Texas wic formulary - May 4, 2024 · Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. For 24/7 breastfeeding support, call 855-550-6667.

 
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March 2024. Enfamil Infant. 663 (PWD) 664 (CON) 665 (RTU) Milk-based Infant Formula: 20 cal/oz, milk-based with prebiotic GOS (Galacto-oligosaccharides) and polydextrose (PDX); 60:40 whey-to-casein ratio; not intended for infants or children with galactosemia. Similar to Similac Advance. Modular: 1 scoop = 1 tablespoon = 8.6 g = 35 cal; 4.1 cal/g; standard serving 2 scoops per 1/2 cup food or water; 40 scoops per can; nutritionally incomplete; macronutrient distribution range per 100 g: 54% carbohydrate, 25% protein, 21% fat; 8% of fat is MCT oil; enriched with L-leucine, 29 vitamins and minerals. Available in PWD (12oz can). Other outlets that participate in the WIC Supplemental Nutrition Program are schools, hospitals, community centers, migrant health centers, county health departments, public housin...WIC Staff are available to assist you Monday through Friday, 8 a.m.-5 p.m. Call toll-free: 800-942-3678. Live Chat with WIC Staff. Text us at 1-855-960-4551. Email WIC [email protected]. Find a WIC office near you. With myWIC you can schedule appointments, upload documents, view the shopping guide, check your benefits and more.Avg Mnthly Participant Count / Average Pate per Participant. 857,404. $ 14.49. Monthly Average General Administration $. $ 12,426,140. * Initial Funding Average Participation (Oct22-Mar23) ** Annualize Gen Adm funding excludes incentives (1) If a LA serves more than one county and the average participation per county is less than 1,000 and the ... All food package changes are the responsibility of a CA or WCS. For WCS, refer to Policy FD:13.0, FD:16.0, FD: 16.1 and FD:19.0 for further instructions regarding food package changes which include formula. III. Individual participant food package benefits will be aggregated on the Texas WIC card. After all family members’ food packages are ... Texas is a great place to live, but it can be expensive to buy a home. Fortunately, there are ways to find a low-cost home in the Lone Star State. Here are some tips to help you fi...Dec 31, 2020 · 30 cal/oz, low levels of milk protein, calcium, potassium, phosphorus and vitamin A. Available in PWD. Formula history required. Can only be issued to women and children. 30 cal/oz, high-protein, lactose-free with fiber; 25% of calories as protein; 25% of fat is MCT oil; 3.5 g fiber/250 mL container. Texas Medical Disclosure Panel Menu button for Texas Medical Disclosure Panel"> Texas Medical Disclosure Panel – Frequently Asked Questions; Health Services Providers Menu button for Health Services Providers"> Breast and Cervical Cancer Services Menu button for Breast and Cervical Cancer Services"> BCCS Med-IT Information; BCCS Provider ...CAD Search. NDC Label Name. CAD Drug NDC. HCPCS Code*. *Miscellaneous HCPCS codes may have multiple corresponding drugs and NDCS listed. HCPCS Description. Relation start date. Enter the date in MM/DD/YYYY format, including leading 0 if needed (e.g., 03/15/2017). Relation End Date.The Texas WIC Formula Team will provide a lunch-and-learn training on Thursday, August 11th instead of the Q and A for the Contract Formula Transition. If you have any questions or require additional information regarding . Texas WIC Policy FD:19.0 – Managing Returned Formula, please contact Gabrielle Serna, WIC Food and Formula Specialist, atFor exempt formulas, health care providers must authorize the specific brand and formulation through the Medical Request Form before it can be issued by the WIC program. Health care providers can provide verbal authorization to change to an alternative brand of formula to WIC staff over the phone, or the provider can complete a new Medical …On Oct. 1, Texas WIC’s new formula contract went into effect. Texas WIC’s contract for milk-based formulas has switched from Abbott Laboratories, the makers of Similac, to Mead Johnson, the makers of Enfamil products. The new contract is only for milk-based formulas. All other formula products remain unchanged. “All WIC participants …Every state has its own laws regarding infant and child car seat use. These standards state the specifics for age, weight and size of the child where their safety