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