Letter of Medical Necessity Templates for Vitaflo Products

In an effort to assist in the important process of reimbursement for medical foods, the following letters have been drafted for you to complete with your health care professional (i.e. dietitian or physician). With their assistance, these can be customized to fit your individual needs.

Please click on the appropriate Document (.doc) to download a copy of the necessary letter.

Single Dose Amino Acids EAA supplement GA Express15 GA gel Glycosade HCU cooler HCU express15 HCU gel LEU-free cooler Lipistart MCT Procal MMA-PA cooler MMA-PA express15 MMA-PA gel

MSUD cooler MSUD express15 MSUD gel PKU coolers PKU express15 PKU gel TYR cooler TYR express15 TYR gel

How to Order

How to Order