K-PAX Immune Support Formula is usually not covered under private insurance.

However, if your physician determines that K-PAX is "medically necessary", you can try submitting it to your insurer for coverage. These claims are often initially denied. However, if the customer is persistent and requests the insurance company assign a caseworker, it is possible that you could be granted coverage.

K-PAX customers have also had some success with coverage under Flexible Benefit Plans if K-PAX is prescribed by their physician as medically necessary.

Please feel free to contact us for further information.

K-PAX Protein Blend may be available through Medicaid in the following states with a prescription from your health care provider (physician, nurse practitioner, physician assistant, or registered dietitian). Click on your state of residence for more detailed information:

New Hampshire

f you have health care coverage with the Medicaid program in New Hampshire, your K-PAX Vitamins may qualify to be paid for by this program. K-PAX Protein Blend is the only form of K-PAX Immune Support Formula currently available through Medicaid. It requires a prescription from your doctor as well as the presence of one of the following medical conditions:

   1. a documented diagnostic condition where caloric and dietary nutrients from food cannot be properly absorbed or metabolized (i.e. HIV/AIDS, Chronic Hepatitis, Cancer, Diabetes, Surgery, Trauma)
   2. an adult patient with unintentional weight loss of > 5% over the past two months (or a pediatric patient with no weight gain during the past six months)
   3. a patient whose condition prevents him/her from consuming an adequate amount of normal table and/or softened food (i.e. jaw fracture, low appetite, etc.)
   4. the presence of abnormally low serum levels of protein, albumin, or other laboratory evidence of protein-calorie malnutrition.

If one of the above conditions exists, download the following information packet and give to your doctor when you request that he or she write a prescription for K-PAX Protein Blend:

New Hampshire Medicaid Information Sheet

For additional information, please call K-PAX at 1-877-777-5729

Nebraska

If you have Nebraska Medicaid and have documented weight loss, the cost of the K-PAX Protein Blend Immune Support Formula may be covered for you by NE Medicaid. K-PAX Protein Blend is the only form of K-PAX Immune Support Formula currently available through Medicaid. It requires a prescription from your doctor and must receive preauthorization from the NE Medicaid Program by having your doctor or doctor’s office call: (402) 471-9342

In Nebraska, K-PAX Products are available at:
Kohll's Pharmacy & Homecare
617 North 114th Street
Omaha, Nebraska 68154
402-408-0016

For additional information, please call K-PAX at 1-877-777-5729

Florida

If you have health care coverage with the Medicaid program in Florida, your K-PAX Vitamins may qualify to be paid for by this program. K-PAX Protein Blend is the only form of K-PAX Immune Support Formula currently available through Medicaid. It requires a prescription from your doctor as well as the presence of one of the following medical conditions:

1. a documented diagnostic condition where caloric and dietary nutrients from food cannot be properly absorbed or metabolized (i.e. HIV/AIDS, Chronic Hepatitis, Cancer, Diabetes, Surgery, Trauma)
2. an adult patient with unintentional weight loss of > 5% over the past two months (or a pediatric patient with no weight gain during the past six months)
3. a patient whose condition prevents him/her from consuming an adequate amount of normal table and/or softened food (i.e. jaw fracture, low appetite, etc.)
4. the presence of abnormally low serum levels of protein, albumin, or other laboratory evidence of protein-calorie malnutrition.

If one of the above conditions exists, download the following information packet and give to your doctor when you request that he or she write a prescription for K-PAX Protein Blend:

Florida Medicaid Information Sheet

For additional information, please call K-PAX at 1-877-777-5729

California

If you have health care coverage with the Medicaid program in your state, your K-PAX Vitamins may qualify to be paid for by this program. K-PAX Protein Blend is the only form of K-PAX Immune Support Formula currently available through Medicaid. It requires a prescription from your doctor as well as the presence of one of the following medical conditions:

1. a documented diagnostic condition where caloric and dietary nutrients from food cannot be properly absorbed or metabolized (i.e. HIV/AIDS, Chronic Hepatitis, Cancer, Diabetes, Surgery, Trauma)
2. an adult patient with unintentional weight loss of > 5% over the past two months (or a pediatric patient with no weight gain during the past six months)
3. a patient whose condition prevents him/her from consuming an adequate amount of normal table and/or softened food (i.e. jaw fracture, low appetite, etc.)
4. the presence of abnormally low serum levels of protein, albumin, or other laboratory evidence of protein-calorie malnutrition.