is of concern whe...August 2023. Enfamil A.R. 667. Milk-based Infant Formula: 20 cal/oz, milk-based with rice starch; contains prebiotic GOS (Galacto-oligosaccharides) and polydextrose (PDX); 20:80 whey-to-casein ratio; not intended for infants or children with galactosemia. Similar to Similac for Spit-Up.See the Texas WIC Formulary for available therapeutic formulas, which require health partners to fill out a Texas WIC Medical Request for Therapeutic formula. WIC approval is required. See the …Dec 1, 2021 · Two Revised Materials Available: Texas WIC Formula Change Form and Help Your Baby Change to a New Formula. WIC Memo. 21-107 December 1, 2021. 2021 A form for healthcare providers to request formula for WIC participants with medical conditions. Includes information on available formulas, breastfeeding support, and supplemental foods.Enfamil Gentlease 12.4oz PWD. Similac PRO Total Comfort 20.1oz PWD. Enfamil Gentlease 12.4oz PWD. Similac PRO Total Comfort 29.8 PWD. Enfamil Gentlease 12.4oz PWD. Filed under: Baby Formula, Texas WIC, WIC Baby, WIC Food, WIC Grocery Shopping. On Oct. 1, 2022, Texas WIC's new formula contract went into effect. The …If WIC clients are unable to exchange recalled formula or find an alternative at the store, they can contact their WIC office for assistance. WCCHD WIC office locations: Cedar Park. 512-260-4241. [email protected]. Georgetown/ Liberty Hill. 512-943-3680. Texas WIC Formulary. Alfamino Infant. 593. Elemental: 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based. 43% of fat is MCT oil. Similar to Elecare DHA/ARA, Neocate DHA/ARA and PurAmino. Available in PWD (14.1oz can). Condition that impairs digestion/absorption. 2) GI Disorder. TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE JULY 2018 . Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert .Texas WIC Formulary - May 2019 Subject: Texas WIC Formulary and Medical Reasons for Issuance - May 2019 Author: Texas WIC Keywords: Texas, WIC, Formulary, Medical Reasons for Issuance, May 2019 Last modified by: Mcclendon Barbra A Created Date: 10/9/2019 11:31:07 AM Other titles:All food package changes are the responsibility of a CA or WCS. For WCS, refer to Policy FD:13.0, FD:16.0, FD: 16.1 and FD:19.0 for further instructions regarding food package changes which include formula. III. Individual participant food package benefits will be aggregated on the Texas WIC card. After all family members’ food packages are ...Texas WIC helps you buy the foods that you and your children need to stay healthy. The WIC foods in your monthly food package are low in fat, high in fiber, help you get important nutrients, and promote a healthy weight. ... Download the latest Texas WIC formulary (PDF, 487 KB) Disclaimer: Product descriptions and details may vary over time ...Get Variety with Your WIC Foods. Your food package includes foods from this list. Fruits, Vegetables and Juice. Fresh, frozen and canned fruits and vegetables. Vitamin C-rich 100% fruit or vegetable juices. Whole Grains. Whole wheat bread. Corn or whole wheat tortillas. Brown rice.WalletHub selected 2023's best home insurance companies in Texas based on user reviews. Compare and find the best home insurance of 2023. WalletHub makes it easy to find the best I...Additional Medicaid Contact Information. Medicaid Clients and Health Professionals: Call the phone number on the reverse side of the ProviderOne Services Card: 800-562-3022. Medicaid (Health and Recovery Services Administration) Enteral Nutrition Billing Instructions (PDF) New WIC Approved Infant Formula starting on April 2024.Find the latest Texas WIC formulary and formula approval resources for WIC providers and families. Download PDFs or Excel files of food packages, formula guides, forms and aids, and nutrition assessment requirements. See more WIC Policy & Procedures Manual. To download and print individual policies, choose a document on this page. The complete policy and procedures manual is also available for those who wish to download and print the entire manual at once. Complete Policy and Procedures Manual (PDF) the large can size options of Enfamil contract formulas. This formula is available under code 694, effective 1/18/23. This formula will not have additional alternate brand UPCs associated with the formula code and will be available until March 31, 2023. It will appear as 694 – ENFAMIL GENTLEASE PWD 19.9OZ on the WIC shopping list. Items marked "Restricted for WIC Use Only" are reserved for WIC staff. Texas residents: WIC provides up to 50 courtesy copies of print materials per month. You can also print copies using the PDFs provided online. Out-of-state residents: WIC provides one courtesy copy per item. You can print as many copies as you like from items with an online PDF.Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC ofice or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667.RX required for contract and non-contract formulas. Higher amount of formula, no foods due to inability to eat solids-e.g., preemie (FD: 16.1) This food package can be issued prior to 6 months when advance issuing. 896 / 460 fl oz reconst conc 913 / 474 oz RTF 960 / 552 oz reconst powder. 34 / 17 cans formula 28 / 14 cans formula # cans powder ...Learn about the approved foods and food packages for WIC participants in Texas. Find out the nutritional benefits, variety and quantity of foods for different age groups and breastfeeding status.Feb 13, 2023 ... 346 Likes, TikTok video from Texas WIC SPCAA (@texaswicsouthplains): “New update for lactose free milk! #wicmoms #wicshopping #wichaul ...Benefits will begin to transition in TXIN on July 1, 2022 for advance issuance of October benefits. 1. TXIN will automatically transition participants who are receiving Similac benefits to the comparable Enfamil code, based on the below table. This means that the Similac formula in the food package will end date on 09/30/2022 and a new formula ...TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE JULY 2018 . Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer . Calcilo XD Special Medical Conditions 20 cal/oz, lactose and vitamin D-free, low-calcium; nutritionally complete ...Texas WIC Formula Changes Take Effect Oct. 1. On Oct. 1, Texas WIC’s new formula contract went into effect. Texas WIC’s contract for milk-based formulas has switched from Abbott Laboratories, the makers of Similac, to Mead Johnson, the makers of Enfamil products. The new contract is only for milk-based formulas.2) Section B - Formula and WIC Supplemental Foods a. Length of issuance – the HCP can check 3 months, 6 months or fill in a different amount of time. b. A table is provided to fill in the name of the formula, the amount needed per day, the container size and the number of containers needed per month.Getting a Texas real estate license is tough compared to other states. This article will provide step-by-step instructions for the Lone Star State. Real Estate | How To WRITTEN BY:...Standard Contract Formulas. Texas WIC will begin the new contract for the milk-based formula with Mead Johnson, and the soy-based formula with Abbott starting October 1, 2022. Staff may issue the following standard formulas to WIC infants who use formula: Contract Standard Formulas – effective October 1. Formula Code. Formula Name. Type.Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC ofice or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667.Vendor Formula Alternatives – October 2022. UPC. Alternate Options. WIC Product: Enfamil Infant 12.5 oz (663) - NTE $19.26. 050000216673. GERBER GS GENTLE PWD 12.7OZ. 070074559582. SIMILAC ADVANCE PWD 12.4OZ.WIC-34Pashto Texas WIC Shopping Guide Pashto (PDF) WIC-34-1 Shopping Guide for Infant Formula English/Spanish (PDF) WIC-34-1V Shopping Guide for Infant Formula Vietnamese (PDF) Download Only; Posters. WIC-34P Texas WIC Approved Foods Poster English (PDF) WIC-34PA Texas WIC Approved Foods Poster Spanish (PDF) …WIC-34 WIC Approved Foods Shopping Guide FY23. TEXASWIC. SHOPPING GUIDE. Effective October 1, 2022. 1. Look for the pink. WICsticker on milk, juice, cheese and bread. Before You Shop. Look through this guide before you shop to see the brands of food you can buy with your Texas WIC Card.Additional Texas WIC Online Resources: Please visit htp://www.texaswic.org. Here you will find: Texas WIC Medical Request for Formula/Food form. Texas WIC Metabolic Request for Formula/Food form. Texas WIC Formulary. This institution is an equal opportunity provider. 