Formula Resources

As of October 1, 2016, the Connecticut WIC Program provides Abbott Laboratories® Similac® Advance® or Similac® Isomil® Soy for healthy infants from birth to twelve months of age; whose mothers choose not to breastfeed or partially breastfeed or for whom breastfeeding is medically contraindicated.


WIC can also provide women, infants and children with special/exempt formulas, such as hypoallergenic, hypercaloric, elemental, and metabolic formulas with an appropriate nutrition related ICD-10 code medical diagnosis. 


This page provides Connecticut WIC staff with formula resources in one place.  Resources posted to this page are intended for State and local agency staff only.  Additional information on Connecticut WIC Program formula can be found in Section 400 of the State Plan.


Formula Resources: Approved Contract and Specialized Formulas-Medical Food Listing April 2021


Numbered Memos

17-022 Changes to CT WIC Program Formulary for Infant Formula and WIC Eligible Medical Foods

16-022 October 1, 2016 Contract Formula transition notification

16-015 Formula Changes

Similac formula changes

SPANISH Similac Formula changes


Infant Formulas

Standard Cow's Milk and Soy Formulas

Similac For Spit-Up Formula Information

Hypoallergenic Formulas for Infants

Malabsorption Formulas for Infants

Preterm Infant Formulas

Human Milk Fortifiers

Infant Formula for Mild Intolerance
Children Formulas   
Other Medical Food for Infant and Children

Forms and Aids

2016 Similac Product Portfolio Update

CT WIC Infant Formula Conversion Guide

WIC 400-11 Medical Documentation Form Instructions 3-2021

WIC 400-11 Medical Documentation Form - Infants & Children Fillable 3-2021

WIC 400-11 Medical Documentation Form - Women Fillable 3-2021

WIC 400-11 Special Formula Guidelines for Clinicians 3-2021

Additional References

WIC 400-10 Connecticut WIC Approved Formula and Medical Foods

WIC 400-11 Use of Medical Documentation Form

Special Formula Product Code List

Formula Presentation 10-30-14

FDA Infant formula safety and preparation      

Spanish Infant formula safety and preparation (La FDA toma el paso final para proteger la fórmula para lactantes)

Updates on non-Connecticut WIC Approved products: periodically, Connecticut receives information about non-Connecticut WIC approved products. This information will be posted here.