Prescribing Donor Milk

Pasteurized Donor human milk (PDHM) is dispensed to outpatients by prescription only. Order here. The highest priority recipients are preterm and ill hospitalized infants. All infants who have a medical need for human milk can obtain donor human milk by prescription or via their hospital. If it is ordered by the hospital as standard of care, a prescription is not needed. Individual infants that are hospitalized in a hospital that is not currently using PDHM as standard of care do need a prescription. Common diagnoses include:

Nutritional uses

  • preterm birth
  • failure to thrive
  • malabsorption syndromes
  • short-gut syndrome
  • renal failure
  • inborn errors of metabolism

Preventative uses

  • necrotizing entercolitis (NEC)
  • Crohn’s disease
  • colitis
  • allergies or intolerance to cow and soy milk
  • immune suppression therapy
  • pre- or post-surgical nutrition and immunological support
  • cardiac problems
  • bronchopulmonary dysplasia
  • pediatric burn patients

Medicinal/therapeutic uses

  • treatment for infectious diseases (intractable diarrhea, gastroenteritis, infantile botulism, sepsis, pneumonia, hemorrhagic conjunctivitis)
  • post-surgical healing (omphalocele, gastroschisis, intestinal obstruction, bowel fistula, colostomy repair)
  • immunodeficiency diseases (severe allergies, lgA deficiencies)
  • inborn errors of metabolism
  • organ transplants (including adults)
  • non-infectious intestinal disorders (ulcerative colitis, irritable bowel syndrome)
  • intrauterine drug exposure