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Alternative to Fortimel & Fresubin: Nutritional drinks compared

CaloShop Editorial Guide · Last updated on October 18, 2026 · Approx. 6-minute read

In short: What alternative is there to Fortimel and Fresubin?

CaloDrink Vanilla is the alternative to Fortimel®, Fresubin® and Resource®: also ready-to-drink and nutritionally complete, with 1.5 kcal/ml (300 kcal per 200-ml bottle) and available on prescription with statutory health insurance (§ 31 SGB V). Without a prescription, CaloVital powder provides 194 to 354 kcal per serving from approx. €1.67. This type of medical food is used under medical supervision.

  • 1.5 kcal/mllike Fortimel® & Fresubin®
  • Available on prescription with statutory health insurance(§ 31 SGB V)
  • Cheaper without a prescriptionCaloVital from approx. €1.67 per serving

Contents

5 products compared · Manufacturer information checked on 23.08 and 18.10.2026 · Sources at the bottom of the page

What do Fortimel, Fresubin, Resource and CaloDrink have in common?

All four are balanced diets (food for special medical purposes, FSMP) with all vitamins and minerals in balanced amounts: The standard products ("Energy") provide 1.5 kcal per milliliter, around 300 kcal and 11 to 12 g of protein per 200-ml bottle.

  • 300 kcal

    Energy per bottle

    1.5 kcal/ml in 200 ml. Resource Energy: 303 kcal.

  • 12 g

    Protein per bottle

    CaloDrink Vanilla and Fortimel Energy: 12 g. Fresubin Energy DRINK and Resource Energy: 11.2 g.

  • Prescription: yes

    § 31 SGB V

    Balanced diet in the Lauer-Taxe, available on prescription with statutory health insurance under Muster 16.

  • 1 : 1

    Can be substituted

    One bottle of CaloDrink replaces one bottle of Fortimel Energy or Fresubin Energy DRINK.

What CaloShop alternatives are there to Fortimel and Fresubin?

CaloShop offers three alternatives: CaloDrink Vanilla (ready-to-drink, 300 kcal per bottle, available on prescription with statutory health insurance), CaloVital (powder, 194 to 354 kcal per serving) and CaloVital Vegan (vegan and lactose-free).

CaloDrink Vanilla 200 ml drinking bottles in a 4-pack

CaloDrink Vanilla

  • Ready-to-drink, 300 kcal and 12 g of protein per 200-ml bottle (1.5 kcal/ml)
  • Fully balanced: 14 vitamins and 14 minerals
  • Available on prescription with statutory health insurance (§ 31 SGB V)
from €19.964-pack = 4 × 200 ml
24-pack: €2.71 per bottle
View CaloDrink Vanilla
CaloVital high-calorie medical food, Vanilla 500 g can

CaloVital

  • Powder: 194 kcal with water, approx. 354 kcal with 250 ml whole milk (per 50 g)
  • 8 g of protein per 50 g of powder, approx. 16 g with whole milk
  • 20 flavors, with 12 vitamins and 9 minerals
from €18.96500 g = 10 servings
3-kg bag: from approx. €1.67 per serving
View CaloVital
CaloVital Vegan, lactose-free high-calorie medical food, 500 g can

CaloVital Vegan

  • Vegan and lactose-free
  • Gluten-free
  • Protein from pea protein
from €21.96Powder to mix
500-g can
View CaloVital Vegan

Comparison table: CaloDrink and CaloVital compared to Fortimel, Fresubin and Resource

Fortimel Energy, Fresubin Energy DRINK, Resource Energy and CaloDrink Vanilla provide around 300 kcal and 11.2 to 12 g of protein per 200-ml bottle; CaloVital is a powder and not a substitute for a balanced diet.

