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Many families may be able to receive Kendamil infant formulas or KendaKids pediatric nutrition shakes through Medicaid or private insurance when medically necessary.
Coverage varies by insurance plan, diagnosis, state, and medical need, but access continues to expand nationwide through our growing network of home medical suppliers (DMEs).
Important: Insurance coverage is never guaranteed. Your healthcare provider, insurance plan, and medical supplier will determine final eligibility.
Both Kendamil infant formulas and Kendakids pediatric nutrition shakes have billable HCPCS codes that many insurance plans use when evaluating coverage for medical nutrition products.
Coverage depends on:
How to Get Started
Step 1: Talk to Your Healthcare Provider
Ask your pediatrician, dietitian, gastroenterologist, or other healthcare provider if Kendamil or Kendakids may be appropriate for your child.
For infants under 12 months:
Request Kendamil Infant Formula
For children 1 year and older:
Request Kendakids Complete Nutrition Shakes
Your provider may need to submit:
Step 2: Check Your Insurance Benefits
Call the member services number on the back of your insurance card.
Ask if your plan covers:
You may be asked for the HCPCS billing code:
| Product | HCPCS Code |
|---|---|
| Kendamil Infant Formula | B4158 |
| KendaKids Complete Nutrition Shakes | B4160 |
Be prepared to explain whether the product will be used orally, via tube feeding, or both.
Step 3: Work With a Home Medical Supplier or DME
Once your prescription is written, your healthcare provider can send it to a home medical supplier (Durable Medical Equipment provider).
The DME will:
We recommend contacting your DME within 1–2 business days after the prescription is sent.
Step 4: Receive Product Delivery
If approved, your DME can arrange recurring deliveries of Kendamil or KendaKids directly to your home.
Depending on your insurance coverage, this may help reduce or eliminate out-of-pocket costs.
Growing DME Availability
Kendamil continues to expand access across the United States through national distribution partnerships.
Many home medical suppliers can now access Kendamil and KendaKids through major healthcare distributors, helping streamline ordering and fulfillment for families.
If your preferred DME does not currently carry Kendamil products, have them contact us for assistance.
KendaKids is currently available through WIC with a prescription in:
We are actively working to expand access and have ongoing applications in states across the country with the goal of making KendaKids available through WIC programs nationwide.
Because each state operates its own WIC program, eligibility requirements and approval processes may vary.
We encourage families to:
No. Coverage varies by insurance plan, diagnosis, state requirements, and medical necessity.
Yes. Insurance coverage typically requires a prescription from a licensed healthcare provider.
A Durable Medical Equipment (DME) provider, sometimes called a home medical supplier, is a company that delivers medical nutrition products and bills insurance on your behalf.
Have them contact us. Many suppliers can access Kendamil products through national distribution partners.
Yes. Kendamil and KendaKids may be used orally or via tube feeding when recommended by a healthcare provider.
KendaKids is currently available through WIC with a prescription in Arizona and Oklahoma, with additional states under review.
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