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All Nutricia products are available for convenient home delivery directly from Nutricia North America. Consumers can call our toll free number or visit one of our websites.

For additional information, please call our Nutrition Information Department

United States:
(800) 365-7354

Canada:
(877) 636-2283

 

Reimbursement support

REIMBURSEMENT OF MEDICAL FOODS AND EXEMPT INFANT FORMULAS

Hints and Tips for Successful Reimbursement:

What your physician can do:

  • Provide a letter of medical necessity from the physician including the following facts:
    • Detailed diagnosis including but not limited to growth charts and documentation about the progress of the patient
    • Lab results where applicable
    • Argue that nutritional therapy is more cost effective and in many cases even medically more effective than other alternatives (e.g. tube feeding)
    • The more detailed the information the better the chances for reimburement

What you can do:

  • Make sure your submission is complete and according to your insurance company’s guidelines
  • Be persistent
  • Consider providing the following:
  • Ask to speak to a Nurse Case Manager in your insurance company and don’t stop with Customer Service
  • Utilize all the appeals levels, 1st, 2nd, 3rd, Grievance.  Write down every person that you have spoken to and what they have said on each date.
  • Find out the process for utilizing your mail order prescription program (if you have one).  Try to get it through your mail order benefit by following the sample procedure you would for other medications.
  • Use FSA (Flexible Spending Account) dollars to pay for the formula (if your employer has one).

 

 

 

 

  • Have questions about
    reimbursement?
    We have the
    answers
    – including
    helpful tips, letter
    templates, and more.
  • The most palatable medical nutritionals to enhance diet compliance and offer choice and flexibility.

* Note, not a complete listing

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