healthcare providers

Does my patient need a prescription?

Yes, if your patient requires ongoing supplementation of more than 40 ounces with human donor milk, a prescription is required.

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Does insurance cover the cost of milk?

 Some insurances may cover the cost of milk through reimbursement, patients should be directed to speak with the Donor Coordinator to establish a financial agreement or help with contacting their insurance provider. 

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My patient cannot afford the cost of donor milk, what can they do?

Your patient may contact the Donor Coordinator to apply for scholarship funds (as available) to cover some or all milk costs.

 Prescribing breast milk for a patient is simple.

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1. Download and print the HMRNM Prescription form.

If you prefer to use your own prescription document the following are required:

• Recipient name
• Recipient DOB
• Caregiver/parent name and contact info
• Diagnosis Code(s)
• Length of need 
• Daily volume or volume over time to dispense

2. Fill out form and fax back to office at 

505-508-5428.

3.Follow up with your patient and advise them to contact the Donor Coordinator to set up a financial agreement at 505-508-5291

 Diagnosis for medically fragile infants in need of Human Donor Milk may include:

• pre-term
• failure to thrive
• weight loss
• hypoglycemia
• maternal complications at delivery
• maternal child separation (medical)
• adoptions
• multiple gestation
• hyperbilirubinemia 
• SGA
• IUGR
• low milk supply

Or other medically relevant diagnosis