List of contract and non-contract formulas in Georgia.The fillable form can be saved, printed, signed, and then faxed/delivered to the local WIC clinic.Instructions and resources for form completion are included on page 2.Use this form to prescribe special formulas and/or medical foods and to approve the WIC foods allowed based on a patient’s medical condition(s).*The state of Georgia supports breastfeeding as the preferred method for infant feeding. A medical prescription is required in order for an infant with special dietary needs to receive an exempt, non-contracted formula. Infants with special dietary needs may receive an appropriate alternative formula, according to Georgia’s WIC policies and federal regulations. Under this agreement, non-breastfeeding infants enrolled in WIC may receive either a milk-based or soy-based iron-fortified infant formula produced by the contracted manufacturer. In Georgia, infant formula manufacturers competitively bid for the sole-source WIC contract every three years. The Georgia WIC Program reviews the Georgia WIC Approved Formulas list quarterly. State WIC agencies are then responsible for identifying the types and brands of infant formulas for use in their WIC Programs. Infant Formula/ Medical Foods Information*įederal regulations for the WIC Program define minimum requirements for WIC-eligible infant formula. Office of Health Indicators for Planning (OHIP) Pregnancy Risk Assessment Monitoring System (PRAMS) Occupational Health and Safety Surveillance

Wic approved milk brands