Contact info
- Phone
- 1-800-365-7354
- Fax
- 1-833-869-0554
Eligibility
- This program assists eligible families having financial hardship with obtaining neocate at a discounted rate.
- Patients with Medicare Part D may be eligible on case-by-case basis.
- Income limit, single
- Not published
- Income limit, couple
- Not published
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- Yes
- US citizenship or residency required
- Yes
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Proof of income
- Medicaid denial letter
- Prescriber license number
- Both DEA and state license numbers
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Provider and patient
Getting the medication
- Patient receives
- Not published
- Shipped to
- Not published
- Supply per shipment
- Varies
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- Not published
Medications covered
- Neocate (medical food)