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WIC Information for Health Care Providers

WIC provides breastfeeding counseling, support, and education to pregnant and breastfeeding women. WIC also provides loaner breast pumps to breastfeeding mothers.

Infants who are not exclusively breastfed can be provided formula, up to the WIC Maximum Monthly Amount (Excel). If a non-standard formula is medically indicated, please complete the Prior Authorization form below.

Medical Documentation and Prior Authorization Form

This form is required before non-standard/medical formula can be provided to WIC participants. Health care providers, please download the form (PDF), fill it out, and Email it to your local WIC office or wic.maine@maine.gov.

Former Standing Order Forms

The standard Abbott Similac contract formulas that were previously 19kcals/oz (Sensitive, Total Comfort, and Spit-Up) have been reformulated to 20kcals/oz and no longer require our Standing Order Form.

Maine CDC WIC Nutrition Program Formulary

The Maine CDC WIC Formulary includes standard and medical formulas. All prescription formula request for items not included on our Formulary are evaluated through an internal submission review process in June and January. If your organization has a request for an exempt formula or qualifying nutritional, please forward the formula information and include the UPC and formula product label (manufacturer product website page, if possible) to wic.maine@maine.gov. Only contract brand standard formulas can be provided.

Provision of Ready To Feed Formulas:

WIC staff may provide ready to feed (RTF) infant formulas for a WIC participant when at least one of the following conditions exists:

  • The participant's household has an unsanitary or restricted water supply or poor refrigeration
  • The person caring for the participant may have difficulty in correctly diluting concentrated or powdered formulas
  • The formula is only available in ready-to-feed form

Participants with a prescription for a medically necessary formula (non-standard formula, exempt formula, WIC-eligible nutritional) may be provided RTF formula for the following additional reasons:

  • The ready to feed form better accommodates the participant's condition
  • The ready to feed form improves the participant's compliance in consuming the prescribed WIC formula

For more on RTF forms of specific formulas, consult the WIC formulary.

Learn more about WIC

Contact the WIC Team