Swipe the table sideways to see all columns →

Feature CaloDrink Vanilla Fortimel Energy Fresubin Energy DRINK Resource Energy CaloVital (Powder)
Manufacturer / Provider CaloShop (KAP3, Mainz), manufactured in Germany Nutricia (Danone) Fresenius Kabi Nestlé Health Science CaloShop, manufactured in Germany
Form ready-to-drink, 200-ml bottle ready-to-drink, 200-ml bottle ready-to-drink, 200-ml bottle ready-to-drink, 200-ml bottle Powder to mix, 500 g = 10 servings
Energy density 1.5 kcal/ml 1.5 kcal/ml 1.5 kcal/ml 1.5 kcal/ml 388 kcal per 100 g of powder
Energy per serving 300 kcal per bottle 300 kcal per bottle 300 kcal per bottle 303 kcal per bottle 194 kcal (50 g with water) or approx. 354 kcal with whole milk
Protein per serving 12 g 12 g 11.2 g 11.2 g 8 g (50 g of powder) or approx. 16 g with whole milk
Fully balanced (all nutrients) yes, 14 vitamins, 14 minerals yes yes yes no, food with 12 vitamins and 9 minerals, not a substitute for a balanced diet
Legal category balanced diet (FSMP) balanced diet (FSMP) balanced diet (FSMP) balanced diet (FSMP) food (high-calorie drink powder)
Prescription with statutory health insurance yes, § 31 designation in the Lauer-Taxe, 4 PZNs yes yes yes no (not covered by prescription), orderable in any pharmacy via PZN
Lactose / Gluten / Fiber low lactose (0.19 g/100 ml), gluten-free, fiber-free lactose- and gluten-free according to manufacturer, without added fiber low lactose, gluten-free, fiber-free (chocolate flavor low in fiber) Follow manufacturer information gluten-free, contains milk; vegan/lactose-free as CaloVital Vegan
Flavors Vanilla several 6 varieties + Neutral several 20
Price per serving at CaloShop from €2.71 (24-pack), approx. €0.90 per 100 kcal Pharmacy price, varies Pharmacy price, varies Pharmacy price, varies from approx. €1.67 (3-kg bag), approx. €1.90 to €2.40 (500 g)
Price per 100 kcal (as of 18.10.2026) approx. €0.90 Pharmacy price, varies Pharmacy price, varies Pharmacy price, varies approx. €0.86 with water, approx. €0.47 with whole milk plus milk
Purchase calo-shop.com, free shipping in Germany; any pharmacy via PZN Pharmacy, medical supply store, online pharmacy Pharmacy, medical supply store, online pharmacy Pharmacy, medical supply store, online pharmacy calo-shop.com; pharmacy via PZN; Shop-Apotheke, DocMorris, etc.
Sources and verification date

Sources of competitor information: manufacturer websites nutricia.de (Fortimel Energy, now "Fortimel 1.5 kcal": 300 kcal and 12 g of protein per 200 ml, lactose- and gluten-free, 4 varieties), fresubin.com (Fresubin ENERGY Drink: 300 kcal, 11.2 g of protein per 200 ml, 6 varieties + Neutral, low lactose and gluten-free), nestlehealthscience (Resource Energy: 303 kcal, 11.2 g of protein per 200 ml); accessed on 23.08.2026, Fortimel and Fresubin information re-checked on 18.10.2026. Fortimel®, Fresubin® and Resource® are registered trademarks of the respective manufacturers; their mention is solely for objective comparison. Competitor prices are subject to pharmacy pricing and are therefore not stated as fixed prices.

When is which alternative the right one?

With a prescription with statutory health insurance, CaloDrink Vanilla (300 kcal per bottle) is suitable; without a prescription, the CaloVital powder (from approx. €1.67 per serving); for a vegan diet and in case of taste fatigue, there are dedicated solutions.

Older woman and her adult daughter laugh together at the kitchen table

You need a medically prescribed, nutritionally complete medical food

Then CaloDrink Vanilla is the equivalent alternative: same energy density, comparable protein content, complete micronutrient profile, ready-to-drink, and billable in the pharmacy without questions using the § 31 designation in the Lauer-Taxe.

The doctor enters the product name, package size, and PZN on the prescription with statutory health insurance under Muster 16, for example CaloDrink Vanilla 24 × 200 ml, PZN 20366080.

The co-payment is 10% of the price, as with all medical foods, at least €5 and at most €10.

You want to gain or maintain weight without a prescription

For those who do not have medical malnutrition but want to supplement calories, for example after an illness, with little appetite, as hardgainers, or as seniors with a small appetite, the CaloVital powder is more affordable: A 50-g serving in 250 ml whole milk provides around 354 kcal and costs from approx. €1.67.

With 20 flavors and the sample pack (€4.49 per serving pouch), almost everyone will find a flavor they will enjoy drinking for weeks.

You can no longer tolerate sweet medical foods

Taste fatigue is the most common reason why medical food is discontinued.

The savory CaloSoup (113 kcal per serving with water, 275 kcal with whole milk) and the CaloCake bar (up to 592 kcal) complement the day without it having to be another sweet shake.

Vegan, lactose-free, or with creatine

CaloVital Vegan (pea protein, lactose-free, gluten-free) and CaloDrink+ (25.1 g of protein and only 4.7 g of sugar per 100 g, with creatine) meet needs for which there are only a few variants among the classic clinic brands.

