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Nutricia Formula Coverage

Nutricia Navigator

Obtaining formula coverage can be a frustrating process. As part of  our Nutricia Connect program, we offer Nutricia Navigator, a free service available to help guide you through the world of formula coverage from start to finish.  

Our Navigator team will give you personalized one-on-one help by:

  • Contacting your health insurance plan to determine coverage   
  • Completing pre-determinations, prior authorizations and supporting medical necessity reviews
  • Initiating joint calls between patients, healthcare teams and insurance companies to help guide you through difficult reimbursement processes
  • Providing billing error support
  • Assisting in appealing insurance denials for Nutricia products

            ...and much more!

Call 1-800-365-7354 or email NutriciaNavigator@nutricia.com today to start receiving personalized assistance with your formula coverage matters.

 

READY TO GET STARTED?

Download one of the two forms:

Patient Information Form

Prescriber Information Form

             

         We successfully help 9 out of 10 people obtain formula coverage!

Letters of Medical Necessity

A Letter of Medical Necessity is certification by a physician that the prescribed item(s) is/are medically indicated, reasonable and necessary with reference to the standards of medical practice and treatment of a patient’s condition.

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How to Order

How to order Nutricia products online, by phone, or through a pharmacy. In addition, find information for ordering in Canada and outside North America.

 

 

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Coverage by State

Which states are required by law to cover metabolic formula. Here you will find an interactive map to aid you in learning more about coverage in your state.

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