Many Mead Johnson formulas are developed for infants, children and adults with special medical needs, and it is important that these patients receive the formula that you have prescribed. These letters of medical necessity can make accessing the Mead Johnson formula you recommend easier for your patients.
Nutramigen® Insurance Form
Nutramigen is an extensively hydrolyzed casein-based formula for infants and toddlers with cow’s milk or food allergies.
PurAmino™ Insurance Forms
PurAmino is a 100% amino acid-based formula for infants and toddlers with severe cow’s milk allergy or multiple food allergies. Completing these insurance letters may help parents get reimbursed for their purchase. Plus, parents will receive a FREE CASE OF PURAMINO from Mead Johnson while their coverage is being evaluated.
Metabolic Formula Insurance Form
Metabolic formulas are considered a medical necessity for infants, children and adults with inborn errors of metabolism. Use this form for patients prescribed BCAD 1 or 2; GA; HCY 1 or 2; LMD; OA 1 or 2; PFD Toddler or PFD 2; Phenyl-Free® 1, 2 or 2HP; TYROS 1 or 2; or WND® 1 or 2.
Pregestimil® Insurance Form
Pregestimil is designed for infants who experience fat malabsorption and who may also be sensitive to intact proteins.
ICD-10 and reimbursement codes
To ensure you’ll have all the information needed to complete these letters, download our current guide of ICD-10 and reimbursement codes.