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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.


Reimbursement Support Program

The formula4success® Program is committed to increasing access to, and coverage for, Nestlé formulas. In addition to the support formula4success® offers patients and caregivers, we are also able to provide helpful information and resources to providers of home enteral nutrition. Our dedicated Reimbursement Specialists are available to help with your most challenging denials for coverage. To learn more, contact formula4success® today.

Contact us at 844-283-0365


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.

We can help you!

To learn more about payer coverage for medical nutrition therapies, contact the Nestlé Health Science Market Access Team.