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WIC & Medicaid Pediatric Enteral Nutrition Formula Coverage
Click on your state in the map below to see which Nestlé Health Science formulas are available for your patients through WIC and Medicaid.
Select your state below to see which Nestlé Health Science formulas are available for
patients through government programs such as WIC and/or Medicaid.
Requires State Medical Documentation Form. State Approval Subject to Change.
The reimbursement information contained in this publication is gathered from third party sources and is presented for illustrative purposes only. Nestlé HealthCare Nutrition assumes no liability or responsibility for the results or consequences of any actions taken in reliance on the information provided in this document. Billing entities should contact their third-party payers for specific information on their coding, coverage and payment policies. All medical necessity determinations must be made by the responsible clinician(s). The person or entity submitting claims for reimbursement is solely responsible for ensuring the appropriate filing and accurate content of any particular claim.
WIC is a registered service mark of the U.S. Department of Agriculture for USDA’s Special Supplemental Nutrition Program for Women, Infants and Children. No endorsement of any brand or product by the USDA is implied or intended. MEDICAID is a property of the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services. No endorsement of any brand or product by the DHHS and/or CMS is implied or intended.