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Old 28.04.2008, 01:22
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Anyone know about prescribed baby formula?

Hello all!
I am currently living in the UK, but moving to Bern in 2 weeks time with my husband and 3-month-old daughter.
My daughter is allergic to cow's milk and needs Nutramigen, a hypoallergenic formula which is prescribed by the GP here in the UK (so it's completely free for us).
I heard that this milk is VERY expensive, so I'm worried that we will have to pay for it, or part of it, in CH.
Does anyone know how this works in CH? Do docs prescribe this and is there a prescription charge or partial payment for the parents?
Does it depend on what kind of health insurance we decide to get?
I'm trying to get a massive supply here before leaving.... but the GP will only prescribe a few weeks' worth of the formula.
Thanks for any useful comments!!!
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Old 28.04.2008, 02:31
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Re: Newbie - anyone know anything about prescribed baby formula?

I know nothing about the formula situation in CH, but I wanted to wish you luck. I had the same situation with my son in the US. Our insurance refused to cover it (He was on Neocate, even more expensive than Nutramigen) and we had to pay about 500 USD out of pocket for 15 months! I saved a bundle buying it on eBay. If there is a UK or CH equivalent, I would check that out. You do not need a prescription to buy Nutramigen in the US. Since the dollars is so weak you could probably buy it in US and still pay less with international shipping. I hope it works out that you don't have to pay anything at all. I know how tough it is!
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Old 28.04.2008, 08:33
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Re: Newbie - anyone know anything about prescribed baby formula?

Dear Mrs P, I have done a quick search,Nutramigen should also be available in swiss pharmacies,it finds a lot of mention in swiss based 'skin problem' websites.

When i go to town today, i will pop in a pharmacy and ask how much it'd cost hereabouts, asI couldn't find that out online.

Upon your arrival here, would do the following, sort out the health insurance,then register ASAP with a pediatrist, to ease the whole process get a written referal (as to why the HA milk is prescribed) from your GP in the UK, the new swiss doctor will also write up a prescription, with which you will then get the milk powder in the pharmacy.

You have then two ways, either you pay it directly at the pharmacy and send that receipt to your insurance later on, or you use the card, that will be issued by the insurance and the pharmacy deals with it all and you will only get a bill for the 10% you have to cover yourself anyway.

Hope this has shed some light onto the process for you

oh and before i forget it, ask your current GP if the product is available under other names or for the name of most similar product to Nutramigen.
Feel free to PM anytime if you want to know more.
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Old 29.04.2008, 17:05
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Re: Newbie - anyone know anything about prescribed baby formula?

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Hello all!
My daughter is allergic to cow's milk and needs Nutramigen, a hypoallergenic formula which is prescribed by the GP here in the UK (so it's completely free for us).
I'm trying to get a massive supply here before leaving.... but the GP will only prescribe a few weeks' worth of the formula.
I am very sorry about your daughter. I understand that children can tolerate one formula but not necessarily others and I am not sure that this particular formula is available in Switzerland. It is in France, but that is perhaps a bit too far.

At the risk of sounding daft, but have you considered breastfeeding?
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Old 29.04.2008, 17:18
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Re: Newbie - anyone know anything about prescribed baby formula?

Hi,
Thanks for your message.
Of course breastfeeding would be the best, but I am unable to for medical reasons.
Even if I was breastfeeding, I would need the formula for supplementing when she is weaned.... until her allergy goes away (if ever).
I am pretty sure that Nutramigen exists in Switzerland (because it exists in various other European countries).... I just don't know anything about the Swiss healthcare system yet and wondered if anyone knows what (if any) the prescription charge would be.
I'm not really considering buying this out of my own pocket, as it would definitely be much too expensive and my daughter relies on it for her health (rather than just me being a fussy mum.... I've heard that some mums give hypoallergenic formula just because they believe it may reduce crying, etc.)
My daughter actually bleeds inside her intestines when she gets cow's milk, so I'm eager to get a good supply as soon as I arrive in Berne.
Anyone who knows anything about prescription charges: more comments would be most welcome!
Thanks
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Old 29.04.2008, 17:21
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Re: Newbie - anyone know anything about prescribed baby formula?

How much you pay in prescription charges will depend upon the franchise you choose for your daughters health insurance (franchise is like the policy excess). Once this amount is payed than everything else should be included. You really nedd to bring a supply of the formula with you then as soon as you arrive find a Peadiatrician who can prescribe the formual for you.
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Old 29.04.2008, 17:48
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Re: Newbie - anyone know anything about prescribed baby formula?

