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Nutricia Coverage Department

Nutricia Connect 300 x 146

We understand getting reimbursement for medical foods and exempt infant formulas is important to many families and individuals living with a metabolic disorder. It may also influence medical decisions and the ability to maintain diet for life.

Our coverage team is here to help you navigate your insurance, Medicaid plans and guide you, from start to finish, through the medical food coverage and reimbursement process.


The Nutricia Connect Coverage Team can provide personal assistance to:

  • Obtain prior authorization for all Nutricia products, such as Periflex®, Anamix®, Lophlex®, PhenylAde® and other Metabolic products
  • Work with employers’ Human Resource department to find ways to cover formula
  • Answer questions regarding Medicaid or claims submissions
  • Verify eligibility and confirm benefits
  • Provide guidance to correct billing errors
  • Find in-network supplier to fulfill formula needs
  • Appeal a denied claim

            ...and much more!


Call 1-800-605-0410 or email Coverage@Nutricia.com today to start receiving personalized assistance with your insurance coverage matters.


Coverage Tips      Get Started Form      FAQs


         We successfully help 9 out of 10 people obtain formula coverage!

Letters of Medical Necessity

A Letter of Medical Necessity is certification by a physician that the prescribed item(s) is/are medically indicated, reasonable and necessary with reference to the standards of medical practice and treatment of a patient’s condition.

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How to Order

How to order Nutricia products online, by phone, or through a pharmacy. In addition, find information for ordering in Canada and outside North America.



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Coverage by State

Which states are required by law to cover metabolic formula. Here you will find an interactive map to aid you in learning more about coverage in your state.

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Reimbursement Codes

Use this helpful chart to find product packaging details, HCPC and reimbursement codes, plus other helpful ordering information.


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