April 2012 Moms

Neocate

DS is showing signs of having a milk allergy so the pedi put him on Neocate.  She made no mention of insurance covering it and a can (a sample size) is 45 dollars plus tax!  Does anyone else use this or know of something similar that is cheaper?
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Re: Neocate

  • Nutramigen... it's $35 plus tax for a "value size" which lasts about 6 days.

    We make 4 (6.5oz) and 2 (4oz) each day.

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  • imagebabybug11:

    Nutramigen... it's $35 plus tax for a "value size" which lasts about 6 days.

    We make 4 (6.5oz) and 2 (4oz) each day.

    And you can get coupons right? Or they don't work on Nutramigen?

    Baby Birthday Ticker Ticker

    DS - 7.2006 - C-Section b/c Breech
    DS2 - 4.2008 - Successful Vbac
    DD - 5.2012 - Successful Vbac
  • You should check with your insurance company. Mine denied it at first (they typically do), and then I got a note from her GI stating it was medically necessary and they approved it. It really depends how sensitive your LO is to milk, the ones like Nutramigen have the milk protein broken down quite a bit, but only the elemental formulas (Neocate, Elecare) have it broken down to amino acids. There are also special groups on FB where moms sell or trade it for a lot cheaper.
  • I BF an MSPI baby but wanted a can of Neocate as a back up.  It cost me 65$ here.  At first my insurance denied my claim.  But then DS' pedi sent them a letter stating that it was medically neccessary for him to have Neocate due to a bovine allergy and then they approved it.  They cover 80% so it was a big help.  Maybe you could try that? 

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  • I would definitely check with the insurance company, and depending on what state you live in there are actually mandates requiring insurances companines to cover elemental formulas. 

    Like a pp mentioned you could try a cheaper formula like Nutramigen or Alimentum, but they are not elemental formulas, they are what's called hydrolysate formulas. That just means that they are only partial broken down and still contains partial milk protein chains.  Some MSPI babies do all right with this kind of formula, but some more sensitive ones (like my LO) need an elemental formula that is completely broken down, no protein chains. 

    Anyway, here is some good info from the Neocate website concerning insurance coverage, including a map of what states have current mandates, and sample letters for medical necessity:



    HTH and good luck!
    Rachel Mom to 3 boys Augustboy02 - Sensational Sensory Kid Decemberboy04 -former reflux baby Augustboy10 - MFPI baby
  • Rachel thank you SO much!!
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