Mead Johnson apparently does not have an office in Switzerland (I would guess that is because Nestle dominates this market), but perhaps you can contact their European headquarters to check if their products are sold in some specific pharmacies:

Europe
3, rue Joseph Monier - BP 325
92506 Rueil Malmaison Cedex - France
+33-1-5883-6800

I would think that in your case formula is medication rather than food and the expenses should be reimbursed if prescribed by a pediatrician, but you will need to check the details with your specific insurance company.

I would be very careful to try to substitute it with a similar product. Since all formulas are derivatives of cow's milk, they still contain certain proteins and you need to make sure that those to which your daughter is allergic to are not present.

Just to clarify one misconception: children do not have to be weaned from breast to formula. I breastfed my children as long as they were interested but introduced solid food at around 6 months and then some straight cow's milk and other dairy products after their first birthday. I never gave them a drop of formula.

I hope that your daughter will grow out of this intolerance soon. Good luck!
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Old 29.04.2008, 18:15
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Re: Newbie - anyone know anything about prescribed baby formula?

Like i said, I'll inquire about availability , I haven't had time yet,but will do tomorrow my weekly shop and will pop into the pharmacy then.

Lou,children up to a certain age don't pay any franchise,unless the parents choose it especially, to keep the premiums low.

With formula milk if it's on prescription by a doctor,it's the same as with the normal medication prescription, you only pay 10% excess/patients contribution.
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Old 30.04.2008, 09:42
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Re: Newbie - anyone know anything about prescribed baby formula?

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Lou,children up to a certain age don't pay any franchise,unless the parents choose it especially, to keep the premiums low.

With formula milk if it's on prescription by a doctor,it's the same as with the normal medication prescription, you only pay 10% excess/patients contribution.
Yes, I agree with you, usually medical insurance for children is very cheap (and you can get some kind of family package) and there is zero deductable. I asked some people from my office, formula on doctor's prescription is treated as medication by many insurance companies. But you need to shop around to find the best deal, I guess that is a bit unusual if you are used to NHS...
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Old 13.07.2009, 09:56
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Re: Anyone know about prescribed baby formula?

Can I suggest you consult your doctor ? Medical advice is needed and especially if you have a small baby and their health is affected...
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Old 30.04.2008, 16:57
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Re: Newbie - anyone know anything about prescribed baby formula?

Hi
Have you had your daughter tested for Soya allergy? My daughter is also allergic to milk - but not to soya so we gave her soya formula. She had a blood test but you could always try taking some soya milk and putting a drop on her skin.

The level of your insurance won't make much of a difference, the problem is that the allergy is a pre-existing condition and they may try to exclude that from the cover. Having said that I went with Visana and they picked up a couple of my partner's conditions (asthma) and said they wouldn't cover that but didn't mention my daughter's allergies - Milk, egg, and sesame. If the doctor prescribes it and it is not on the insurance's companies exemption lists they should pay for it.

Normally you would take your insurance card into the chemists and show them it with the prescription. They will then bill the insurance company directly. It took 4 months for my card to turn up so in the mean time you will probably have ot pay and then claim it back - or take a letter from the company with you insurance detail on it.

Tell your British GP you are moving here and ask if they know of a similar formula you can use.

Finally...we got some cards from Allergy UK (http://www.allergyuk.org/auk_transcards.aspx) made up in French, German, and Italian. They say something like "My daughter is allergic to ... can you provide any food which is safe for her to eat." I think the other side says "my daughter is having an allergic reaction can you contact a doctor or ambulance for me" The cards have the English on them too and my partner carries them in her purse. Your daughter is too young to be eating in restaurants yet but if you are here for a while you may want them made up for you (Total cost was about £15 per language - they are laminated cards.) If you don't want to or can't afford to pay for them PM me and I'll give you the text and you can make up your own cards.

Really Finally...Try and get your GP to give you a 3 months supply. I think that is the max they can do in one go.

Last edited by LQQ; 30.04.2008 at 17:01. Reason: spelling - very bad. Also added allergy page link
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Old 25.01.2009, 09:23
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Baby formula

Does anyone have any information on or recommendations for baby formula here in Switzerland? I have been breast feeding for 6 months and would like to make a slow transition over to formula. Thanks
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Old 25.01.2009, 09:55
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Re: Baby formula

Hi Puck, I have used Aptamil for both my babies after breastfeeding and found it really good. I use the purple labelled one (the other Aptamil has an orange label) as it is allergy tested. Remember to buy an assortment of teats as often the teat is the problem and not the formula - sometimes babies don't take to certain teats.
Good luck, hope you find a formula that suit you and baby
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Old 25.01.2009, 10:06
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Re: Newbie - anyone know anything about prescribed baby formula?

