificto the site; physician diagnosis and clinical evidence (such as fever, drainage from site ororganism isolated from blood, urine or sputum culture) should be included in the documentation490-496 COPD, ventilator dependent518.5 Pulmonary insufficiency following trauma/surgery518.81 Respiratory failure707.0-707.9 Chronic ulcer of the skin828-829 Multiple fracture854 Head injury949.2- Second or third degree burns949.5941.2- Major surgery946.5Justification:Must be a condition that requires = 1.2 times the resident’s caloric and protein needs; thisincludes hypermetabolic residents recovering from surgery, trauma or burns262-263.8 MalnutritionJustification:Resident must be malnourished as indicated by albumin = 3.0 or unintentional weightloss > 10%; documentation must include serum albumin level and date drawn➝➝➝➝Other diagnosesMajor traumaCancerHypermetabolismDocumentation should include extent of trauma and type of cancerNote: Another acceptable MJN formula for patients with hypermetabolism is Deliver ® 2.0; another acceptable MJN formula for patientswith respiratory failure is Respalor ® .In all cases, coverage should be confirmed with applicable DMERC.68