LETTER OF MEDICAL NECESSITY
inadequate intake]. FruitiVits is medically necessary to ensure that their specific nutrient needs are met. FruitiVits is manufactured in the UK for Vitaflo USA, LLC (1-888-848-2356.) HCPCS: B4014 Reimbursement Code: NDC: 50600-0553-85 for 30 packets (6 g ea.) /box. ................
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