Ordering & Reimbursement Information
Product Number
|
Description
|
Packaging
|
Reimbursement Code
|
HCPCS Code
|
53558
|
HCU express15 Unflavored
|
30 x 25g packets
|
50600-0535-58
|
B4162 & B4157
|
51646
|
HCU express20 Unflavored
|
30 x 34g packets
|
50600-0516-46
|
B4162 & B4157
|
WIC-Eligible Medical Food