WIC Formula Resources
Infant Formula/ Medical Foods Information*
Federal regulations for the WIC Program define minimum requirements for WIC-eligible infant formula. State WIC agencies are then responsible for identifying the types and brands of infant formulas for use in their WIC Programs. The Georgia WIC Program reviews the Georgia WIC Approved Formulas list quarterly.
In Georgia, infant formula manufacturers competitively bid for the sole-source WIC contract every three years. 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. Infants with special dietary needs may receive an appropriate alternative formula, according to Georgia’s WIC policies and federal regulations. A medical prescription is required in order for an infant with special dietary needs to receive an exempt, non-contracted formula.
*The state of Georgia supports breastfeeding as the preferred method for infant feeding.
Georgia Medical Documentation Form #1 updated September 2016
- 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)
- Instructions and resources for form completion are included on page 2
- The fillable form can be saved, printed, signed and then faxed/delivered to the local WIC clinic
Georgia WIC Approved Formulas Effective March, 2020
- List of contract and non-contract formulas in Georgia.
Georgia WIC Formula Guide Effective March, 2020
- Condensed list of approved and not approved formulas for use in Georgia
- Formula questions can be directed to Georgia WIC at firstname.lastname@example.org
- Contact information for Georgia Department of Public Health, Office of Nutrition and Georgia Chapter, American Academy of Pediatrics
Common Formula Package Maximums Effective March, 2020
- List of commonly used formulas and allowed quantities based on participant’s age.
- Intended for use in calculating the number of ounces in a can of formula when reconstituted.
- Useful resource when creating special formula food packages.
- Includes additional information such as package size, manufacturer, and flavors.
Formula Algorithm for Infants on Georgia WIC (Revised 2017)
- Breastfeeding should be promoted as the optimal feeding method for infants. This guide can assist you in prescribing formulas when breastfeeding is not desired, if supplemental formula is introduced, or if breastfeeding is medically contraindicated. Breastfeeding should be considered and encouraged when common conditions arise with guidance from a physician and lactation consultant.
- For infants, Georgia WIC promotes and supports breastfeeding as the standard for infant feeding. Breastfeeding should be promoted as the optimal feeding method for infants. This guide can assist you in prescribing formulas when breastfeeding is medically contraindicated, supplementation is requested or supplemental formula is introduced. Breastfeeding should be encouraged through common challenges with appropriate referrals for breastfeeding support to WIC Designated Breastfeeding Experts (DBEs), including, Peer Counselors, WIC Competent Professional Authorities (CPA's), and/or Lactation Consultants.
Links to Partner Websites
- Georgia Academy of Family Physicians
Women, Infants, and Children (WIC)
2 Peachtree Street, NW
Atlanta, GA 30303
Participants should call: (800) 228-9173
Vendors should call: (866) 814-5468
Office of the Inspector General
Email Reports of Fraud, Waste & Abuse
Page last updated 3/26/2020