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 3-2020
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
Similac formula changes
SPANISH Similac Formula changes
Infant Formulas
Standard Cow's Milk and Soy Formulas
Standard Formula Similac For Spit-Up
Hypoallergenic Formulas for Infants
Malabsorption Formulas for Infants
Forms and Aids
2016 Similac Product Portfolio Update
CT WIC Infant Formula Conversion Guide
Medical Documentation Form Instructions
Medical Documentation Form - Infants & Children
Medical Documentation Form - Women
WIC Special Formula Guidelines for Clinicians
Additional References
WIC 400-11 Medical Documentation Form instructions
http://wicworks.nal.usda.gov/wic-formula
Special Formula Product Code List
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.