Formula Resources
Please also see Medical Providers page for more information on WIC Formulas.
Although Medicaid is the first payor for dually enrolled participants, the Connecticut WIC Program has comparable products available for participants that require this type of formula on the Approved Contract and Specialized Formulas-Medical Food Listing found below.
Formula Resources
As of October 1, 2021, the Connecticut WIC
Program renewed its sole-source contract with Abbott Laboratories® and
provides 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 also provides alternative Abbott Laboratories® standard formulas including Similac Sensitive® and Similac Total Comfort®. Both formulas provide 20 kcal/ fl. oz at standard dilution.
Effective December 1, 2022, Similac for Spit-Up® has been discontinued by the manufacturer and will no longer be available through the Connecticut WIC Program. The Connecticut WIC Program will offer Enfamil AR® for those participants that were prescribed Similac for Spit-Up®. Enfamil AR® will require an ICD-10 code and medical documentation from the health care provider.
WIC can also provide women, infants and children NOT dually enrolled in HUSKY/Medicaid and WIC, 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 March 2024
Numbered Memos
19-007 Infant Formula Updates-Nutramigen Mead Johnson Nutritionals
19-024 Formula Updates Medical Documentation-Issuance Issues Final
21-030 Specialized Formula Additions to CT APL
17-022 Changes to CT WIC Program Formulary for Infant Formula and WIC Eligible Medical Foods
Similac formula changes
SPANISH Similac Formula changes
Infant Formulas
Standard Cow's Milk and Soy Formulas
Enfamil A.R. for Spit-Up Formula Information
Hypoallergenic Formulas for Infants
Malabsorption Formulas for Infants
Forms and Aids
CT WIC Infant Formula Conversion Guide
WIC 400-11 Medical Documentation Form Instructions 3-2023
WIC 400-11 Medical Documentation Form - Infants & Children Fillable 2-2023
WIC 400-11 Medical Documentation Form - Women Fillable 2-2023
Additional References
Formula & Medical Nutritionals Presentation May 2021
WIC 400-10 Connecticut WIC Approved Formula and Medical Foods
WIC 400-11 Use of Medical Documentation Form 3-2023
http://wicworks.nal.usda.gov/wic-formula
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.