WIC Approved Infant Formula

WIC Medical Documentation Forms

• Women (Fillable PDF) (Updated April 2024)
• Infants (Fillable PDF) (Updated April 2024)
• Children (Fillable PDF) (Updated April 2024)

Formula Resources

• Formulas Provided by the Washington State WIC Program (PDF)
  Includes images of all formulas approved by Washington WIC
• WIC Approved Formulas (PDF)
  Includes list of all formulas currently approved by Washington WIC
• Changing To a New Formula with Your Infant (PDF)
  Use this handout to learn how to change your infant to a new formula.

  Other languages

  • አማርኛ (Amharic) (PDF)
  • العربية  (Arabic) (PDF)
  • ဗမာ (Burmese) (PDF)
  • 繁體中文(Chinese) (PDF)
  • چينايی (Dari) (PDF)

  • ကညီကျိာ် (Karen) (PDF)
  • 한국어(Korean) (PDF)
  • Afaan Oromoo (Oromo) (PDF)
  • پښتو (Pashto) (PDF)
  • Русский (Russian) (PDF)

  • Af-soomaali (Somali) (PDF)
  • Español (Spanish) (PDF)
  • ትግርኛ (Tigrinya) (PDF)
  • Українська – Ukrainian (PDF)
  • Tiếng Việt (Vietnamese) (PDF)

• Mixing Powder Infant Formula (PDF)
  Safety instructions on how to prepare powder formula. 

  Other languages

  • አማርኛ (Amharic) (PDF)
  • العربية  (Arabic) (PDF)
  • ဗမာ (Burmese) (PDF)
  • 繁體中文(Chinese) (PDF)
  • چينايی (Dari) (PDF)

  • ကညီကျိာ် (Karen) (PDF)
  • 한국어(Korean) (PDF)
  • Afaan Oromoo (Oromo) (PDF)
  • پښتو (Pashto) (PDF)
  • Русский (Russian) (PDF)

  • Af-soomaali (Somali) (PDF)
  • Español (Spanish) (PDF)
  • ትግርኛ (Tigrinya) (PDF)
  • Українська – Ukrainian (PDF)
  • Tiếng Việt (Vietnamese) (PDF)

• Preparing Liquid Concentrate Infant Formula (PDF)
  Safety instructions on how to prepare liquid concentrate formula. 

  Other languages

  • አማርኛ (Amharic) (PDF)
  • العربية  (Arabic) (PDF)
  • ဗမာ (Burmese) (PDF)
  • 繁體中文(Chinese) (PDF)
  • چينايی (Dari) (PDF)

  • ကညီကျိာ် (Karen) (PDF)
  • 한국어(Korean) (PDF)
  • Afaan Oromoo (Oromo) (PDF)
  • پښتو (Pashto) (PDF)
  • Русский (Russian) (PDF)

  • Af-soomaali (Somali) (PDF)
  • Español (Spanish) (PDF)
  • ትግርኛ (Tigrinya) (PDF)
  • Українська – Ukrainian (PDF)
  • Tiếng Việt (Vietnamese) (PDF)

• Preparing Ready-To-Feed Infant Formula (PDF)
  Safety instructions on how to prepare ready-to-feed formula. 

  Other languages

  • አማርኛ (Amharic) (PDF)
  • العربية  (Arabic) (PDF)
  • ဗမာ (Burmese) (PDF)
  • 繁體中文(Chinese) (PDF)
  • چينايی (Dari) (PDF)

  • ကညီကျိာ် (Karen) (PDF)
  • 한국어(Korean) (PDF)
  • Afaan Oromoo (Oromo) (PDF)
  • پښتو (Pashto) (PDF)
  • Русский (Russian) (PDF)

  • Af-soomaali (Somali) (PDF)
  • Español (Spanish) (PDF)
  • ትግርኛ (Tigrinya) (PDF)
  • Українська – Ukrainian (PDF)
  • Tiếng Việt (Vietnamese) (PDF)

• Can Sizes, Yields and Maximum Amounts of WIC Approved Formulas Table (PDF)

Find Formulas in Local Stores

• Abbott Products
  • Similac Advance
  • Similac Alimentum
  • Similac NeoSure
  • Similac Sensitive
  • Similac Soy Isomil
  • Similac Total Comfort
  • PediaSure
  • PediaSure with Fiber
• Mead Johnson Products
  • Enfamil A.R.
  • Enfamil NeuroPro EnfaCare
  • Enfamil Nutramigen w/ Enflora LGG

Getting Medical Formulas and Foods That WIC Doesn't Provide

If a client is not eligible for the WIC Program or the WIC Program cannot meet the client's formula or enteral nutrition product needs, the client may seek assistance from Medicaid if they are eligible. The following information may help in the search for assistance.

• WIC Clinic Response to Formula Requests (flow chart) (PDF)
• Process to Request Formula from Medicaid (PDF)
• WIC/Medicaid Nutrition Form (PDF)
• Medical Foods and Medical Formulas Form (PDF)

Additional Medicaid Contact Information

• Medicaid Clients and Health Professionals: Call the phone number on the reverse side of the ProviderOne Services Card: 800-562-3022
• Medicaid (Health and Recovery Services Administration) Enteral Nutrition Billing Instructions (PDF)