The process is as follows:

1. For your convenience, we have attached 3 forms:
   
   1. A Sample Prescription
      
      1. We attach the sample prescription for convenience. But a prescription from your Prescription pad is very welcome. Simply include the name of the product being, “Varvimax”, the number of capsules per day (we recommend 4 capsules a day), and how many refills (we recommend 12 refills, enabling the patient to have a consistent supply for one year).
   2. Insurance Coverage Assistance Form
      
      1. We provide, as a convenience, a form for details entailing the patient’s insurance information. Please fill it out and provide copy of the insurance card. This will facilitate the processing of the insurance process.
   3. Letter of Medical Necessity
      
      1. For your convenience, we have included a Letter of Necessity to be filled out. Please fill it out and include it with all the documents to provide to the insurance company. Please ensure this letter is on your letterhead, and signed.
2.  Complete the Forms provided on this site in the “Medical Reimbursement” tab, the Letter of Medical Necessity and Insurance Form (in addition, send a copy of the front and back of the patient’s Insurance card).
3. Please attach the prescription, Letter of Medical Necessity, and copy of the Insurance Form and Insurance Card (front & back) and send to Hearts Enteral Nutrition LLC.
   
   1. Forms can be sent by either:
      
      1. Email to: [email protected]
      2. Fax: (973) 387-1223

That is all! We do the rest! We will apply to 3rd Party Insurance company, get it approved, communicate results to the Medical Practitioner, and deliver Varvimax™ to the patient.

Upon approval by the insurance provider, the patient will receive Varvimax™ within 48 to 72 hours.