2016 Department of State Health Services. Nutrition Services Section.Medicare is a federal health insurance program that provides coverage for millions of Americans aged 65 and older, as well as certain younger individuals with disabilities. One cru...All food package changes are the responsibility of a CA or WCS. For WCS, refer to Policy FD:13.0, FD:16.0, FD: 16.1 and FD:19.0 for further instructions regarding food package changes which include formula. III. Individual participant food package benefits will be aggregated on the Texas WIC card. After all family members’ food packages are ...Feb 13, 2023 ... 346 Likes, TikTok video from Texas WIC SPCAA (@texaswicsouthplains): “New update for lactose free milk! #wicmoms #wicshopping #wichaul ... HHSC requires managed care organizations to adhere to the Medicaid and CHIP formularies. These formularies include: Legend drugs. Over-the-counter drugs. Refer to the Pharmacy Provider Procedure Manual for more information about other products available as a pharmacy benefit, including: COVID-19 vaccines. COVID-19 test kits. According to Walmart’s coupon policy, WIC purchases are accepted by all Walmart stores. However, certain restrictions apply to these purchases and vary based on the purchase and lo...Texas WIC helps you buy the foods that you and your children need to stay healthy. The WIC foods in your monthly food package are low in fat, high in fiber, help you get important nutrients and promote a healthy weight. WIC helps you buy many of the healthy foods already on your grocery list. You will still need to buy some food (or formula) on ...Texas WIC Medical Request for Therapeutic Formula. The Texas WIC Program encourages mothers to breastfeed their babies for the frst year of life, with the addition of complementary foods around six months. When infant formula is necessary or requested, WIC provides contracted formulas or requires a medical request for …See the Texas WIC Formulary for available therapeutic formulas, which require health partners to fill out a Texas WIC Medical Request for Formula/Food Form. WIC approval is required. See the Formula Prescriptions page for forms and other formula-related documents.Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC ofice or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667. August 2023. Enfamil A.R. 667. Milk-based Infant Formula: 20 cal/oz, milk-based with rice starch; contains prebiotic GOS (Galacto-oligosaccharides) and polydextrose (PDX); 20:80 whey-to-casein ratio; not intended for infants or children with galactosemia. Similar to Similac for Spit-Up. Todo lo que Tienes que Saber Acerca de Comprar con WIC de Texas — Spanish (26:22 min, YouTube) Texas WIC Approved Foods Poster. WIC-34P Texas WIC Approved Foods Poster English (PDF) WIC-34PA Alimentos aprobados de WIC de Texas Spanish (PDF) Texas WIC Shopping Guides. WIC-34 Texas WIC Shopping Guide English (PDF) HHSC requires managed care organizations to adhere to the Medicaid and CHIP formularies. These formularies include: Legend drugs. Over-the-counter drugs. Refer to the Pharmacy Provider Procedure Manual for more information about other products available as a pharmacy benefit, including: COVID-19 vaccines. COVID-19 test kits. On Oct. 1, Texas WIC’s new formula contract went into effect. Texas WIC’s contract for milk-based formulas has switched from Abbott Laboratories, the makers of Similac, to Mead Johnson, the makers of Enfamil products. The new contract is only for milk-based formulas. All other formula products remain unchanged. “All WIC participants …Additional Medicaid Contact Information. Medicaid Clients and Health Professionals: Call the phone number on the reverse side of the ProviderOne Services Card: 800-562-3022. Medicaid (Health and Recovery Services Administration) Enteral Nutrition Billing Instructions (PDF) New WIC Approved Infant Formula starting on April 2024.Maximum Monthly Allowances of Supplemental Foods for Infants in Food Packages I, II and III. Fully Formula fed. Partially Breastfed. Fully Breastfed. Foods. Food PackagesI and III A: 0-3 months B: 4-5 months. Food PackagesII and III 6-11 months. Food PackagesI and III A: 0 to 3 months B: 4-5 months. Food PackagesII and III 6-11 months.Avg Mnthly Participant Count / Average Pate per Participant. 