Letter of Medical Necessity

 

download letter of medical necessity for normalyte

Some patients with dysautonomia use oral rehydration salts (or ORS) to manage their symptoms.  Increased salt and fluid intake will assist in maintaining increased blood volume and blood pressure.  NormaLyte, an electrolyte powder, comes in several flavors (grape, orange, and green apple) and an unflavored version called "Pure".  Pure was created in partnership with Dysautonomia International. 

We are aware that patients may use NormaLyte to manage dysautonomia conditions like POTS.  We are also aware that products like this can be costly when using as prescribed (which is often 2-3 sticks a day).

Use your FSA/HSA

NormaLyte is considered a Medical Food Product approved by the FDA.  As such, you can use a FSA (Flexible Spending Account) or a HSA (Health Savings Account) to purchase and have our product shipped to you.  

Use a Letter of Medical Necessity

If you do not have a FSA/HSA with your health insurance then consider asking your doctor to fill out a letter of medical necessity.  This letter is a legal document that can be sent to your insurance provider to verify that the items you are purchasing are for the diagnosis, treatment, or prevention of a medical condition.  This will tell your insurance company that they should cover the cost of this item.  Be sure to have a copy in your patient files, and that you save a copy for yourself.

NormaLyte's Letter of Medical Necessity

We have created a template of such a letter for your doctor.  You can download NormaLyte's Letter of Medical Necessity here.  Be sure your doctor prints on their letterhead and changes the information written in red.

 

What is Postural Orthostatic Tachycardia Syndrome (POTS)

Postural Orthostatic Tachycardia Syndrome (POTS) is a form of dysautonomia that disrupts blood flow, causing symptoms like dizziness, rapid heart rate, fainting, fatigue, brain fog, and poor temperature regulation—often mistaken for anxiety.

How Normalyte Helps:

Dehydration can worsen POTS symptoms. Normalyte’s medical-grade Oral Rehydration Salts (ORS) are designed to restore hydration and balance electrolytes, helping reduce lightheadedness and fatigue.

First-time user?

Try a FREE sample of Normalyte ORS and feel the difference.

👉 [Get Your Free Sample]

Don't take our word for it

★★★★★

Just what I needed

I like the convenience of the capsules. I can get my sodium in all at once and early in the morning without having to drink a bunch of water plus a hydration pack to feel well. I’ve read some reviews that say these are horse pills, but they are absolutely not. They are smaller than my other supplements and I can take two at a time. I do need to take them with something in my stomach. Plus, the price is so much better than hydration packs from other brands.

Blythe Poston

Maryville, Illinois

★★★★★

Normalyte sodium/ potassium capsules

These work really well for my daughter. The salt tablets the dr prescribed made her really sick to her stomach. These have really helped with her POTS symptoms . Glad we discovered your product!

Patti Kenney

Kalamazoo, Michigan

★★★★★

These keep me going and able to be active. Helped stop having issues with seizures from dehydration (EDS/POTS related) and muscle spasms. So thankful to have found this product!

Carissa 

Portland, Oregon

★★★★★

Love these electrolytes capsules, improve my symptoms more than any other I’ve taken!

Madeline Denman

Chicago, Illinois

★★★★★

My Daughter finds these Helpful

I have these on auto-ship for my daughter - She finds them very helpful. The last two deliveries had a few broken capsules - which make it a little messy. Probably just a fluke...

CV 

Devon, Pennsylvania