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

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: Old Program Name


ALT PHONE: 800-422-2752
Languages Spoken:

English
 

Patient Assistance Applications
 

Generic Name
 
 

Eligibility Requirements   
Insurance Status Must have no prescription coverage for needed product
Those with Part D Eligible? Yes, if medication is not covered
Income Not disclosed
Diagnosis/Medical Criteria *See Additional Information section below
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 Varies
Re-application New application yearly
   

Additional Information
Old Program Name 3/9/2017
See: Nestle HealthCare Nutrition Pediatric Patient Assistance Program
or
Nestle HealthCare Nutrition Adult Patient Assistance Program

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.


Updated March 09, 2017