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Nestlé® Boost® Lactose Free VHC

Nestlé Health Science
  • The most calorically-dense, nutritionally complete oral beverage with 2.25 kcal/mL
  • Appropriate for medication pass supplement programs**
  • Nutritionally dense to accommodate diminished appetites
  • Combines high calories with 22 g protein to help preserve lean muscle mass and support weight gain or maintenance goals

    ** As with all medication taken with food, drug/nutrient interactions should be evaluated by the physician and/or pharmacist prior to use 

    • Caloric Distribution (% of kcal)
      • Protein 16%
      • Carbohydrate 34%
      • Fat 50%
    • Protein Source: calcium-potassium caseinate (milk), isolated soy protein
    • NPC:N Ratio 131:1
    • n6:n3 Ratio 4.1:1
    • Water 67%
    • HCPCS Code B4152 
    Suitable for these diets: lactose intolerance*, gluten-free, low-residue, fluid-restricted, kosher 
    * Not for individuals with galactosemia 
    * The product information contained on this page, including the product images and additional product materials, was collected from various supplier sources. All product claims and specifications are those of the product suppliers. Every effort has been made to ensure the accuracy of the product information, however on occasion manufacturers may alter their products or packaging without notice. Wound Reference assumes no liability for inaccuracies or misstatements about products. The properties of a product may change or be inaccurate following the posting or printing of the product information in the document, either in the print or online version. Due to product changes, information listed in this document is subject to change without notice. We recommend that you always read labels, warnings and instructions for use before using a product. Content on this site is for reference purposes and is not intended to be a substitute for professional advice given by a physician or other licensed healthcare professional.

    ESSENTIALS

    Product
    Rating
    Suppliers Price
    HCPCS Class
    HCPCS
    Nestlé® BOOST® VHC, Vanilla, 8 fl oz, Case of 27
    $48.40
    Amazon
    Price & Buy
    All prices
    Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 1...
    B4152
    * Hover on the information button next to each header for detailed explanation on the type of information provided by the table
    Choose the state for Medicare
    DME coverage and co-payment
    Manufacturer
    Product
    Rating
    Suppliers Price
    Patient DME Co-Payment per Billable Unit
    DME Reimbursement to Suppliers
    Frequency Replacement if Requirements Met
    Office and/or Facility - Product reimbursement
    Nestlé® BOOST® VHC, Vanilla, 8 fl oz, Case of 27
    $48.40
    Amazon
    Price & Buy
    All prices
    $.00
    100 calories = 1 unit
    Units of service as needed per day
    * Every effort has been made to ensure the accuracy of the product information, however you should visit the manufacturer's website for the latest information.
    * Hover on the information button next to each header for detailed explanation on the type of information provided by the table
    Product
    Rating
    Suppliers Price
    Recom / Evidence
    FDA Safety
    Quality Measures
    Cost Effectiveness
    Product
    Rating
    Suppliers Price
    Features
    CPT CodeDescription Physician Reimbursement - Office Physician Reimbursement - Facility Facility Reimbursement
    97802Medical nutrition indiv in $35.28 $33.12 $0.00
    97803Med nutrition indiv subseq $30.60 $28.08 $0.00
    97804Medical nutrition group $16.20 $15.48 $0.00
    • Based on national averages
    • Medicare payments for participating qualified health professionals (QHP) for services performed in their Offices (*) or at a Facility (** i.e., hospital outpatient department or ambulatory service center). Payments are nationally unadjusted average amounts, and do not account for differences in payment due to geographic variation. The allowed rate for non-participating physicians is set at 95% of the allowable for participating physicians. Non-participating physicians are subject to the limiting charge rules. The coinsurance is limited to 20% of the allowable fee.
    • When covered by the Medicare contractor, this manufacturer product is separately payable in a QHP office based on the Average Sales Price (ASP) as reported by the manufacturer on a quarterly basis.
    • Hover on the information button next to each header for detailed explanation on the type of information provided by the table
    • The information provided on this website is informational only. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. Information on this website is subject to change with out notice due to changes in reimbursement laws, regulations, rules and policies. The ultimate responsibility for correct coding lies with the provider of services. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure.
    • CPT® is a registered trademark of the American Medical Association. All CPT codes and descriptions are copyrighted 2018, American Medical Association. All rights reserved. CPT codes and CPT descriptions are from the current manuals and those included herein are not intended to be all-inclusive and are included for informational purposes only. Codes referenced on Wound Reference are for informational purposes only. Inclusion or exclusion of any codes does not guarantee coverage. Providers should reference the American Medical Association prior to the submission of claims for reimbursement of covered services.


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