Access & Coverage Resources for Specialty Products
Mead Johnson Nutrition helps you deliver the best possible outcomes for your patients.
INSURANCE REIMBURSEMENT
Helping Hands™ Reimbursement Support
Support for Medicaid, Medi-Cal, WIC®*, TRICARE, and commercial insurance is available.
WIC®*
Families requiring financial support may qualify for the USDA WIC®* Program. The WIC®* contract does not dictate which specialty products are available to your patients through WIC®*.
Mead Johnson Nutrition specialty products are available through WIC®* nationwide, including Nutramigen®, PurAmino®, PurAmino® Jr, Enfamil A.R.® or Enfamil® NeuroPro® EnfaCare®. All specialty products† require a WIC®* script form.
Helpful Tips
Are your WIC®* patients eligible for additional formula allotments each month?
Infants with medical conditions including cow’s milk protein allergy, multiple food allergies, and other conditions that limit the transition to conventional foods after 6 months of age may be eligible to receive 2-3 more cans‡ each month, depending on the brand.
WIC®* Eligibility for Select Mead Johnson Nutrition Products by State
Nutramigen®
Nutramigen®
is WIC®*-eligible in
50 states.
PurAmino®
PurAmino®
is WIC®*-eligible in
47 states
excluding
AK, AR, and WA.
PurAmino® Jr Unflavored
PurAmino® Jr Unflavored
is WIC®*-eligible in
33 states
excluding
AK, AR, CO, DE, HI, IL, KS, MS, MO, MT, NE, NH, ND, OR, WA, WI, and WY.
PurAmino® Jr Vanilla
PurAmino® Jr Vanilla
is WIC®*-eligible in
28 states
excluding
AK, AR, CA, CO, CT, DE, DC, GA, HI, IL, KS, MS, MO, MT, NE, NH, ND, OR, PA, WA, WI, WY.
Enfamil® A.R.™
Enfamil® A.R.™
is WIC®*-eligible in
43 states
excluding
AR, DE, MI, MT, NC, TN, VA.
Enfamil® NeuroPro® EnfaCare®
Enfamil® NeuroPro® EnfaCare®
is WIC®*-eligible in
50 states.
Pregestimil®
Pregestimil®
is WIC®*-eligible in
47 states
excluding
AK, IL, and WA.
*WIC® is a registered trademark of the United States Department of Agriculture (USDA) for the Special Supplemental Nutrition Program for Women, Infants, and Children. No endorsement of any brand or product by the USDA is implied or intended.
†Regardless of manufacturer; Mead Johnson Nutrition Specialty Products include: Nutramigen®, Nutramigen® Toddler, PurAmino®, PurAmino® Jr, Pregestimil®, Enfamil A.R.®, Enfamil®
Human Milk Fortifier, Enfamil® Premature Formula Portfolio, Enfamil® NeuroPro® EnfaCare®, Enfaport®, and Metabolic Portfolio.
‡WIC®*-exempt infant formulas or WIC®*-eligible nutritionals.
SNAP§
SNAP§ provides a monthly dollar amount on a preloaded card to families who qualify. Participants can use SNAP§ benefits to purchase food and any baby formula, including Mead Johnson Nutrition products, like Nutramigen® and PurAmino®.
For details about enrolling in Food Assistance programs like SNAP§, your patients may contact their local state agency or you can direct them to the link below.
§SNAP, Supplemental Nutrition Assistance Program, is a federal government-supported program that offers nutrition assistance to qualifying low-income individuals.
Samples for Patients
Samples Shipped to Patients
For offices with a Mead Johnson Nutrition representative
Families are eligible to receive a free sample, per child, per household.║ Additional support may be available for parents of multiples and those qualifying for long term assistance, related to financial need.
Forms are submitted directly to your Mead Johnson representative.
Contact your Mead Johnson representative for more information.
║Subject to supply availability. Samples and materials ordered are for exclusive use by your patients only. Please note that samples may take 3-4 weeks to ship.
Samples for Your Office
For offices not currently called-on by Mead Johnson Nutrition
Select products are available to support your recommendations of The Enfamil® Family of Formulas™.
Please have your NPI # ready to submit your request. Samples can be requested monthly.
Additional Resources
Letters of Medical Necessity
Insurance providers require documentation outlining your patient's diagnosis and medical needs when coverage is requested. Leverage our downloadable forms for the specialty products you prescribe.
