March 15, 2022
What’s New
This is a notification to our Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid providers that Abbott Nutrition has added specific lots of Similac PM 60/40 powder formula, along with specific lots of Similac®, Alimentum®, EleCare® and EleCare Jr powder formulas to a voluntary recall. At this time, Similac PM 60/40 with lot code 27032K80 (can) and 27032K800 (case) are the only type and lots of this specialty formula being recalled.
How to Request Substitute Formula
BCBSTX will support our members requesting a substitute powdered formula or donor human milk. Human milk is considered a substitute for Similac 60/40. Our responsibility is to connect our members with the appropriate provider and assist in the replacement of the formula at no cost to our members. This substitution should only be directed by a healthcare professional.
For existing prior authorizations of formulas affected by the recall, previously submitted documentation supporting medical necessity is sufficient to request the substitute powdered formula.
Our BCBSTX teams, consisting of service coordination, service management, member services, and utilization review, are ready to assist our members with adjustments and replacing recalled powdered formulas. We will work with ordering providers, nutritional products providers, donor human milk banks, and members to assist during the recall.
Additional Information:
A provider notice update has been published on:
Texas Medicaid Provider Procedures Manual
Resources:
Abbott Recall | Similac, Alimentum, EleCare Powder Formulas (similacrecall.com)
Questions
For questions or additional information please:
- Contact your BCBSTX Medicaid Network team at 1-855-212-1615 or
- Submit via email to Texas Medicaid Network Department