Nutritional Support and Supplements Sample Clauses

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. This Plan will cover the following Nutritional Supplements that are prescribed by a licensed and qualified Provider:  Nutritional Supplements for prenatal care for a pregnant Member;  Nutritional Supplements when Medically Necessary to replace a specific documented deficiency;  Nutritional Supplements when Medically Necessary and administered by injection at the Provider’s office;  Enteral formulas or products, as Nutritional support, when administered by enteral tube feedings;  Total Parental Nutrition (TPN) through intravenous catheters via central or peripheral veins; and  Special Medical Foods as listed in the IEM Benefit section of this Contract. Some Nutritional Support and Supplements require Preauthorization; please refer to the Preauthorization Section for more information.

Nutritional Support and Supplements. This benefit has one or more exclusions as specified in the Exclusions Section. 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 an In-network 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 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 an In-network 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.