(a) For purposes of this section, the following term has the meaning given.
(b) "Formula" means an amino acid-based elemental formula.
A health plan company must provide coverage for formula when formula is medically necessary.
Conditions for which formula is medically necessary include but are not limited to:
(1) cystic fibrosis;
(2) amino acid, organic acid, and fatty acid metabolic and malabsorption disorders;
(3) IgE mediated allergies to food proteins;
(4) food protein-induced enterocolitis syndrome;
(5) eosinophilic esophagitis;
(6) eosinophilic gastroenteritis;
(7) eosinophilic colitis; and
(8) mast cell activation syndrome.
Official Publication of the State of Minnesota
Revisor of Statutes