857,404. $ 14.49. Monthly Average General Administration $. $ 12,426,140. * Initial Funding Average Participation (Oct22-Mar23) ** Annualize Gen Adm funding excludes incentives (1) If a LA serves more than one county and the average participation per county is less than 1,000 and the ... All food package changes are the responsibility of a CA or WCS. For WCS, refer to Policy FD:13.0, FD:16.0, FD: 16.1 and FD:19.0 for further instructions regarding food package changes which include formula. III. Individual participant food package benefits will be aggregated on the Texas WIC card. After all family members’ food packages are ... Breastfeeding and Formula Feeding. WIC is here to help you meet your breastfeeding goals. Starting or increasing formula can decrease your breastmilk supply. If you need help maintaining your supply, please talk to someone at your local WIC clinic or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667. Food Packages - Effective August 1, 2022. Fully Breastfeeding Infants (6 months to 11 months) Fully Breastfeeding Infants (6 months to 11 months) Infant cereal. Fully Breastfeeding Infants (6 months to 11 months) 24 ounces. See the Texas WIC Formulary for available therapeutic formulas, which require health partners to fill out a Texas WIC Medical Request for Formula/Food Form. WIC approval is required. See the Formula Prescriptions page for forms and other formula-related documents.found easily. This database is intended to be a resource for Regional offices and WIC staff at State and local agencies. Disclaimer for WIC Formula Database As a courtesy, FNS has determined that the products listed in this database meet the minimum Federal requirements for eligibility in the WIC Program as an infant formula, exempt infant ...TEXAS WIC APPROVED FOODS SHOPPING GUIDE Choose Any Brand • 16 to 18 oz. jar • Creamy or crunchy NOT WIC APPROVED: ... Cereal with fruit, formula, DHA, added ingredients, or organic. Exclusively Breastfeeding Infants 6 …Benefits will begin to transition in TXIN on July 1, 2022 for advance issuance of October benefits. 1. TXIN will automatically transition participants who are receiving Similac benefits to the comparable Enfamil code, based on the below table. This means that the Similac formula in the food package will end date on 09/30/2022 and a new formula ...Texas is a great place to find affordable housing. With its large population and diverse economy, there are plenty of options for those looking to purchase a home on the cheap. Her...Big winner. If you’re looking for US growth, look to the Lone Star state. Despite its cinematic reputation as a land of wide-open spaces—which it is—Texas’ cities are some of the f... HHSC requires managed care organizations to adhere to the Medicaid and CHIP formularies. These formularies include: Legend drugs. Over-the-counter drugs. Refer to the Pharmacy Provider Procedure Manual for more information about other products available as a pharmacy benefit, including: COVID-19 vaccines. COVID-19 test kits. IF YOUR TEXAS WIC CARD doesn’t work, call your local WIC staff or take it to the clinic. IF YOUR WIC CARD IS LOST OR STOLEN. call and report it to 1-800-942-3678 so WIC can cancel your card and protect your benefits. It can take up to 3 days for the WIC clinic to get you a new card.Formula Prescriptions. Infant Feeding Options. Partner Resources. Texas Ten Step Program. Search. You are here. ... Maya, The Texas WIC Chatbot. Close. Chat with Maya. Footer menu. How To Apply; Newsletter Sign-Up; Find a WIC office; Contact Us; Call 800-942-3678 to learn more about Texas WIC. Sub Footer.Download and print individual WIC policies and procedures, or print the entire manual. ... CS:12.0 Texas WIC Income Guidelines (Rev. 04/01/24) CS:15.0 Certifying Authority ... FD:16.1 Issuance of Formula Food Packages and Transfer Scenarios (Rev. 05/01/23) FD:18.0 Drop Shipment of Formula ...Top 5 Things Moms Love About Texas WIC. Contact Us. Resources. WIC In the News. Apply. ... Formula Prescriptions. Infant Feeding Options. Partner Resources. Texas Ten ...May 4, 2024 · WIC Texas is a program that provides healthy foods, breastfeeding support, nutrition classes and other resources for pregnant and breastfeeding families. Learn how to apply, get benefits, access online classes, and find local resources on the WIC website. Avg Mnthly Participant Count / Average Pate per Participant. 