Ordering Donor Milk: Families

All donor human milk (DHM) for outpatients is dispensed by prescription. Once a healthcare provider has written a prescription for a non-hospitalized patient, the following steps should be taken:

Ordering for outpatients

The following are responsibilities of the prescribing provider:

  1. Fax the prescription and a letter describing medical necessity. The prescription should include:
    • name and birth date of recipient
    • diagnosis of the child or write 'healthy infant'
    • amount of milk needed per day or week
    • number of refills allowed
    • prescriber’s name, address, fax, and phone number
  2. In the letter describing medical necessity, include the diagnosis of the recipient that warrants donor human milk and the DRG code for this diagnosis.
  3. Ask a family member of the patient to call the Milk Bank to provide contact and insurance information.

Note: Medicaid clients require specific forms to be completed by their physician. Milk Bank staff will fax these forms to the physician once an order for DHM has been received. They must be completed, signed, and returned to Mothers’ Milk Bank before the recipient can receive milk.

Outpatient family responsibilities

Call the Milk Bank with the following information:

  • name of primary contact for the patient
  • address and phone number of above
  • name and phone number of prescribing physician
  • patient’s insurance information or Medicaid number (if applicable)

It is the responsibility of the outpatient’s family or guardian to contact the milk bank by 3pm CST Monday through Thursday, for next-day delivery.

Currently hospitalized infants

If the baby is an inpatient on donor milk who is being discharged, we recommend that you ask the hospital to send the baby home with enough milk to feed the baby until your shipment arrives. If the baby is in Austin, the milk can be picked up at the milk bank upon discharge during business hours, as long as the milk bank has received the prescription and necessary paperwork and you have scheduled your pick-up with us.

Free counseling services for Austin families

If your child spent time in the NICU within the last 3 years, you can qualify for 8-12 free counseling sessions through our partner Hand to Hold. We highly recommend applying for this free service if you live in the Austin area. Learn more and apply online.