WebThe list of exempt infant formulas and WIC-Eligible Nutritionals allowable can be found here . WIC Medical Documentation is required to provide any products on this list. WIC Medical Documentation can be given to the patient to bring to the WIC office or faxed to 336-641-4617 (Greensboro) 336-641-6961 (High Point). WebTEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE October 2024. Formula Name Formula Code Description Qualifying Conditions. Staff Guidance Manufacturer/ Packaging* Alfamino Infant 593. Elemental: ... Approval Authority: Local Agency - Formula-certified WCS Abbott Code 598: 6 cans/case
IOWA WIC PROGRAM REQUEST FOR SPECIAL FORMULA AND FOOD
WebHealth care providers must fill out the WIC Medical Documentation Form for Formula (pdf). To ensure our program continues to offer the highest level of services we have created a … Web1 feb. 2024 · On Nov. 8, 2024, FNS published WIC Policy Memorandum #2024-1 Abbott Infant Formula Waiver Expiration Schedulewhich extended active waivers to Jan. 31, … ready cloud ready returns
Iowa WIC Program Formulas Not Approved November 2024
WebGeorgia WIC Formulary A complete listing of approved formulas and nutritionals for the Georgia Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Revised December 2024 Page 3 of 4 Formula Manufacturer NutriHep Nestlé Nutrition Osmolite 1.0 Abbott Nutrition Osmolite 1.2 Abbott Nutrition PediaSure Enteral WebYour office may have clients request the form be filled out for their next WIC appointment, or it can be used to refer a new client who would benefit from WIC’s services. To schedule a WIC appointment, please call 1-855-472-3432. Download the complete list of South Carolina WIC Approved Formulas (pdf). Web2 feb. 2024 · WIC state agencies may add these formulas to their state approved lists if the state agency has: opted into the imported formula enforcement discretion … how to take a screenshot in webex