If one of the above conditions exists, download the following information packet and give to your doctor when you request that he or she write a prescription for K-PAX Protein Blend:

California Medicaid Information Sheet

For additional information, please call K-PAX at 1-877-777-5729

New York

f you have health care coverage with the New York Medicaid program, your K-PAX Vitamins may qualify to be paid for by this program. K-PAX Protein Blend is the only form of K-PAX Immune Support Formula that is available through NY State Medicaid. A Medicaid patient must have one of the following conditions to qualify:

1. a documented diagnostic condition where caloric and dietary nutrients from food cannot be properly absorbed or metabolized (i.e. HIV/AIDS, Chronic Hepatitis, Cancer, Diabetes, Surgery)
2. an adult patient with an unintentional weight loss of > 5% over the past two months (or a pediatric patient with no weight gain during the past six months).
3. a patient whose condition prevents him/her from consuming normal table and/or softened food.
4. the presence of abnormally low serum protein levels, serum albumin, or other evidence of malnutrition.

If one of the above conditions exists, your physician must call NY Medicaid to obtain a preauthorization number. This number must be written on the top of your prescription for K-PAX Protein Blend.

Available for download is an information worksheet that you can give to your doctor when you request that he or she write a prescription for K-PAX Protein Blend:

New York Medicaid Information Sheet


We also suggest that you provide your physician a copy of the Protein Blend Nutritional Facts sheet:

Protein Blend Fact Sheet/Cherry Vanilla Flavor - English
Protein Blend Fact Sheet/Raspberry Lemonade Flavor - English
Dosage Recommendations

Protein Blend Fact Sheet/Raspberry Lemonade Flavor - Spanish

For additional information, please call K-PAX at 1-877-777-572

Vermont

If you have health care coverage with the Medicaid program in Vermont, your K-PAX Vitamins may qualify to be paid for by this program. K-PAX Protein Blend is the only form of K-PAX Immune Support Formula currently available through Medicaid. It requires a prescription from your doctor as well as the presence of one of the following medical conditions:

   1. a documented diagnostic condition where caloric and dietary nutrients from food cannot be properly absorbed or metabolized (i.e. HIV/AIDS, Chronic Hepatitis, Cancer, Diabetes, Surgery, Trauma)
   2. an adult patient with unintentional weight loss of > 5% over the past two months (or a pediatric patient with no weight gain during the past six months)
   3. a patient whose condition prevents him/her from consuming an adequate amount of normal table and/or softened food (i.e. jaw fracture, low appetite, etc.)
   4. the presence of abnormally low serum levels of protein, albumin, or other laboratory evidence of protein-calorie malnutrition.

If one of the above conditions exists, download the following information packet and give to your doctor when you request that he or she write a prescription for K-PAX Protein Blend:

Vermont Medicaid Information Sheet

For additional information, please call K-PAX at 1-877-777-5729

If you have Medicaid coverage in a state other than those listed above, K-PAX offers you a 20% discount on any of our products. To obtain this discount, you must place your order by telephone and send us a copy of your Medicaid card. This offer is not valid with any other discounts. For more info, call us at: 1-877-777-5729.

At K-PAX, we believe that micronutrient therapy should be covered by insurers and government programs if prescribed by your doctor as medically necessary. We are currently working hard to demonstrate to Medicaid programs in other states the benefits associated with this safe and beneficial method of immune system support. Stay tuned!

If your prescription medications are currently paid for by the New York AIDS Drug Assistance Program (ADAP), your K-PAX Immune Support Formula can be paid for by this program as well.

It is required that you present a prescription to your pharmacist to have K-PAX Immune Support Formula paid for by NY State ADAP. If you would like to download an information form that is designed to present to your physician (which includes instructions for writing a sample K-PAX prescription), please click the link below.

Download Information to Present to Your Doctor

Our Store Locator page lists pharmacies in New York that provide K-PAX Vitamins to ADAP Clients.

If your current pharmacy is not listed, and you would like them to carry K-PAX Vitamins, please let us know by calling us at 1-877-777-KPAX (5729).

At K-PAX, we believe that micronutrient therapy should be covered by insurers and government programs if prescribed by your doctor as medically necessary. We are currently working hard to show ADAP programs in other states the evidence behind this safe and beneficial method of immune system support.

Some states are legislatively prohibited from providing anything other than prescription drugs. These states will require lobbying your representatives in state government to make changes to your state's ADAP coverage. If you would like additional information, please contact us 1-877-777-5729.