How much does medical food cost per 100 kcal?

CaloDrink Vanilla costs around €0.90 per 100 kcal, CaloVital with water around €0.86, and CaloVital with whole milk around €0.47 plus milk (as of 18.10.2026).

CaloDrink Vanilla24-pack: €2.71 per 300-kcal bottle
€0.90per 100 kcal
CaloVital with water3-kg bag: €1.67 per 50-g serving with 194 kcal
€0.86per 100 kcal
CaloVital with whole milk354 kcal per serving, plus milk
€0.47plus milkper 100 kcal

With an additional requirement of 500 kcal per day: around €2.35 to €4.50 per day

Prescription: This applies equally to Fortimel, Fresubin, Resource and CaloDrink

All four are available on prescription with statutory health insurance under Muster 16 for malnutrition; the co-payment is 10% of the dispensing price, at least €5 and at most €10 per package.

  1. Prerequisite

    The doctor determines that there is existing or imminent disease-related malnutrition and that normal nutrition, even with enriched food, is insufficient (§§ 18 to 26 of the German Medicines Act, chapter "Enteral Nutrition").

  2. Product selection

    As a rule, this is a normo- or hypercaloric standard product suitable for exclusive nutrition ("drinkable food"). The brand is freely selectable. The key is that the product is listed in the Lauer-Taxe as a prescribable balanced diet.

  3. Prescription

    Standard prescription form 16 with product name, package size, and PZN. No application or health insurance approval is required.

    CaloDrink Vanilla, PZN: 4-pack 20363609 · 8-pack 20593746 · 12-pack 20366074 · 24-pack 20366080

  4. Co-payment

    10% of the dispensing price, at least €5 and at most €10 per package (§ 61 SGB V); exemption according to the usual rules.

  5. Switching brands

    Switching from Fortimel or Fresubin to CaloDrink is possible at any time on the next prescription; pharmacies order CaloDrink through the pharmaceutical wholesaler, usually by the next business day.

A pharmacist hands a paper bag over the counter to an older customer accompanied by her daughter

What to consider when switching?

One bottle of CaloDrink Vanilla (300 kcal) replaces one bottle of Fortimel Energy or Fresubin Energy DRINK one-to-one; additionally, check tolerance, taste, and cost.

  • Energy density and quantity1.5 kcal/ml corresponds to 1.5 kcal/ml: One bottle of CaloDrink replaces one bottle of Fortimel Energy or Fresubin Energy DRINK one-to-one (1 to 3 bottles as a supplement, 5 to 7 bottles as exclusive nutrition).
  • ToleranceFor lactose intolerance, pay attention to low-lactose or lactose-free products (CaloDrink: 0.19 g of lactose per 100 ml); for diabetes, all 1.5-kcal drinkable foods should only be used under metabolic monitoring.
  • TasteDrinkable food that doesn't taste good won't be consumed. Serve chilled, and alternate between varieties and forms (shake, soup, bar).
  • Cost without a prescriptionWhen paying out of pocket, compare the price per 100 kcal, not per package (see calculation example).
  • AvailabilityDirectly from calo-shop.com (free shipping in Germany, delivery in 1 to 3 business days) or through any pharmacy using the PZN.

Conclusion: Which alternative to Fortimel and Fresubin is right for you?

Anyone who needs a prescribed, fully balanced drinkable food will find CaloDrink Vanilla (1.5 kcal/ml, 300 kcal per bottle) to be a prescribable alternative that can be substituted one-to-one for Fortimel or Fresubin.

Anyone who only wants more calories without a prescription will find the CaloVital powder cheaper by approximately €1.67 per serving; CaloVital Vegan is available for a vegan diet.

Ultimately, what matters is what you enjoy drinking for weeks and tolerate well, and drinkable food should be used under medical supervision.

Frequently asked questions about the Fortimel and Fresubin alternative

Is there a prescription-free alternative to Fortimel and Fresubin?

Yes. CaloDrink Vanilla (ready-to-drink, 300 kcal per bottle) and CaloVital powder (194 to 354 kcal per serving) can be ordered directly from calo-shop.com without a prescription and are also available in any pharmacy using the PZN. Furthermore, like Fortimel and Fresubin, CaloDrink can be prescribed on a standard prescription.

Is CaloDrink just as high in calories as Fortimel Energy or Fresubin Energy DRINK?

Yes. All three provide 1.5 kcal per milliliter, and thus 300 kcal per 200-ml bottle. CaloDrink contains 12 g of protein per bottle (Fortimel Energy 12 g, Fresubin Energy DRINK 11.2 g), as well as 14 vitamins and 14 minerals.

