Common use of Nutritional Support and Supplements Clause in Contracts

Nutritional Support and Supplements. Nutritional Supplements for prenatal care when prescribed by a Practitioner/Provider are Covered for pregnant women. Nutritional supplements that require a prescription to be dispensed are Covered when prescribed by a Practitioner/Provider and when Medically Necessary to replace a specific documented deficiency. Prior Authorization is required. Nutritional supplements administered by injection at the Practitioner’s/Provider’s office are Covered when Medically Necessary. Enteral formulas or products, as Nutritional support, are Covered only when prescribed by an In- network Practitioner/Provider and administered by enteral tube feedings. Total Parenteral Nutrition (TPN) is the administration of nutrients through intravenous catheters via central or peripheral veins and is Covered when ordered by a Practitioner/Provider. Special Medical Foods as listed as Covered benefits in the Genetic Inborn Errors of Metabolism (IEM) Benefit of this Section. Prior Authorization is required. Orthotics Orthotics require Prior Authorization.

Nutritional Support and Supplements. Nutritional Supplements for prenatal care when prescribed by a Practitioner/Provider are Covered for pregnant women. Nutritional supplements that require a prescription to be dispensed are Covered when prescribed by a Practitioner/Provider and when Medically Necessary to replace a specific documented deficiency. Prior Authorization is required. Nutritional supplements administered by injection at the Practitioner’s/Provider’s office are Covered when Medically Necessary. Enteral formulas or products, as Nutritional support, are Covered only when prescribed by an In- network Practitioner/Provider and administered by enteral tube feedings. feedings as a sole source of nutrition.‌ Total Parenteral Nutrition (TPN) is the administration of nutrients through intravenous catheters via central or peripheral veins and is Covered when ordered by a Practitioner/Provider. Special Medical Foods as listed as Covered benefits in the Genetic Inborn Errors of Metabolism (IEM) Benefit of this Section. Prior Authorization is required. Orthotics Orthotics require Prior Authorization.

Nutritional Support and Supplements. Nutritional Supplements for prenatal care when prescribed by a Practitioner/Provider are Covered for pregnant women. Nutritional supplements that require a prescription to be dispensed are Covered when prescribed by a Practitioner/Provider and when Medically Necessary to replace a specific documented deficiency. Prior Authorization is required. required.‌ Nutritional supplements administered by injection at the Practitioner’s/Provider’s office are Covered when Medically Necessary. Enteral formulas or products, as Nutritional support, are Covered only when prescribed by an In- network Practitioner/Provider and administered by enteral tube feedingsfeedings as the sole source of nutrition. Total Parenteral Nutrition (TPN) is the administration of nutrients through intravenous catheters via central or peripheral veins and is Covered when ordered by a Practitioner/Provider. Special Medical Foods as listed as Covered benefits in the Genetic Inborn Errors of Metabolism (IEM) Benefit of this Section. Prior Authorization is required. Orthotics Orthotics require Prior Authorization.

Nutritional Support and Supplements. Nutritional Supplements for prenatal care when prescribed by a Practitioner/Provider are Covered for pregnant women. Nutritional supplements that require a prescription to be dispensed are Covered when prescribed by a Practitioner/Provider and when Medically Necessary to replace a specific documented deficiency. Prior Authorization is required. Nutritional supplements administered by injection at the Practitioner’s/Provider’s office are Covered when Medically Necessary. Enteral formulas or products, as Nutritional support, are Covered only when prescribed by an In- network Practitioner/Provider and administered by enteral tube feedings. feedings.‌ Total Parenteral Nutrition (TPN) is the administration of nutrients through intravenous catheters via central or peripheral veins and is Covered when ordered by a Practitioner/Provider. Special Medical Foods as listed as Covered benefits in the Genetic Inborn Errors of Metabolism (IEM) Benefit of this Section. Prior Authorization is required. Orthotics Orthotics require requires Prior Authorization.

Nutritional Support and Supplements. Nutritional Supplements for prenatal care when prescribed by a Practitioner/Provider are Covered for pregnant women. Nutritional supplements that require a prescription to be dispensed are Covered when prescribed by a Practitioner/Provider and when Medically Necessary to replace a specific documented deficiency. Prior Authorization is required. Nutritional supplements administered by injection at the Practitioner’s/Provider’s office are Covered when Medically Necessary. Necessary.‌ Enteral formulas or products, as Nutritional support, are Covered only when prescribed by an In- network Practitioner/Provider and administered by enteral tube feedingsfeedings as the sole source of nutrition. Total Parenteral Nutrition (TPN) is the administration of nutrients through intravenous catheters via central or peripheral veins and is Covered when ordered by a Practitioner/Provider. Special Medical Foods as listed as Covered benefits in the Genetic Inborn Errors of Metabolism (IEM) Benefit of this Section. Prior Authorization is required. Orthotics Orthotics require Prior Authorization.

Nutritional Support and Supplements. Nutritional Supplements for prenatal care when prescribed by a Practitioner/Provider are Covered for pregnant women. Nutritional supplements that require a prescription to be dispensed are Covered when prescribed by a Practitioner/Provider and when Medically Necessary to replace a specific documented deficiency. Prior Authorization is required. Nutritional supplements administered by injection at the Practitioner’s/Provider’s office are Covered when Medically Necessary. Enteral formulas or products, as Nutritional support, are Covered only when prescribed by an In- network Practitioner/Provider and administered by enteral tube feedings. feedings.‌ Total Parenteral Nutrition (TPN) is the administration of nutrients through intravenous catheters via central or peripheral veins and is Covered when ordered by a Practitioner/Provider. Special Medical Foods as listed as Covered benefits in the Genetic Inborn Errors of Metabolism (IEM) Benefit of this Section. Prior Authorization is required. Orthotics Orthotics require Prior Authorization.