Breast Pump Request Form
Thank you for choosing to obtain your breast pump at MilkWorks - your nonprofit community breastfeeding center! We are in-network with all major private insurance plans and Nebraska Medicaid for high quality, double electric breast pumps and our Pump Service Plan is provided with all of our Personal Use Pumps (PUPs). Please fill out the form below to start your breast pump order.
Note: an actual person processes this request and it may take up to 2 business days.
We ALWAYS encourage that you call your insurance provider to verify that a breast pump is a covered benefit under your plan as we cannot guarantee coverage. Please bring your insurance card and a prescription from your healthcare provider. Prescription template can are found here.