Does health insurance also cover CaloDrink?

Yes, under the same conditions as Fortimel or Fresubin: In cases of existing or imminent disease-related malnutrition, the doctor prescribes CaloDrink Vanilla on standard prescription form 16 with the PZN (4-pack 20363609, 8-pack 20593746, 12-pack 20366074, 24-pack 20366080). CaloDrink is listed in the Lauer-Taxe as a balanced diet according to § 31 SGB V. The co-payment is €5 to €10 per package.

Which is cheaper: Fortimel, Fresubin, or CaloVital?

Without a prescription, CaloVital powder is the cheapest: from approximately €1.67 per serving (194 kcal with water, around 354 kcal with whole milk), or about €0.47 to €0.86 per 100 kcal. Ready-to-drink balanced diets such as CaloDrink (approximately €0.90 per 100 kcal in a 24-pack), Fortimel, or Fresubin cost more, but provide a complete nutrient profile without preparation. Pharmacy prices for the clinic brands vary.

Can I switch from Fresubin or Fortimel to CaloDrink?

Yes, one-to-one: same energy density, same bottle size, comparable protein content. On the next prescription, the doctor will enter CaloDrink Vanilla with the PZN; without a prescription, you can order directly from the shop. If you have diabetes or swallowing difficulties, speak with your doctor beforehand.

Which alternative is suitable for vegans or for lactose intolerance?

CaloVital Vegan is vegan, lactose-free, and gluten-free (pea protein). CaloDrink is low in lactose (0.19 g per 100 ml) and gluten-free, but not vegan. According to the manufacturer, Fresubin Energy DRINK is lactose-free; for Fortimel and Resource, check the respective manufacturer's information.

Which is better: Fresubin or Fortimel?

There is hardly any difference in energy and protein. Fortimel Energy and Fresubin Energy DRINK are both fully balanced drinkable foods with 1.5 kcal per milliliter, or 300 kcal per 200-ml bottle. Fortimel provides 12 g of protein per bottle, Fresubin provides 11.2 g. Both can be prescribed on a standard prescription, and the brand is freely selectable. "Better" is therefore the product you enjoy drinking for weeks and tolerate well: taste, sweetness, consistency, and availability in your pharmacy are the deciding factors. CaloDrink Vanilla offers a third option with the same energy density (1.5 kcal/ml, 300 kcal per bottle) and comparable protein content (12 g), which is also prescribable. Drinkable food of this type should be used under medical supervision.

At what BMI are Fresubin, Fortimel, or CaloDrink prescribable on a standard prescription?

The drug guidelines (§ 21) do not state a fixed BMI limit. The prescription is based on whether the ability to maintain adequate normal nutrition is lacking or impaired and whether enriched food or other measures are insufficient. A low BMI or unintentional weight loss may be indicators, but the doctor makes the decision on an individual basis.

How does Nutilis compare with Fresubin?

Nutilis is not an alternative to Fresubin Energy DRINK, but rather a product line from Nutricia for people with swallowing difficulties. Fresenius Kabi also offers its own products for swallowing difficulties. Nutilis Clear is a flavor-neutral thickening powder for drinks and food, while Nutilis Complete is available as pre-thickened drinkable food and creams in three consistency levels. In contrast, Fresubin Energy DRINK, Fortimel Energy, and CaloDrink are liquid drinkable foods without thickening. Whether drinkable food may be thickened or a pre-thickened version is necessary is decided by the doctor or speech therapist.

How we compared

Five products were compared based on public manufacturer information and CaloShop's own product data.

  • Manufacturer websitesnutricia.de, fresubin.com, and nestlehealthscience (Fortimel, Fresubin, Resource); accessed on 23.08.2026, Fortimel and Fresubin checked again on 18.10.2026.
  • Own product dataCaloDrink Vanilla and CaloVital from CaloShop (KAP3, Mainz); prices from calo-shop.com, as of 18.10.2026.
  • Legal basisThe G-BA drug guidelines (§§ 18 to 26, chapter "Enteral nutrition") as well as § 31 SGB V and § 61 SGB V.
  • No laboratory measurementsAll values come from manufacturer information and own product data, not from measurements.

CaloShop Editorial Team · Last content check on 18.10.2026

Legal notice: This comparison is based on publicly available manufacturer information (as of 23.08.2026) and CaloShop's own product data. It is not a substitute for medical advice. Food for special medical purposes must be used under medical supervision. Whether and which drinkable food is covered by health insurance is decided based on the indication according to § 31 SGB V and the G-BA drug guidelines.

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