HCPCS & NDC Codes

Medicaid & Medicare Reimbursement

Many state Medicaid programs and private payers will consider coverage of PediaSmart & Baby's Only Organic for children when specific medical criteria are met. Natures One® does not accept Medicare, Medicaid or private insurance directly. Instead, our products can be purchased through DME supply companies and pharmacies.

The HCPCS codes and NDC format codes are used for billing and reimbursement purposes. For coverage information, please direct questions to your state Medicaid office or insurance carrier. Nature's One has created a certificate of medical necessity for your convenience. Please contact your insurance company directly as they may require additional information.

Nature's One™ products are available for reimbursement using the following codes. Please click here for additional Insurance/Medicare coverage information. 

Insurance Information

HCPCS & NDC Codes

HCPCS & NDC Format Codes* Nature's One® Products Calories per Can
HCPCS: B4158
NDC: 16514-0229-00
Item: 22900M
Baby's Only Organic®
Dairy Toddler Formula
1680
HCPCS: B4158
NDC: 16514-0229-02
Item: 22902M
Baby's Only Organic®
Dairy with DHA & ARA Toddler Formula
1680
HCPCS: B4158
NDC: 16514-2292-70
Item: 22927M
Baby's Only Organic®
Whey Dairy Toddler Formula
1680
HCPCS: B4158
NDC: 16514-2292-70
Item: 22927M
Baby's Only Organic®
Whey Dairy with DHA/ARA Toddler Formula
1680
HCPCS: B4158
NDC: 16514-0229-03
Item: 22903M
Baby's Only Organic®
LactoReliefTM with DHA/ARA Toddler Formula
1680
HCPCS: B4159
NDC: 16514-0539-50
Item: 53950M
Baby's Only Organic®
Soy Toddler Formula
1680
HCPCS: B4158
NDC: 16514-2293-00
Item: 22930M
Baby's OnlyTM
Cholov Yisroel Dairy Toddler Formula
1680
HCPCS: B4160
NDC: 16514-0881-01
Item: 88101M
PediaSmart® Organic Dairy
Nutritional Supplement (vanilla)
1680
HCPCS: B4160
NDC: 16514-0881-03
Item: 88103M
PediaSmart® Organic Soy
Nutritional Supplement (vanilla)
1680
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