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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).

WIC and Medicaid Coverage Map

See which Nestlé Health Science pediatric formulas are available for your patients through WIC and Medicaid.

Medicare Part B

Documentation examples for special enteral formulas and enteral HCPCS codes for Nestlé Healthcare Nutrition products.

Product Code and Reimbursement Information

Key reimbursement information for all Nestlé Health Science products, including HCPCS code, NDC Number, calorie information and more.

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.

Contact us at 844-283-0365

We can help you!

To request assistance from the Nestlé Market Access please call 1-800-422-ASK2(2752)