enterade® may be eligible for reimbursement from health insurance plans.

Coverage depends on the insurance provider and plan. Check with your insurance company to see if they cover medical foods when prescribed for a medical need. enterade must be used to treat a medical condition and be prescribed by a licensed healthcare professional to treat an illness or condition.

As the manufacturer, enterade cannot bill insurance directly.

For information regarding FSA/HSA reimbursement, see below.

To check if enterade is covered by your insurance plan, follow the steps below:


Call your insurance carrier


Patient calls member services line or provider calls provider line and lets them know enterade is ordered and calling to check if it is covered.


Provide the NDC code
to the insurance carrier


enterade® IBS-D Mixed Berry
NDC Code 60008-0321-11


Insurance Carrier will let the Patient Know if enterade is Covered




Ask what they need: prescription, clinical notes, and/or letter of medical necessity. Ask if you can purchase product directly from manufacturer and submit for reimbursement with a claim form

If enterade is covered, obtain a prescription from a physician or a health care provider


The Rx Needs to Include Patient’s Name, 

Date of Birth, & Diagnosis


Sample Rx


enterade 2x/day x 30 days plus 2 refills


Needs to Include Diagnosis/Reimbursement Codes 

(ICD 10)


Code Examples: 

a. Irritable bowel syndrome: K58.9
b. Diarrhea: R19.7
c. Electrolyte imbalance: E87.8
d. Dehydration: E86.0
e. Leaky gut syndrome: K59.9

For HCPs: If Prior Authorization is Required, Follow These Steps:


Submit clinical notes

Include rationale for why this product is medically necessary


Complete Letter of Medical Necessity

Download Here

For Flexible Spending/Health Spending Accounts

enterade is covered by a FSA/HSA when prescribed by a health care professional to treat a medical condition


Obtain a Rx for enterade as outlined above


sample Rx:

enterade 2x/day x 30 days plus 2 refills


Purchase Product

on enterade.com or Amazon.com


Submit to your FSA Carrier for Reimbursement


Submit prescription (including diagnosis and reimbursement code) & a copy of your receipt