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NEC Baby Formula Lawsuit Settlement Payouts

Legal industry estimates suggest that a potential baby formula NEC settlement could pay out between $50,000 and $600,000 per person. However, a global settlement has not yet been agreed to, and payouts can vary substantially between cases.

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Lawsuit Information
Baby formula lawsuits are being filed by parents of premature babies who developed necrotizing enterocolitis (NEC) after consuming Similac or Enfamil.
Key Takeaways
  • Typical Payout Range: $50,000 to $600,000+
  • Case Value Influencers: Severity of injury, long-term health problems, death, lost wages, medical bills, pain and suffering, among others
  • Next Bellwether Dates: November 3, 2025: Rebekah Etienne & Deondrick Brown, Sr. v. Abbott Laboratories, Case No. 1:22-cv-02001; February 2, 2026: Inman v. Mead Johnson & Company, LLC, et al., Case No. 1:22-cv-03737

What Is the Average NEC Lawsuit Settlement?

According to legal industry estimates, necrotizing enterocolitis (NEC) lawsuit settlement payouts could range from $50,000 to $600,000 per person.

As of [as_of_date], in the NEC cases that have already been litigated, plaintiffs received a combined $555 million. This includes trials involving Abbott Laboratories, which makes Similac, and Mead Johnson, which makes Enfamil.

Formula makers and plaintiffs have not reached a global settlement. If they agree to one, specific payouts will vary from lawsuit to lawsuit. For example, cases involving more severe injuries or even death could receive larger payouts than cases involving minor injuries.

Keep in mind that each NEC baby formula lawsuit is different. Large multi-million-dollar jury verdicts in state courts are outliers, so they aren’t necessarily going to predict what an individual settlement amount would be.

What Experts and Patients Say About NEC Lawsuit Compensation

Drugwatch Analysis (October 2025)

It’s impossible to determine an exact settlement amount that an NEC baby formula lawsuit could reach because each case is unique. However, payouts are generally influenced by the severity of the injury and previous verdicts or settlements.

Non-fatal NEC injury payouts could range from $50,000 to $600,000. A case with a child who develops NEC and has a permanent disability may receive a settlement between $1 million and $10 million.

If a child dies from NEC, the payouts could reach more than $50 million.

Keep in mind that no settlement is ever guaranteed. Plaintiffs should always talk to their lawyer about their individual settlement estimates.

So far, these cases have hit a snag because the first multidistrict litigation (MDL) bellwethers were dismissed for lack of evidence. This could affect any potential jury verdict or settlement timelines.

Have Any NEC Settlements Been Reached Yet?

While hundreds of cases have been filed, only a couple have gone to trial and received substantial payouts.

Past NEC Trial Verdicts for Plaintiffs
  • $495 million verdict to the family of a baby girl who developed NEC after being fed a Similac formula
  • $60 million in March 2024 to the mother of an infant who developed NEC and died after being fed Enfamil formula

More than 700 active NEC lawsuits were consolidated into multidistrict litigation (MDL). This helps streamline the process of evaluating these cases.

A handful of cases from the MDL were chosen as bellwether trials. These trials serve as test cases that give both sides an idea of the strength of their position and where litigation may head.

One bellwether trial has already concluded, and the judge ruled in favor of formula manufacturers for two reasons:

  • There wasn’t adequate proof that Abbott’s alleged failure to warn about the increased NEC risk from its formula actually caused the plaintiff’s infant to develop NEC.
  • The plaintiff didn’t provide sufficient evidence that an alternative formula was available.

Another bellwether lawsuit tried to argue that marketing materials and free samples provided to NICUs led to babies being given formulas linked to NEC. That judge again ruled in favor of the manufacturers, this time because she felt the link between marketing efforts and the primary issues of the lawsuits was not strong enough.

If these concerns can be addressed in future trials, the rulings may be different.

The next bellwether trial is scheduled for August 2025. Two others are set for November 2025 and February 2026.

How Are NEC Lawsuit Payouts Determined?

When determining payouts in NEC baby formula lawsuits, juries or settlements consider a range of damage awards. Verdicts may include compensatory damages for financial losses and punitive damages meant to penalize the defendant. Other damages may also be on the table.

Punitive damages may exceed compensatory damages. For example, a July 2024 baby formula trial resulted in $95 million compensatory and $400 million punitive damage awards to the family of an infant who developed NEC.

Factors that affect compensation in NEC baby formula lawsuits include:
  • Medical costs, lost wages and out-of-pocket expenses related to NEC injury or death.
  • If a jury believes manufacturers engaged in particularly harmful or negligent conduct that they feel deserves additional penalties via punitive damages.
  • Financial and emotional hardships faced by the family and the long-term consequences for the child.
  • The type and severity of the child’s NEC injury.
  • Physical and emotional pain and suffering.

Both jury verdicts and negotiated settlements can reflect how significant the courts view the losses and suffering tied to NEC in premature infants, as well as a desire to hold manufacturers accountable.

Who Qualifies for an NEC Settlement?

You may qualify for compensation through an infant formula NEC lawsuit if:
  • Your baby was born prematurely and
  • They were fed formulas containing cow’s milk protein and
  • They developed NEC

If you aren’t sure if you qualify for an NEC lawsuit, we’re here to help. We partner with experienced law firms to ensure that you get the information and support you need to seek justice.

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What Evidence Should You Gather?

Be prepared to gather evidence for your baby formula case. Your attorney will use this information to strengthen your case. Evidence includes proof that your baby was given the relevant formula (which often happens in the NICU and not necessarily at home) and a confirmed NEC diagnosis that required treatment, among other documentation.