Mead Johnson Nutrition Product Details
Find select HCPC codes below to complete forms.
| Product | Item # | Calories/ Unit | Product Yield/Unit (fl oz) | HCPCS code | NDC Format Code |
|---|---|---|---|---|---|
 (1 lb powder can – 6/case) | 892801 | 2270 | Varies | B4162 | 00087-5101-84 |
 (1 lb powder can – 6/case) | 891501 | 1860 | Varies | B4162 | 00087-5100-15 |
 (19.5 oz powder tub – 4/case) | 498210 | 2740 | 137 | B4158 | 00087-0201-65 |
 (12.9 oz powder can – 6/case) | 020102 | 1820 | 91 | B4158 | 00087-0201-42 |
 (6-2 fl oz bottles/carton – 8 cartons/case) | 145301 | 40 | 2 | B4158 | 00087-1453-41 |
 (13.6 oz powder can – 6/case) | 197701 | 1910 | 87 | B4160 | 00087-5122-08 |
 (6-2 fl oz bottles/carton – 8 cartons/case) | 124902 | 44 | 2 | B4160 | 00087-5122-03 |
 (1 lb powder can – 6/case) | 892901 | 2270 | Varies | B4160 | 00087-5101-88 |
 (1 lb powder can – 6/case) | 893301 | 2270 | Varies | B4162 | 00087-5102-02 |
 (1 lb powder can – 6/case) | 891901 | 1860 | Varies | B4157 or B4162 | 00087-5100-27 |
 (1 lb powder can – 6/case) | 893101 | 2270 | Varies | B4157 or B4162 | 00087-5101-96 |
 (6–2 fl oz bottles/carton – 8 cartons/case) | 898301 | 40 | 2 | B4161 | 00087-1437-41 |
 (6–6 fl oz bottles/carton – 4 cartons/case) | 898401 | 120 | 6 | B4161 | 00087-5105-17 |
 (6–8 fl oz bottles/carton ) | 898207 | 160 | 8 | B4161 | 00087-5131-47 |
 (32 fl oz bottle – 6/case) | 898202 | 640 | 32 | B4161 | 00087-5115-64 |
 (13 fl oz concentrate – 12/case) | 898501 | 520 | 26 | B4161 | 00087-0498-01 |
 Nutramigen® with Probiotic LGG® (12.6 oz powder can – 6/case) | 897302 | 1740 | 87 | B4161 | 00087-1239-41 |
 Nutramigen® with Probiotic LGG® (19.8 oz powder can – 4/case) | 897301 | 2780 | 139 | B4161 | 00087-1239-45 |
 Nutramigen® with Probiotic LGG® Toddler (12.6 oz powder can – 6/case) | 154804 | 1700 | 85 | B4161 | 00087-5107-34 |
 (1 lb powder can – 6/case) | 893201 | 2270 | Varies | B4162 | 00087-5101-99 |
 (1 lb powder can – 6/case) | 891701 | 1860 | Varies | B4157 or B4162 | 00087-5100-22 |
 (1 lb powder can – 6/case) | 891601 | 1820 | Varies | B4155 | 00087-5100-18 |
 (14.1 oz powder can – 6/case) | 892713 | 2120 | Varies | B4155 | 00087-5101-78 |
 (1 lb powder can – 6/case) | 892601 | 2270 | Varies | B4162 | 00087-5101-72 |
 (6–2 fl oz bottles/carton – 8 cartons/case) | 143301 | 40 | 2 | B4161 | 00087-1433-41 |
(6–2 fl oz bottles/carton – 8 cartons/case) | 143401 | 48 | 2 | B4161 | 00087-1434-41 |
 (14.1 oz powder can – 4/case) | 179101 | 1960 | 98 | B4161 | 00087-5104-80 |
 (14.1 oz powder can – 4/case) | 178701 | 1960 | 66 | B4161 | 00087-5122-46 |
 (14.1 oz powder can – 4/case) | 178801 | 1960 | 66 | B4161 | 00087-5122-44 |
 (1 lb powder can – 6/case) | 893001 | 2270 | Varies | B4162 | 00087-5101-91 |
 (1 lb powder can – 6/case) | 891801 | 1860 | Varies | B4157 or B4162 | 00087-5100-24 |
 (1 lb powder can – 6/case) | 893401 | 2270 | Varies | B4162 | 00087-5102-05 |
 (1 lb powder can – 6/case) | 892001 | 1860 | Varies | B4157 or B4162 | 00087-5100-29 |
Products
Learn more about select Mead Johnson Nutrition products.