Reimbursement Information

To help make insurance reimbursement on eligible Solace Nutrition medical foods as seamless as possible, we’ve provided a list of our products according to product line, along with coding required for insurance processing. In addition to the Product Code and packaging specifications for each, we’ve listed corresponding Universal Product (UPC), National Drug Company (NDC), and Healthcare Common Procedure Coding System (HCPCS) codes for your convenience.

Any questions relating to insurance, including questions concerning specific product formulation, medical necessity, and eligibility for reimbursement, can be directed to our team of Customer Service experts.

At Solace Nutrition, we are happy to work with both customers and insurance company representatives alike to assist in resolving any reimbursement eligibility issues that may arise. This is part of our larger commitment to doing whatever we can to support the improvement of our customers’ quality of life and treating each client with compassion and empathy.

Note to mobile device users: Touch and hold, and slide left and right on the table below to see the entire contents.

Product Product Code UPC Code NDC Code HCPCS Code Packaging Form Availability
Mitochondrial
Cyto-Q 1201 8-57771-00701-3 57771-0007-01 B4155 1 box x 30 liquipaks Immediately
Cytotine 1202 8-57771-00191-6 57771-0001-91 B4155 1 bottle x 480 mL Immediately
Cytose 1203 8-57771-00120-6 57771-0001-20 B4104 1 container x 200 g Immediately
Cyto-Q MAX 1204 8-57771-00702-4 57771-0007-02 B4155 1 bottle x 170 mL Immediately
Cyto B2 1205 8-57771-00703-1 57771-0007-03 B4155 1 container x 100 g Immediately
Cyto-Q t/f 1206 8-57771-00704-8 57771-0007-04 B4155 2 x 170 mL bottles Immediately
Cyto B7 1207 8-57771-00192-3 57771-0001-92 B4155 1 bottle x 30 mL Immediately
Cyto Carn 1208 8-57771-00110-7 57771-0001-10 B4155 1 container x 100 g Immediately
Cyto RALA 1209 8-57771-00111-4 57771-0001-11 B4155 1 container x 30 g Immediately
Cytolline 1210 8-57771-00116-9 57771-0001-16 B4155 1 container x 275 g Immediately
Cyto B1 1213 8-57771-00126-8 57771-0001-26 B4155 1 container x 100 g Immediately
Cytotine Powder 1214 8-57771-00138-1 57771-001-38 B4155 1 container x 100 g Immediately
neoKe
neoKe BCAA4 6003 8-57771-00112-1 57771-0001-12 B4155 1 container x 300 g Immediately
neoKe MCT70 6004 8-57771-00114-5 57771-0001-14 B4155 1 container x 300 g Immediately
neoKe BHB 6005 8-57771-00134-3 57771-0001-34 B4155 1 container x 150 g Immediately
Metabolics
Galaxtra 4001 8-57771-00109-1 57771-0001-09 B4155 1 container x 375 g Immediately
MannXtra 4002 8-57771-00121-3 57771-0001-21 B4155 1 container x 375 g Immediately
GlyMax 4003 8-57771-00119-0 57771-0001-19 B4155 1 container x 225 g Immediately
VB7 MAX 4004 8-57771-00125-1 57771-0001-25 B4155 1 container x 100 g Immediately
VB12 MAX 4005 8-57771-00127-5 57771-0001-27 B4155 1 bottle x 30 mL Immediately
VB6 P5P 4006 8-57771-00132-9 57771-0001-32 B4155 1 container x 100 g Immediately
LDL Care 4007 8-57771-00137-4 57771-0001-37 B4155 1 container x 100 g Immediately
Cholesterol Synthesis
Cholextra t/f 5002 8-57771-00131-2 57771-0001-31 B4155 1 container x 110 g Immediately
CholexMax 5003 8-57771-00133-6 57771-0001-33 B4155 1 container x 125 g Immediately
SolMods
Sol Fiber 7002 8-57771-00115-2 57771-0001-15 B4104 1 container x 225 g Immediately
PureCarb 7003 8-57771-00129-9 57771-0001-29 B4155 1 container x 600 g Immediately
PKU
PreKUnil 8001 8-57771-00142-8 57771-0001-42 B4155 1 container x 550 tabs Immediately
NeoPhe 8002 8-57771-00143-5 57771-0001-43 B4155 1 container x 550 tabs Immediately
NeoPhe Powder 8003 8-57771-00144-2 57771-0001-44 B4155 1 container x 376 g Immediately
Vitamins/Minerals
NanoVM 1-3 Powder 1113 8-57771-00113-8 57771-0001-13 B4104 1 container x 275 g Immediately
NanoVM 4-8 Powder 1148 8-57771-00148-0 57771-0001-48 B4104 1 container x 275 g Immediately
NanoVM 9-18 Powder 1918 8-57771-00105-3 57771-0001-05 B4104 1 container x 275 g Immediately
NanoVM t/f Powder 1190 8-57771-00104-6 57771-0001-04 B4104 1 container x 275 g Immediately
NanoVM Adult Powder 1125 8-57771-00135-0 57771-0001-35 B4104 1 container x 275 g Immediately
NanoVM Senior 71+ Powder 1171 8-57771-00136-7 57771-0001-36 B4104 1 container x 275 g Immediately