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Banked Donor Milk Rates

This is a list of banked donor milk rates adjusted by locality per TPM Chapter 8 Section 7.2 and TRM Chapter 1 Section 39. This list was implemented in this format on March 22, 2019.

For a list of covered breastfeeding supplies, please see the Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS) tab on the Rates and Reimbursement page.

Banked Donor Milk Rates List

Last Updated: February 23, 2022

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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