You can order Nepro from Ross, the manufacturer, directly. Go to www.rosstore.com and enter in the search field “nepro.” You will find 24 cans for $70 (price includes standard shipping). They sell it in 3 flavors – cherry, butter pecan, and vanilla.
In addition to liquid supplements, like Nepro, there are bars and even cookies. Some dietitians recommend that patients buy powdered egg whites and add them to other food they’re eating to give them a higher protein diet at a very low cost. Some supplements may be available at relatively low cost from your local grocery store or discount store (Costco, Wal-Mart, etc.).
Before you drink or eat any nutrition supplement, ask your dietitian whether it is safe for people on dialysis. If your dietitian doesn’t know about that specific supplement, he/she can find out out for you. One thing that might help everyone at your clinic is to have a “tasting day” at the clinic with samples of supplements. This would let you and other patients see which ones you like before you buy 24 cans of a supplement you hate.