Nutrition and Reimbursement
Reimbursement Resources
Enteral nutrition reimbursement is reviewed on a case by case basis and requires specific documentation of medical conditions and proof of medical necessity. Enteral nutrition in the home setting is most often supplied by a durable medical equipment (DME) provider. Coverage guidelines will differ by insurance plan. Healthcare Professionals are encouraged to provide thorough letters of medical necessity and associated documentation in order to improve the likelihood of coverage for their patients.
Nestlé has provided the resources on this page to assist practitioners with navigation and proper documentation of nutrition claims.
We can help you!
The Nestlé Health Science Market Access team is available to provide additional information and assistance to enhance the likelihood of 3rd party payer coverage for medical nutrition therapies. To request assistance from the Nestlé Market Access please call 1-800-422-ASK2(2752).
Letters of Medical Necessity
- Addendum to Letter of Medical Necessity
Identify specific elements of documentation to include when seeking enteral nutrition coverage for your patients. - Alfamino®
- BOOST®
- BOOST® Kid Essentials™ 1.0
- BOOST® Kid Essentials™ 1.5
- Compleat®
- Compleat® Organic Blends
- Compleat® Pediatric Organic Blends
- Compleat® Pediatric
- Compleat® Pediatric Peptide 1.5
- Compleat® Pediatric Reduced Calorie
- Compleat® Pediatric Standard 1.0
- Peptamen® 1.5
- Peptamen® 1.5 with Prebio1™
- Peptamen AF®
- Peptamen® Intense VHP
- Peptamen® with Prebio1™
- Peptamen Junior®
- Peptamen Junior® 1.5
- Peptamen Junior® Fiber
- Peptamen Junior® HP
- Peptamen Junior® with Prebio1™
- ThickenUp® Clear
- Tolerex®
- Vivonex® Pediatric
- Vivonex® Plus
- Vivonex® RTF
- Vivonex® T.E.N.
Reimbursement Support Program
The formula4success™ service recognizes that navigating the insurance benefit world can be challenging. This is a complimentary service offering personalized support to individuals with reimbursement questions regarding Nestlé enteral nutrition products.