Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
 

Helping Hands For Special Kids Program

For Healthcare Professionals Only

Provided by: Mead Johnson Nutrition

2400 W. Lloyd Expressway
Evansville, IN 47721

TEL: 800-222-9123


Languages Spoken:

English, Others By Translation Service

Program Website

 

Program Applications and Forms

Helping Hands For Special Kids Program: Contact program

 

Medications

  • 3232 A Infant Formula powder (formula infant)
 

Eligibility Requirements   

Insurance Status Must have no prescription coverage for needed medication
Those with Part D Eligible? No
Income Not disclosed
Diagnosis/Medical Criteria Must be for a child
US Residency Required? Must reside in the US
   

Application

Obtaining Doctor contacts sales rep
Receiving Sent to Doctor's office
Returning Fax or mail from Doctor's office
Doctor's Action Complete and return product request form
Applicant's Action Provide information and proof of income
Decision Communicated Doctor notified
Decision Timeframe Not specified
   

Medication

Amount/Supply Varies
Sent To Patient's home
Delivery Time Not specified
Refill Process Determined on a case by case basis
Limit Not specified
Re-application Not specified
   

Additional Information

Baby must be under one year of age. Guidelines are based on family size and income, and is intended to serve those outside of WIC guidelines.

The Doctor must contact the program to place an order - see website for complete product list.


Updated July 28, 2017