Sample Letters of Medical Necessity for Vitaflo Products


In an effort to assist in the important process of reimbursement for medical foods, the following letters have been drafted for you to complete with your health care professional (i.e. dietitian or physician). With their assistance, these can be customized to fit your individual needs.

Please click on the appropriate PDF to download a copy of the necessary letter.

DownloadAmino Acid Supplements
DownloadEAA supplement
DownloadGA gel
DownloadHCU cooler
DownloadHCU express
DownloadHCU gel
DownloadLipistart
DownloadMCT Procal
DownloadMMA-PA express
DownloadMMA-PA gel
DownloadMSUD cooler
DownloadMSUD express
DownloadMSUD gel
DownloadPKU coolers
DownloadPKU express
DownloadPKU gel
DownloadRenastart
DownloadTYR cooler
DownloadTYR express
DownloadTYR gel



How to Order
Vitaflo products can be ordered directly from Vitaflo USA, your local pharmacy, or home care provider. Click here for instructions on ordering.
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