Special Formula Additional Information

• Telephone or verbal orders are unacceptable.
• Original signature required.  Stamped signature not accepted.
• Louisiana WIC routinely provides 2% milk to children greater than 2 years of age
• According to USDA regulations, the Louisiana WIC Program does not provide Low-iron formula under any circumstances.   
• Medical documentation/prescriptions are not required for the current contract  standard formulas.

Ready to Feed Formulas

The use of ready- to- feed formula can be approved only when one of the following circumstances is documented:

Standard Formula ONLY (Non-Exempt)

• Unsanitary/restricted water supply
• Poor refrigeration
• The participant's caregiver is cognitively/physically unable to correctly dilute concentrated liquid or powered formula

Special Formula ONLY (Exempt Formula, Medical Food)

If a ready-to-feed formula better accommodates the participant's condition
If the ready-to-feed formula improves the participant's compliance in consuming the prescribed formula
Unsanitary/restricted water supply
Poor refrigeration
The participant's caregiver is cognitively/physically unable to correctly dilute concentrated liquid or powered formula


The requirements for ready-to-feed formula are federally mandated.  There are no exceptions or waivers for the ready-to-feed policy at the State Agency level.