WIC Vendor - Pharmacy - Authorization

Contact Email

Phone

608-266-6912
WIC Vendor Management
PO BOX 2659
Madison, WI 53701-2659

Type

Authorization

Description

Authorization to sell infant formulas to participants of the Special Supplemental Nutrition Program for Women, Infants and Children (WIC).

Duration

Three years.

Fees

None

Prerequisites

  • Pharmacy must be located in Wisconsin;
  • Charge reasonable prices for infant formulas - prices charged for WIC foods formulas must not exceed 115% of the average prices charged by other vendors in the Local WIC Project service area; 
  • Must agree to order formulas requested by WIC projects or participants; 
  • Acceptable history with WIC, the Food Stamp Program, and other food and nutrition programs of the United States Department of Agriculture; 
  • Must have satisfactory site visit; and 
  • Complete a training session.

    Also see our website How to Become a WIC Vendor.

Application Process

Please see our website How to Become a WIC Vendor.

Print ALL documents for a complete application packet

Required Documentation

  • Proof of ownership of the business;
  • Copy of pharmacy license; and
  • Registration with the Department of Financial Instituitions (DFI) of any corporation or partnership.

Instructions

Included with application forms.

WI Statutes

Federal Title 7 CFR Part 246, Special Supplemental Nutrition Program for Women, Infants and Children and
Wisconsin Statute 253.06, State supplemental food program for women, infants, and children.

WI Administrative Code

HFS 149, WIC Vendors

Additional Information

For a program overview, visit the WIC website

Last Revised: November 24, 2014