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A cornstarch with unique properties for the dietary management of hepatic Glycogen Storage Disease (GSD)

Glycosade Reimbursement Help


Glycosade Reimbursement

Accessing formula can be challenging. Formula4Success is Vitaflo’s personalized program that offers free assistance to patients.

Any Health Insurance
No Health Insurance
All Financial Backgrounds

Enrollment is Simple.

  1. Patients can complete the enrollment form online at www.Vitaflo4Success.com
  2. Healthcare professionals can access the Detailed Written Order (DWO) and Letter of Medical Necessity (LMN) templates at www.Vitaflo4Success.com
  3. The enrollment form, DWO and LMN can be submitted in one of the following ways:

Fax: 888-485-7193
Email: Formula4Success@VitafloUSA.com
Mail: Vitaflo USA
ATTN: Formula4Success
PO Box 58569
Raleigh, NC 27658

Visit www.Vitaflo4Success.com or call 1-800-520-6112 for more information on how to receive support.

*Patients that are prescribed select Vitaflo formulas are eligible to enroll in Formula4Success.

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