Under such an agreement most healthy wic infants may be provided either a milk based or soy based iron fortified infant formula produced by the manufacturer awarded the contract.
Wic approved baby formula arizona.
Wic health partners should fill out the medical request for formula form to request wic formulas for their patients.
Wic state agencies are required by law to have competitively bid infant formula rebate contracts with infant formula manufacturers.
In turn wic state agencies receive a rebate per can of infant formula issued to a wic infant.
Your wic office will let you know the locations where you can use your benefits.
Local wic clinical staff have to review all medical requests for formula which are subject to approval based on wic state agency policy and federal regulations.
Info form yes no conc.
If your baby doesn t do well on similac soy isomil we will work with you and your baby s health care provider to find the formula that is best for your baby.
The arizona supplemental nutrition program for women infants and children wic provides nutrition education and breastfeeding support services supplemental nutritious foods and referrals to health and social services.
Alfamino infant formula is excempt and alfamino junior children s formula is a wic eligible nutritional.
Once completed fax the form to your patient s local wic clinic or print it for the patient to bring to the clinic.
Tell the clinic staff if you would like someone else to be able to pick up or use your wic benefits.
Powder ready to use alfamino infant.
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.
Wic serves pregnant breastfeeding and postpartum women.
Arizona wic approved foods.
Wic participant responsibilities 1 while you shop.
Read your benefits carefully to know which foods you can get.
Below is a list of arizona wic approved foods.
What if my baby doesn t do well on the new contract formula.
18th avenue suite 310 phoenix az 85007 call 1 800 252 5942 to report wic fraud and abuse use our online complaint form call our fraud hotline 866 229 6561 or email us.
Revised 12 11 18 arizona wic program page 3 of 4.
Arizona wic formulary ffy 2020 intended for use by az wic nutritionists rds only in combination with other.
For infants and children with a cow milk.
This means wic state agencies agree to provide one brand of infant formula and in return the manufacturer gives the state agency a rebate for each can of infant formula purchased by wic participants.
And children under the age of five.
Ezwic app arizona wic program or wic shopper app itca wic.
You can check your wic balance at the store by swiping your card at the checkout stand and entering your pin calling the customer service number on your card or using your wic program s shopping app.