Requests for Pasteurized Donor Human Milk (PDHM)
Mothers’ Milk Bank of Tennessee is a 501c3 nonprofit organization dedicated to providing safe, pasteurized donor human milk to the most vulnerable babies. Our purpose is to improve outcomes for medically fragile infants by increasing access to lifesaving human milk.
Who can request Pasteurized Donor Human Milk (PDHM)?
Our Priority Levels of PDHM Distribution have been established to ensure that infants with the greatest medical need for donor milk are always given priority. ​​​
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All requests for donor milk are evaluated on an individual basis.
While it is our greatest desire that every baby would receive donor human milk if mother’s own milk is not available, the reality is that there is a limited supply of this precious resource. Since we rely on the generosity of volunteer milk donors, we cannot guarantee availability of milk.
Medical Necessity Outpatient Program
A prescription by your baby's provider is required for requests of 11 bottles or more. Prescriptions must include the following information:
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Current date
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Patient’s name
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Date of birth
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Amount of milk (in ounces) to provide daily
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Refills or time frame in which PDHM is needed Patient’s Diagnosis (include ICD-10 codes)
Prescriptions can be uploaded by the parent or guardian in the request form below. Or the provider may fax the prescription to 1-615-285-8238 or email at info@milkbanktn.org.
Each bottle is 3.3 oz and there is a processing fee of $14.95* per bottle, plus shipping (if applicable).
Families will need to pay out of pocket for this service, but we will provide each family with a receipt to seek reimbursement if donor human milk is a covered benefit under your plan. Reach out to your insurance company for more details.
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*Pricing subject to change.
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Bridge to Breastfeeding Success
The purpose of Mothers' Milk Bank of Tennessee's Bridge to Breastfeeding Success Program was created to provide supplementation while mother's own milk production is being established.
Families can request up to 10 bottles without a prescription, one-time. Each bottle is 3.3 oz and there is a processing fee of $14.95* per bottle, plus shipping (if applicable).
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If you are a mom struggling with your supply, please click here to learn more about lactation resources available near you.
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*Subject to change.
How will I receive donor milk?
After submitting your request, please allow two business days for our team to review your submission. If your request is approved, you will receive an invoice to the email address provided in order to submit payment online for the processing fee and shipping (if applicable).
You may schedule a pick-up Monday- Friday at 2909 Old Fort Parkway, Suite 105, Murfreesboro, TN or the milk can be shipped to you with dry ice next-day via UPS once payment is received. Please note, shipping rates do apply.
Why is there a processing fee?
There are significant costs associated with the screening and processing necessary for the medically fragile infants that we serve. The processing fee covers the cost of donor screening, nutritional analysis, pasteurization, microbiological testing, and storage. The processing fee is $14.95 per bottle (each bottle is 3.3 oz).
Checklist for Requests
1.
Determine the number of 3.3 oz bottles needed.
2.
Obtain prescription from pediatrician for requests of 11 bottles or more.
3.
Submit request in the online form below.
4.
If approved, submit payment for processing fees and shipping (if applicable).
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Schedule your pickup or shipment.