I am surprised to read here that you can get formula milk on prescription. When our daughter was born 5 years ago, we were told to use hypoallergenic milk (my wife was unable to breastfeed for medical reasons) and it costs much more than regular milk (CHF 29, compared to CHF 20-23). It is a very expensive business!! We transationed quickly to regular milk, not because of cost, but because we had nothing but trouble with hypoallergenic milk separating in the bottle when making it up. I assume that we were told by the doctors to feed hypoallergenic milk on the basis that both my wife and I are hay-fever sufferers. - Our daughter never experienced any problem with ANY milk, and in fact, drank better on regular milk.
Our second daughter was born this week and is leaving the hospital today, again on hypoallergenic milk. I will ask when I go to the hospital if they can provide a prescription for the hypoallergenic milk. If not, then I guess that the decidion is just made on a whim. Watch out!
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Old 25.01.2009, 10:50
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Re: Newbie - anyone know anything about prescribed baby formula?

I don't know about the prescription situation but there are lot of questions/suggestions combined in this thread...

- in Switzerland it is normal for kids to see a Paediatrician (rather than a GP) and I would suggest that you ask your Paed for a recommendation of which formula to use to suit your child...there are so many...

- giving formula particularly to newborn children is frought with problems (particularly allergy-related ones) because formula is much harder to digest than breastmilk...so I can totally understand the hospital wanting babies to go home on either breastmilk, or if that is not possible, on hypoallergenic formula...they would see many many babies with allergies to cow's milk protein (one of the most common allergens) as well as to soy protein (soy is even more allergenic than cow's milk, and soy formulas are even harder to digest than cow's milk formulas)...

- No, I don't think goat's milk or almond milk are adequate substitutes - perhaps for a child over 12 months, because by that time their digestive tract has matured enough to handle normal foods - although goat's milk was a traditional offering when babies couldn't be breastfed, this was more due to the convenience/cost of keeping a goat in the house, and milking it, than it being any different to cow's milk...

For the original poster, I am sure that you can speak to a Paediatrician here when you arrive and they will know what is available. I'd suggest importing as much as you legally can (we brought in a year's supply of insulin for our son who has diabetes)...especially if you can get it for free...

I understand for a child who is truly in need of a hypoallergenic (in Australia we call these 'hydrolysed elemental formulas) they will need this formula way beyond the time of introducing solids (because with such a high potential for allergy, quite likely they are going to react to a variety of what we consider 'baby' foods as well as lots of other things - a severe cow's milk allergy is really tricky to get around, and a child with multiple protein allergies is not easy to feed...

- I can't speak for formula issues (it's hard when formula is classified as a 'food' generally, but for some babies it truly is 'medicine')...

But I can say we have been totally impressed with the health system here, having had to get Paed and specialists for our kids, and although you pay, you also get most back on insurance, and on our salary we can't complain for paying $100-$200 a month for the additional bills when it probably costs $200 a week to keep our son healthy in Switzerland...

And, there was no question about eligibility, access or his right to enter the country...In fact, I realise now that there are very few countries that would take him/us and provide that level of care (he's even seeing the 'Professor' as his specialists - the one who is one of the senior researchers in the field world-wide)...

Our family health insurance costs us about 800 chf a month, which we consider 'tax'...because in other countries we'd pay more tax and less for health insurance...
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Old 25.01.2009, 15:16
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Re: Newbie - anyone know anything about prescribed baby formula?

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I am surprised to read here that you can get formula milk on prescription. When our daughter was born 5 years ago, we were told to use hypoallergenic milk (my wife was unable to breastfeed for medical reasons) and it costs much more than regular milk (CHF 29, compared to CHF 20-23). It is a very expensive business!! We transationed quickly to regular milk, not because of cost, but because we had nothing but trouble with hypoallergenic milk separating in the bottle when making it up. I assume that we were told by the doctors to feed hypoallergenic milk on the basis that both my wife and I are hay-fever sufferers. - Our daughter never experienced any problem with ANY milk, and in fact, drank better on regular milk.
Our second daughter was born this week and is leaving the hospital today, again on hypoallergenic milk. I will ask when I go to the hospital if they can provide a prescription for the hypoallergenic milk. If not, then I guess that the decidion is just made on a whim. Watch out!
My son had an allergy to milk (red ring on the face and red bottom withing an hour of drinking) and we tried the expensive Nutri-somthing from Nestle CHF 30 milk (for 400 gramms ) that the doctor recommended. She said if he was fine on it she would give me a prescription and insurance would cover it. The Bimbosan soya milk was just as good so I continued using that.

