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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

At Nutricia, we know that reimbursement of medical foods and exempt infant formulas is an important piece in families’ lives, influences medical decisions and contributes to better health and diet compliance. The following sample reimbursement letters are intended to help you gain insurance coverage. Please contact your physician to complete the missing information and individualize the letters according to your specific needs.

Please choose the letter you need and simply download the Word file to your computer. For additional information, please contact our Nutrition Services Department at 1-800-365-7354. We will be happy to assist you!

If you live in Arizona, Connecticut, Illinois, Massachusetts, New Jersey, New York and Texas and are seeking assistance in getting you or your loved one’s Nutricia products covered from your insurance, please click here.

FOR OUR CANADIAN CUSTOMERS: If you live in Alberta or Ontario, please visit our Canadian Neocate Navigator website at www.neocatenavigator.ca.


Sample Insurance Letters

Click on the appropriate product to download the Word file.

Acerflex   Download Word File
Add-Ins   Download Word File
Complete Amino Acid Mix   Download Word File
Duocal   Download Word File
E028 Splash   Download Word File
Essential Amino Acid Mix   Download Word File
KetoCal 3:1   Download Word File
KetoCal 4:1   Download Word File
KetoCal 4:1 Liquid   Download Word File
Lanaflex   Download Word File
Lophlex   Download Word File
Loprofin Milupa Foods   Download Word File
Methionaid   Download Word File
Milupa HOM 2   Download Word File
Milupa MSUD 2   Download Word File
Milupa OS 2   Download Word File
Milupa PKU 2   Download Word File
Milupa PKU 2 Tomato   Download Word File
Milupa PKU 3   Download Word File
Milupa TYR 2   Download Word File
Monogen   Download Word File
MSUD Aid   Download Word File
MSUD Analog   Download Word File
MSUD Maxamaid   Download Word File
MSUD Maxamum   Download Word File
Neocate Infant Formula   Download Word File
Neocate Nutra   Download Word File
Neocate Junior   Download Word File
Neocate Junior with Prebiotics   Download Word File
Pepdite Junior   Download Word File
Periflex Advance   Download Word File
Periflex Infant   Download Word File
Periflex Junior   Download Word File
Phlexy-10 System   Download Word File
Phlexy-Vits GI   Download Word File
Phlexy-Vits Neurology   Download Word File
PKU Lophlex LQ   Download Word File
Phlexy-Vits   Download Word File
XLeu Analog   Download Word File
XLeu Maxamaid   Download Word File
XLeu Maxamum   Download Word File
XLys, XTrp Analog   Download Word File
XLys, XTrp Maxamaid   Download Word File
XLys, XTrp Maxamum   Download Word File
XMet Analog   Download Word File
XMet Maxamaid   Download Word File
XMet Maxamum   Download Word File
XMet XCys Analog   Download Word File
XMet XCys Analog   Download Word File
XMTVI Analog   Download Word File
XMTVI Maxamaid   Download Word File
XMTVI Maxamum   Download Word File
XPhe Maxamaid   Download Word File
XPhe Maxamum   Download Word File
XPhe, XTyr Analog   Download Word File
XPhe, XTyr Maxamaid   Download Word File
XPTM Analog   Download Word File


Definitions

Click on the term to view its definition.

Exempt Infant Formula View the definition
Medical Food View the definition

 

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  • The most palatable medical nutritionals to enhance diet compliance and offer choice and flexibility.

* Note, not a complete listing

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