Alabama wic child woman formula prescription.
Wic approved baby formula alabama.
The need for ready to use formula will be addressed by the wic program.
Enter date form is being completed.
Below is the list of alabama wic eligible foods based off of federal requirements.
Canned frozen fruits and vegetables.
The georgia wic program reviews the georgia wic approved formulas list quarterly.
Enter name of the infant requiring the non contract formula.
Medical documentation includes an appropriate qualifying medical condition medical reason for the formula quantity ounces day length of use and food restrictions.
Other infant formulas may be available based on individual need.
The following foods must comply with the fda standards of identity.
Alabama wic is still open for business and has modified services throughout the state to help keep wic families and staff safe.
This state must use these requirements when creating the alabama wic food list.
Pregnant women postpartum mothers and early age children are at critical development stages in their lives.
When you go shopping at a grocery store remember to bring your wic id folder along with your checks vouchers or your ewic card depending on what the state gives you.
Prescription is subject to wic approval based on program policy.
I infant less than 1 year.
Revised october 2012 wic eligible formulas policy.
Infant food formula and canned food beverages juice and soy based drinks wic approved foods.
Date participant s name date of birth.
Fruit and vegetable juices.
Infant formula medical foods information federal regulations for the wic program define minimum requirements for wic eligible infant formula.
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.
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.
Mississippi wic approved foods.
State wic agencies are then responsible for identifying the types and brands of infant formulas for use in their wic programs.
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.
Below is a list of mississippi wic approved foods.
All flavors are approved for nys wic eligible formula products.