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.
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® Sensitive with DHA/ARA Toddler Formula |
1680 |
| HCPCS: B4158 NDC: 16514-0539-80 Item: 53980M |
Baby's Only Organic® Pea Protein 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 |