Is Immunocal bioactive whey protein reimbursed by Medicare, Medicaid and Private Insurance programs?
A. Yes. Although Medicare and Medicaid do not endorse or “approve” any company’s product, Immunocal meets the coding determination for coverage by Medicaid, Medicare, and many private insurance programs. Although the purchase of bioactive whey protein does not require a doctor’s prescription, a prescription is required for reimbursement coverage under Medicare and Medicaid. NOTE: Immunocal has it’s own NDC (National Drug Control) registry number: 28770-0970-01, and is being approved on a state-by-state basis for reimbursement. The code for Medicare is: B4155. Currently, Ohio, New Jersey, Minnesota, Nevada, and New York have established reimbursement guidelines, and decisions in 18 states are currently pending. In some of these states (notably New York State and California), this bioactive whey protein is available without restriction on Medicaid. In other states, the physician must be willing to write a letter of necessity in addition to writing a prescription for it to be reimbursed.
