Department of Health Services Logo

 

Wisconsin Department of Health Services

WIC Home

Who is eligible for WIC

Income Guidelines

Benefits

Nutrition Education

Breastfeeding

Farmers' Market

Vendor Information

Contact Us

Wisconsin WIC Program

Formula, Medical Food and Other Prescription-Required Product Information

Formulas, medical foods and other products are provided to individuals in the following categories.

  • Infants  
    Birth through 12 months of age

  • Children  
    1 through 4 years of age

  • Pregnant Women  
    Up to 6 weeks postpartum

  • Postpartum Women  
    Breastfeeding:  up to 12 months after delivery; 
    non-breastfeeding: up to 6 months after delivery

The Wisconsin WIC Program actively promotes and supports breastfeeding as the norm for infant feeding. Breastmilk provides superior nutrition and immunological benefits, and fosters close parent/child relationships. When a mother decides to breastfeed partially, or not to breastfeed, WIC provides formula. WIC also provides several specialized formulas and medical foods when required for the treatment of a medical condition.

Standard Contract Formulas for Infants

For routine formula feeding, the Wisconsin WIC Program provides only the following Nestlé® Good Start® baby formulas. No standard Similac or Enfamil formulas will be given.

  • Gentle
    Milk-based

  • Soy
    Soy-based, milk-free, lactose-free

Also available:

  • Soothe
    Milk-based, low-lactose, with probiotic cultures

Products Requiring Prescriptions (Revised 06/12)

The Wisconsin WIC Program provides the products listed below when prescribed by a physician, physician assistant, or advanced practice nurse prescriber for treatment of allowable medical conditions. Examples of allowable medical conditions are included below. 

For more information on the products listed (e.g., indications for use, contraindications, maximum quantities per month, and average amounts per day), consult the page for health care providers.

  • Standard contract infant formulas (listed above)
    For children on/after their first birthday for prematurity or developmental delays.

  • Enfamil Enfacare
    For infants and children for prematurity.

  • Similac Expert Care NeoSure
    For infants and children for prematurity.

  • Enfamil Nutramigen with Enflora LGG or Enfamil Nutramigen LIPIL
    For infants and children with protein intolerance or severe or multiple allergies.

  • Similac Expert Care Alimentum
    For infants and children with protein intolerance, severe food allergies, fat malabsorption due to cystic fibrosis, or short bowel syndrome.

  • Enfamil AR
    For infants and children with Gastroesophageal Reflux.

  • Enfamil Pregestimil
    For infants and children with fat malabsorption due to cystic fibrosis, short bowel syndrome, biliary atresia, severe protein calorie malnutrition, or galactosemia.

  • Elecare Infant DHA & ARA (Unflavored) 
    For infants with severe food allergies, short bowel syndrome, or gastrointestinal impairment.

  • Elecare Jr. (Unflavored/ Vanilla) 
    For children with severe food allergies, short-bowel syndrome, eosinophilic disorders, or GI tract impairment.

  • Neocate Infant DHA & ARA (Unflavored)
    For infants and children with severe food allergy to cow’s milk and soy milk, or multiple food protein intolerances; short bowel syndrome, esophagitis, or Gastroesophageal Reflux.

  • PediaSure (Various Flavors) and PediaSure with Fiber 
    For children with medical conditions that limit food intake or increase nutrient requirements, such as cancer.

  • PediaSure 1.5 Cal.
    For children who need more calories in less volume or who are at risk for malnutrition.

  • PediaSure Peptide 1.0 Cal.
    For children with malabsorption, maldigestion or impaired GI function.

  • Ensure Nutrition Shake and Ensure Plus (Various Flavors) 
    For women with medical conditions that limit food intake or increase nutrient requirements, such as cancer.

  • Boost: Original, Plus, High Protein 
    For women with medical conditions that limit food intake or increase nutrient requirements, such as cancer.

  • Whole Milk 
    For children 2-4 years old and women with medical conditions that limit food intake or increase nutrient requirements, such as cancer, or conditions that increase requirements for fat versus carbohydrates.

Examples of NOT ALLOWED CONDITIONS include intolerance symptoms such as spitting up, constipation, diarrhea, or rashes; and managing body weight without an underlying medical condition. No other products besides those listed above are provided.

For specialized products not listed above, talk to your doctor about coverage by Medicaid/BadgerCare Plus, your private insurance, or the manufacturer. 

The Regional Centers for Children with Special Health Care Needs can help families and providers with information and referral for case management and technical assistance to meet the needs of children with special health care needs.

If you have any questions about products and services provided by WIC, talk to your WIC Registered Dietitian or Nutritionist. 

Last Revised:  March 31, 2014