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change formula on wic. Exempt formula WIC-Eligible Nutritionals andor greater amounts of contract formula for infants 6 months or older unable to tolerate solid infant foods Medical documentation includes an appropriate qualifying medical conditionmedical reason for the formula quantity ouncesday length of use and food restrictions. The brand of infant formula provided by WIC varies by state agency depending on which company has the rebate contract in a particular state.
If vendors wish to purchase infant formula from a source that is not listed they must contact the state WIC office in Tallahassee to receive prior approval. WIC Approved Formulas Standard Formulas. TXIN Maximum Formula Quantity Table Infant December 2020 PDF Formula Forms and Aids.
Exempt formula WIC-Eligible Nutritionals andor greater amounts of contract formula for infants 6 months or older unable to tolerate solid infant foods Medical documentation includes an appropriate qualifying medical conditionmedical reason for the formula quantity ouncesday length of use and food restrictions.
WIC Approved Formulas Standard Formulas. The current Virginia WIC Formulary of approved FormulasNutritionals can be found at. Texas WIC Medical Request for FormulaFood 92017 PDF Mixing Similac Advance or Similac Soy Isomil to 22 Calories per Ounce PDF Mixing Similac Advance or Similac Soy Isomil to 24 Calories per Ounce PDF Information About Metabolic Formula. The Georgia WIC Program reviews the Georgia WIC Approved Formulas list quarterly.