Infant formula medical foods information federal regulations for the wic program define minimum requirements for wic eligible infant formula.
Wic approved baby formula alabama.
This state must use these requirements when creating the alabama wic food list.
O wic will provide the maximum amount of the alternate similac formula according to infant category and breastfeeding status until the infant reaches 1 year of age.
Medical documentation includes an appropriate qualifying medical condition medical reason for the formula quantity ounces day length of use and food restrictions.
Below is a list of mississippi wic approved foods.
Alabama wic is still open for business and has modified services throughout the state to help keep wic families and staff safe.
Prescription is subject to wic approval based on program policy.
Enter date form is being completed.
Revised october 2012 wic eligible formulas policy.
Canned frozen fruits and vegetables.
Infant food formula and canned food beverages juice and soy based drinks wic approved foods.
Enter name of the infant requiring the non contract formula.
Alabama wic infant formula prescription adph wic 111a instructions for completion of form important only this form will be accepted by wic clinics for special formula requests date.
Other infant formulas may be available based on individual need.
I infant less than 1 year.
Some of these formulas require a medical prescription as well as approval by the state or local agency wic program.
The need for ready to use formula will be addressed by the wic program.
O if the infant can t tolerate baby foods between 6 12 months of age wic can provide additional formula in lieu of baby foods if the infant has a qualifying medical diagnosis.
State wic agencies are then responsible for identifying the types and brands of infant formulas for use in their wic programs.
Mississippi wic approved foods.
The following foods must comply with the fda standards of identity.
Date participant s name date of birth.
Fruit and vegetable juices.
To find your local clinic or to learn more about the wic program download our free alabama wic app in your app store call 1 888 942 4673 or e mail wic adph state al us.
Icd 10 code and or medical diagnosis federal regulations prevent formula issuance solely for enhancing nutrient intake or managing body weight with no underlying condition.
The items that fall within the wic food guide are included in this list because they are regarded as economical healthy food items.
Below is the list of alabama wic eligible foods based off of federal requirements.
The georgia wic program reviews the georgia wic approved formulas list quarterly.
Alabama wic child woman formula prescription.