Here is a checklist of the evidence that you can gather:
  • Records detailing the premature birth
  • Documentation about the hospital’s use of relevant formulas, feeding schedules, etc.
  • Imaging reports
  • Proof of the NEC diagnosis and complete treatment records
  • Any formula packaging labels you may have saved
  • Expert opinions about the formula’s relationship to your child’s NEC diagnosis
  • Hospital discharge summaries and follow-up notes for NEC treatment
  • NICU feeding orders and attending nurse or doctor notes
  • Receipts or bank statements showing the baby formula purchase
  • Records and notes on medical bills, lost wages and out-of-pocket expenses

Any records related to the feeding schedule, diagnosis and treatment should be obtained from the hospital and other medical providers. Items such as formula packaging, receipts and proof of lost wages should come from your own records.

If you have difficulty obtaining these records, your attorney should be able to help you.

Is There a Baby Formula NEC Recall or FDA Warning?

There is no NEC-related recall for Similac, Enfamil or other cow’s milk baby formula. However, Abbott Nutrition and Mead Johnson have both issued recalls due to concerns about bacterial contamination.

For instance, in February 2022, Abbott Nutrition issued a baby formula recall for specific lots of Similac, EleCare and Alimentum, including some formulas that have been associated with NEC. In 2024, Mead Johnson issued a recall for 675,000 cans of its Nutramigen Hypoallergenic Infant Formula Powder. This is not on the list of formulas mentioned in the NEC lawsuits.

When Will NEC Settlements Be Paid Out?

NEC settlement payouts can’t occur until a settlement has been reached between plaintiffs and defendants. It can be challenging to predict if and when a settlement will occur. However, the upcoming bellwether trials will likely impact the pending litigation.

The good news for those with pending cases is that plaintiffs have already seen significant wins in state court trials. These cases are not part of the lawsuits grouped together in federal court, but their results may impact settlement negotiations.

Any loss for baby formula manufacturers can impact future lawsuits. So far, three trials have been held in state court. The first two paid millions to plaintiffs.

Baby formula manufacturers initially won the third trial. Several months later, the judge determined that their defense team had committed misconduct and erased the win, ordering a retrial.

With the order for a retrial, the only definitive win that baby formula makers have earned so far came in the first bellwether trial.

The judge overseeing the cases pointed to what the doctor who treated the infant said in a deposition as a key deciding factor. The doctor had implied that he would have fed formula to the infant anyway even if there were stronger NEC warnings.

Plaintiffs’ success in the upcoming bellwether trials will be critical. Winning those trials could result in a stronger settlement for many cases.

Products Potentially Involved In NEC Lawsuits

Abbott and Mead Johnson are the main defendants in NEC baby formula litigation. These companies manufacture several cow’s milk infant products, including formulas and human milk fortifiers.

Enfamil and Similac premature infant products potentially involved in lawsuits include:
  • Enfamil 24 Cal
  • Enfamil NeoPro EnfaCare Infant Formula
  • Enfamil Premature 20 Cal
  • Enfamil Premature 24 Cal
  • Enfamil Premature 30 Cal
  • Enfamil Premature 20 Cal with Iron
  • Enfamil Premature 24 Cal High Protein
  • Enfamil Premature 24 Cal with Iron
  • Enfamil Premature 30 Cal with Iron
  • Enfamil Human Milk Fortifier
  • Enfamil Human Milk Fortifier Powder
  • Enfamil Human Milk Fortifier Acidified Liquid
  • Enfacare Powder
  • Enfamil 24 and DHA & ARA Supplement
  • Enfamil NeuroPro EnfaCare
  • Similac NeoSure
  • Similac Special Care
  • Similac Special Care 20
  • Similac Special Care 24
  • Similac Special Care 30
  • Similac Special Care 24 – High Protein
  • Similac Human Milk Fortifier Concentrated Liquid
  • Similac Human Milk Fortifier Hydrolyzed Protein Concentrated Liquid
  • Similac Liquid Protein Fortifier
  • Similac Alimentum
  • Similac Alimentum Expert Care

If your child was fed any of these cow’s milk formulas and developed NEC, you may be able to file a lawsuit for compensation. You can check for these brands of formula on your child’s feeding log records from the hospital or product labels you may have saved.

Baby Formula NEC Lawsuit FAQs

Is the baby formula lawsuit a class action?
No. This is not a class action. These trials are individual cases filed in state courts or multidistrict litigation (MDL).
How long will baby formula lawsuits take to settle?
Complex litigation like the NEC baby formula litigation can take several years to resolve.
What records do I need for a baby formula NEC lawsuit?
Records you need include proof you bought the baby formula, proof of the formula brand and a confirmed NEC diagnosis that required treatment.
How are baby formula cases valued?
Cases are valued by the severity of injuries, the amount of financial losses or hardships and if there was a death or long-term health problems.

If NEC has impacted your family, Drugwatch can help. We partner with trusted law firms to maximize payouts for those affected by this issue. The legal process can be confusing, but you don’t have to navigate it alone.

To successfully file an NEC lawsuit, you likely will need to provide documentation or medical records showing that your infant was fed one of the formulas in question and developed NEC.

Don’t worry if you aren’t sure how to get those records. We work with experienced mass tort law firms who can help you gather what you need to build the strongest possible case.

For a detailed list of the records you need, you can check our section on this page called “What Evidence Should You Gather?”

Filing a baby formula lawsuit can be daunting and emotionally draining, but our legal partners will always treat you and your family with care and respect, and there’s never an obligation to file a lawsuit.

Please seek the advice of a medical professional before making health care decisions.