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Liquid Hope
Liquid Hope Peptide
Liquid Hope Peptide Berry Medley
Liquid Hope Peptide High Protein
Nourish
Nourish Peptide
Nourish Peptide Berry Medley
Keto
Keto Sustain
Liquid Hope
Adult Formula
The world's first organic whole food, plant-based feeding tube formula and meal replacement. Free of gluten, dairy, corn, soy, and no added sugar.*
Liquid Hope Peptide
Adult Formula
The first organic whole food, plant-based peptide feeding tube formula. Liquid Hope plus organic pea peptides and organic coconut MCT oil for enhanced digestion.
Liquid Hope Peptide High Protein
Adult Formula
Organic, whole food, plant-based peptide formula. Made with 31g of complete protein to help support lean muscle mass and strong bones.
Liquid Hope Peptide Berry Medley
Adult Formula
Organic, plant-based, whole food peptide adult formula packed with the antioxidant power of berries. There are 2 servings* of fruits & vegetables and over 100 berries** in every pouch that are rich in antioxidants & polyphenols.
Nourish
Pediatric Formula
Organic whole food, plant-based feeding tube formula and meal replacement. Free of tree nuts, gluten, dairy, corn, soy, and no added sugar.*
Nourish Peptide
Pediatric Formula
The first organic whole food, plant-based peptide feeding tube formula. Nourish plus organic pea peptides and organic coconut MCT oil for enhanced digestion.
Nourish Peptide Berry Medley
Pediatric Formula
Organic, whole food, plant-based peptide formula packed with the Antioxidant Power of Berries. 2 servings* of fruits and vegetables with 20g of complete protein.
Keto
Ketogenic Formula
The first organic whole food, plant-based ketogenic feeding tube formula and meal replacement with peptides. 2.43:1 Keto ratio.
Keto Sustain
Ketogenic Formula
Introducing Keto Sustain! For oral use only. Made with real whole food, plant-based ingredients. At true Keto ratios 2.7:1 (84% fat, 5% carbs, 11% protein), in a portable and recloseable pouch.
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Long Nutritionals
Liquid Hope
Liquid Hope Peptide
Liquid Hope Peptide High Protein
Liquid Hope Peptide Berry Medley
Nourish
Nourish Peptide
Nourish Peptide Berry Medley
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INSURANCE
All Functional Formularies products (except Keto Sustain) are covered by a majority of private and public health insurance plans. Over 96% of our customers qualify for insurance coverage.
INSURANCE
All Functional Formularies products (except Keto Sustain) are covered by a majority of private and public health insurance plans. Over 96% of our customers qualify for insurance coverage.
INSURANCE
All Functional Formularies products (except Keto Sustain) are covered by a majority of private and public health insurance plans. Over 96% of our customers qualify for insurance coverage.
Follow these
2
Easy Steps
for Insurance Coverage
STEP 1
Work with
your doctor
to Get a prescription
STEP 2
Find a DME &
they work with
your insurance toget you product
Things That Might
Be Helpful
Letter Of Medical Necessity
Order Form
Referral Form
Medicare Coverage Guidelines
Insurance Checklist
Distributors
Additional Billing Info
Appointment Tips
Find a DME Provider
Find a local DME Provider here:
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OR
Choose a National Provider
800-965-2689
877-936-6874
770-441-1580
800-321-0591
We Can Help
At Functional Formularies we have patient advocates available to help assist you in gaining insurance
coverage for our products. Please fill out the form or call us at
937-433-4673
and we will set up an appointment for you with a patient advocate.
We Can Help
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Billing Information
Liquid Hope
HCPCS Code: B4149
Nourish
HCPCS Code: B4149
Liquid Hope
Peptide & High Protein
HCPCS Code: B4153
Nourish
Peptide & Berry Medley
HCPCS Code: B4161
Keto
Peptide
HCPCS Code: B4161 & B4153
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