My son grew out of his milk allegry and was on full bio-fresh cows milk by about 15 months. He won't drink UHT milk though, and when travelling I still use the soya formula.

I am all for b'feeding but sometimes you can't do it. After surgery I was told I couldn't for 8 hours because the anaesthetic can pass to the baby. I went to get formula and got a lecture from the pharmacist about how my baby should be breastfed.

Last edited by CH_Me; 25.01.2009 at 15:28.
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Old 27.01.2009, 10:30
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Re: Newbie - anyone know anything about prescribed baby formula?

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...After surgery I was told I couldn't for 8 hours because the anaesthetic can pass to the baby. I went to get formula and got a lecture from the pharmacist about how my baby should be breastfed...
Srugery alone is not an automatic indication for weaning. A breastfeeding-friendly protocol would be this: in days before the surgery, express milk to build enough supply to last until one is fit to breastfeed. During the time one is unable to breastfeed because of anaesthetic, continue to express and throw the milk away. The baby is fed with stored breastmilk from a cup or a spoon or with a syringe. Then, once chemicals are eliminated, simply resume breastfeeding.
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Old 25.01.2009, 14:55
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Re: Baby formula

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Does anyone have any information on or recommendations for baby formula here in Switzerland? I have been breast feeding for 6 months and would like to make a slow transition over to formula. Thanks
I agree with the teat comment, usually bfed babes do have a problem with sucking on anything else than mom's nipple, so give it some practice - some bottle just for playing and sucking on, when your child is not hungry (hunger=not very good condition to learn new tricks), it is a great teething toy too. Or use a sippy for ff rather than a babybottle. Some kids are very easygoing though. I would also recomend you actually tasting the formulas, a friend of mine said a lot of them taste ugly and she opted for organic one, that per her experience tasted the best.

Just a personal opinion, in the season of crazy flu (friends have little babes ill for weeks and with fevers over 40, blech) that has been around for a few weeks, I would wait with the weaning, even if it is just a slow process. The antibodies in bm work like a charm.

We do not have good experience with our peds, two so far have pushed formula instead of bf and their info about nutrition have been such garbage I have been thinking about reporting them to WHO . I have my theory on formula manufacturers unethical sponsoring, but who knows. So, good luck with your ped and take their advice with a grain of salt. Good lactation agent will be able to help you with weaning info plus with ways to gently transfer your babe to formula feeding. http://www.allaiter.ch/en/index.html I noticed that French market offered wider variety of baby products, so does the Czech one and the baby food jars actually taste nicer (our kid flat out refused the Nestle stuff but ate the French Bledina, but we mostly made our own). We are close to France so we enjoyed their baby stuff and saved quite a lot of cash as well.

If you want to wean, transfering to ff is a good choice, since cow milk is hard to digest for some (protein/wise), our child has had some digestive problems with it, http://www.kellymom.com/nutrition/so...ler-foods.html . Our kid occassionally gets Hero formula for toddlers cocoa flawor, I think they do not sell it here we bring it from Prague (they also do banana, vanilla, but that's for older babies than yours).

One can keep bf even if it's just once a day for a long time. It has saved us a lot of nerves, through big travelling, teething, illness, with separation anxiety.. It does not have to be all or nothing, we have actually combined everything together, formula feeding, brastfeeding, solids, cereals, it seems a good combo. Sorry for the rant, good luck with whatever works the best for you.

Last edited by MusicChick; 25.01.2009 at 15:15.
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Old 05.02.2009, 10:38
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Re: Baby formula

[quote=MusicChick;388149]...I have my theory on formula manufacturers unethical sponsoring, but who knows...

...we have actually combined everything together, formula feeding, brastfeeding, solids, cereals, it seems a good combo...

...I would abstain from cow milk, as advice from our Czech peds, it is recommended after the child turns 3 as the protein content is really high and peds worry about kidneys, but what whatever floats people's boat..

I agree with you on unethical sponsoring. Formula manufacturers have also done a very good job of persuading the general public that their product is as good as (and sometimes even better than) breastmilk.

In fact, formula (unless based on soy's milk), is more similar, in spite of all their laboratory tinkering, to cow's milk than to breastmilk. But then it is much more expensive than the milk you can get in any supermarket.

This is why I think that switching to straight cow's (or goat's) milk rather than formula makes perfect sense once a child is approximately 12 months old. If you are concerned about high foreign protein intake and want to follow Czech pediatricians' recommendations, continue exclusively breastfeeding until they are 3.
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Old 05.02.2009, 10:44
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Re: Anyone know about prescribed baby formula?

A certain manufacturer claims that their formula for kids aged 1-3 is *better* than cows milk. My colleague was convinced by this and wouldn't give cows milk
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