The Premature Milk Powder ecosystem spans upstream raw‑material sourcing, midstream formulation and manufacturing, and downstream distribution to neonatal care facilities. Upstream actors provide dairy base, lactose, and micronutrient ingredients that meet stringent nutritional specifications. Midstream participants—formulators, OEMs, and technology providers—convert these inputs into sterile, clinically validated powder using specialized processing equipment and quality‑control systems. Downstream channels include regional distributors, hospital pharmacies, and specialized nutrition service providers that deliver the finished product to neonatal intensive care units and home‑care programs. Value is captured through contractual pricing, regulatory approvals, and service contracts that align product safety with clinical outcomes.