857,404. $ 14.49. Monthly Average General Administration $. $ 12,426,140. * Initial Funding Average Participation (Oct22-Mar23) ** Annualize Gen Adm funding excludes incentives (1) If a LA serves more than one county and the average participation per county is less than 1,000 and the ...The cost of living in Texas varies from city to city. Still, there are commonalities across the state, like the absence of state income taxes. Calculators Helpful Guides Compare Ra...Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. For 24/7 breastfeeding support, call 855-550 …Feb 5, 2021 ... Real moms, Nayeli and Claire, talk about continuing to add new foods into your baby's diet. Learn about moving from pureed foods to mashed ...Formula Prescriptions. Infant Feeding Options. Partner Resources. Texas Ten Step Program. Search. You are here. Home; Health & Nutrition; Health & Nutrition ... Maya, The Texas WIC Chatbot. Close. Chat with Maya. Footer menu. How To Apply; Newsletter Sign-Up; Find a WIC office; Contact Us; Call 800-942-3678 to learn more …Texas WIC provides benefits for pregnant, breastfeeding and postpartum women and children up to 5 years old. Learn about WIC foods, recipes, classes, online resources and more.

Texas is a great place to live, but it can be expensive to buy a home. Fortunately, there are ways to find a low-cost home in the Lone Star State. Here are some tips to help you fi.... Lake 7

texas wic formulary

On Oct. 1, Texas WIC’s new formula contract went into effect. Texas WIC’s contract for milk-based formulas has switched from Abbott Laboratories, the makers of Similac, to Mead Johnson, the makers of Enfamil products. The new contract is only for milk-based formulas. All other formula products remain unchanged.Breastfeeding and Formula Feeding. WIC is here to help you meet your breastfeeding goals. Starting or increasing formula can decrease your breastmilk supply. If you need help maintaining your supply, please talk to someone at your local WIC clinic or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667.Getting a Texas real estate license is tough compared to other states. This article will provide step-by-step instructions for the Lone Star State. Real Estate | How To WRITTEN BY:...There are three biomes found in Texas: grasslands, desert and southern pine forest. Grasslands make up the bulk of the Texas, with desert in southwest Texas and forest in southeast...2) Section B - Formula and WIC Supplemental Foods a. Length of issuance – the HCP can check 3 months, 6 months or fill in a different amount of time. b. A table is provided to fill in the name of the formula, the amount needed per day, the container size and the number of containers needed per month.formula may issue the food and formula previously issued in the other state for one month and refer them to a Texas HCP for a new prescription. Document formula and reason needed. Ensure the reason is comparable to the Texas WIC Formulary. b. Contact the state agency if there are questions about the appropriate supplemental foods needed. B.WIC agencies serving participants in your area. How to Apply to Participate in WIC. Contact the USDA Food and Nutrition Service Public Information Staff at 703-305-2286, or by mail at 1320 Braddock Place, Suite 300, Alexandria, Virginia 22314. Page updated: March 26, 2024.WellCare Medicare formulary is a comprehensive document that lists all of the medically necessary drugs WellCare covers and Medicare and Medicaid require, according to WellCare. Th...The Texas Drug Code Index includes program-specific formularies for Medicaid, the Children’s Health Insurance Program (CHIP), the Children with Special Health Care Needs (CSHCN) Services Program, the Healthy Texas Women (HTW) Program, and Kidney Health Care (KHC) Program. ... Jan. 2024 Preferred Drug List Updated. May 8, 2024 Change …TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE MAY 2019 Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer Alfamino Infant Elemental 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based elemental. …Texas WIC Medical Request for Therapeutic Formula. The Texas WIC Program encourages mothers to breastfeed their babies for the frst year of life, with the addition of complementary foods around six months. When infant formula is necessary or requested, WIC provides contracted formulas or requires a medical request for therapeutic formulas..

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