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#WIC FORMULA PDF#

The ready to feed form improves the participant’s compliance in consuming the prescribed WIC formulaįor information on RTF forms of specific formulas, consult the appropriate section of the WIC formulary.What Does WIC Provide? COVID-19 Crisis UPDATE:.

The ready to feed form better accommodates the participant’s condition.

Participants with a prescription for a medically necessary formula (non-standard formula, exempt formula, WIC-eligible nutritional) may be provided RTF formula for the following additional reasons:

The formula is only available in ready-to-feed form.

The person caring for the participant may have difficulty in correctly diluting concentrated or powdered formulas.

The participant's household has an unsanitary or restricted water supply or poor refrigeration.

WIC staff may provide ready to feed (RTF) infant formulas for a WIC participant only when assessment determines that at least one of the following conditions exists: Provision of Ready To Feed (RTF) formulas:

Failure to Thrive Formulas for Children (PDF).

Hypoallergenic and Malabsorption Formulas (PDF).

Preterm, Low Birth Weight and Failure to Thrive Formulas for Infants (PDF).

Standard Contract Formulas (Cow's Milk, Soy and Added Rice Starch) (PDF).

If your organization has a request for an exempt formula or qualifying nutritional, please forward the formula information and include the UPC and formula product label (manufacturer product website page, if possible) to Only contract brand standard formulas can be provided. These reviews take place in June and January.

All prescription formula request for items not included on our Formulary are evaluated biannually through an internal submission review process. The Maine CDC WIC Formulary includes standard and medical formulas. Maine CDC WIC Nutrition Program Formulary - Updated October 2021

Thank you for all you do to assist in identifying families in your practice who may benefit from Maine's nutrition programs. If you would like hard copies of any of these materials, do not hesitate to contact the Maine CDC WIC Nutrition Program office at 20 or send your request to us at /dhhs/mecdc/population-health/wic/contact.shtml. Maine Physician Mailing (PDF) Single page outline for referring patients to WIC.Maine Infant and Toddler Profile (PDF) Single page outline for referring patients to WIC.WIC Food Referral Chart (PDF) Includses referral websites and phone numbers.Maine WIC Outreach Brochure (PDF) Includes local WIC office contacts.USDA WIC Overview/FAQ (PDF) Common WIC questions and answers.The Health Care Provider toolkit can help you in your work with the patients you see every day. Health care providers can help to identify those families who need assistance with this most basic of needs. Health Care Provider Food Insecurity Toolkitįood insecurity is a real issue for Maine families. Call us at 20 or email to request copies of our WIC brochure to assist in referring patients to WIC or copies of our WIC infographic to share the importance of WIC with your colleagues and staff. Referring your patients to WIC for a continuity of prenatal and postpartum care helps ensure moms and babies are receiving breastfeeding support, good nutrition guidance and the critical opportunity to raise healthy families. We don't have to tell you twice…Appropriate prenatal care for your patient is critical for health pregnancy outcomes.

OB-GYNs and Maine WIC: a vital partnership The standard Abbott Similac contract formulas that were previously 19kcals/oz (Sensitive, Total Comfort, and Spit-Up) have been reformulated to 20kcals/oz and no longer require our Standing Order Form. Fax it to your local WIC office or to the State WIC Agency by e-faxing to or traditional fax at 20.

#WIC FORMULA PDF#

Download the form in Word or PDF format.

Health care providers, please follow these steps: This form is required before non-standard/medical formula can be provided to WIC participants. Medical Documentation and Prior Authorization Form