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Formula4Success®

The Formula4Success program offers step-by-step, detailed information and support to get the Vitaflo™ products you need. From navigating insurance to finding distributors or suppliers, we can help.

ENROLL NOW
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How We Can Help You

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Benefit
Investigation

The Formula4Success® team will guide you through the process and provide you with step-by-step support to help gain benefit access.

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PRODUCT
ACCESS

We will make sure you know where to find Vitaflo™ products, including homecare providers, pharmacies, and Durable Medical Equipment (DME) companies.

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CLAIM
SUPPORT

The Formula4Success® team will investigate your payer’s claims submission process and documentation requirements. We will coordinate communication with you and your provider along the way.

How to Get Started

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Download the
enrollment form for
your formula needs.

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Work with your healthcare
professional (HCP) to
complete the form*. Be
sure to sign the patient
privacy statement and
include a front and back
copy of all active health
insurance cards.

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Email Formula4Success@
VitafloUSA.com or fax the
completed form and
documents** to
888-485-7193.

*All fields must be filled out to complete the enrollment process. **For HCPs: You can click here to access the Detailed Written Order (DWO) and here for Letters of Medical Necessity (LMN) templates, then send them via email along with recent and/or relevant clinical notes and labs to the Formula4Success team.

Our Reimbursement Specialists

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Meet Elizabeth!

Hello, my name is Elizabeth and I have over seven years of experience helping more than 1,100 patients, families, and healthcare providers navigate the complex insurance and financial challenges of accessing metabolic and renal formulas.

Learn More
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Meet Rebecca!

Hi, my name is Rebecca and I have been working with the Formula4Success® program by Vitaflo™ for 5 years. I enjoyed helping patients find solutions to their complex health insurance issues so that they can access the Vitaflo formula they need.

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Enroll Now

Our dedicated Reimbursement Specialists are available through every stage of the coverage process. Formula4Success is committed to helping you get the Vitaflo products you need.

GET STARTED
Fruitivits and SDAA are supported when prescribed with a supported Vitaflo formula
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Contact Information

Need Help With Enrolling?

Our Experts Are Here for You