Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
Updated November 12, 2014
 

Nutren 1.5

Nestle HealthCare Nutrition Patient Assistance Program

This program provides brand name medications at no or low cost.

Provided by: Nestle HealthCare Nutrition, Inc.

Nestle HealthCare Nutrition, Inc.
Attn: Renae Simmons
2150 E. Lake Cook Road, Suite 800
Buffalo Grove, IL 60089

TEL: 800-422-2752


ALT PHONE: 847-808-5300
FAX: 1-480-379-5003
Languages Spoken:

English

 

Patient Assistance Applications

Nestle HealthCare Nutrition Patient Assistance Program Application

 

Medications

  • Nutren 1.5 Formula for Tube or Oral feeding 250mL, 1000mL (medical food)
 

Eligibility Requirements   

Insurance Status Must have no prescription coverage for needed medication
Those with Part D Eligible? Yes, if medication is not covered
Income Not disclosed
Diagnosis/Medical Criteria Not specified
US Residency Required? Yes, and must be treated by US doctor
   

Application

Obtaining Call
Receiving Faxed or mailed
Returning Fax or mail
Doctor's Action Complete section and sign
Applicant's Action Complete section and sign
Decision Communicated Product sent if accepted. If denied patient notified
Decision Timeframe Within 48 hours
   

Medication

Amount/Supply Varies
Sent To Patient's home, unless otherwise noted
Delivery Time Within 2 weeks
Refill Process Not applicable
Limit 12 cases of product per year
Re-application New application yearly
   

Additional Information

Only patients whose sole or primary source of nutrition is the requested product are eligible for this program. Patients who use the products as supplements are not eligible.