Medical Foods. We cover medical foods and formulas for outpatient total parenteral therapy; outpatient elemental formulas for malabsorption; and dietary formula when medically necessary for the treatment of Phenylketonuria (PKU) and inborn errors of metabolism. Exclusions: any other dietary formulas, oral nutritional supplements, special diets, prepared foods/meals, and formula for access problems.
Appears in 3 contracts
Samples: Individual Member Hmo Contract, Individual Member Contract, Individual Member Contract
Medical Foods. We cover medical foods and formulas for outpatient total parenteral therapy; outpatient enteral therapy, outpatient elemental formulas for malabsorption; malabsorption and dietary formula when medically necessary for the treatment of Phenylketonuria (PKU) and inborn errors of metabolism. Exclusions: Excluded are any other dietary formulas, oral nutritional supplements, special diets, prepared foods/foods or meals, baby formula or food and formula for access problems.
Appears in 1 contract
Samples: Individual Member Contract