Infant Formula/ Medical Foods Information*
Federal regulations for the WIC Program define minimum requirements for WIC-eligible infant formula. State WIC agencies are then responsible for identifying the types and brands of infant formulas for use in their WIC Programs. The Georgia WIC Program reviews the Georgia WIC Approved Formulas list quarterly.
In Georgia, infant formula manufacturers competitively bid for the sole-source WIC contract every three years. Under this agreement, non-breastfeeding infants enrolled in WIC may receive either a milk-based or soy-based iron-fortified infant formula produced by the contracted manufacturer. Infants with special dietary needs may receive an appropriate alternative formula, according to Georgia’s WIC policies and federal regulations. A medical prescription is required in order for an infant with special dietary needs to receive an exempt, non-contracted formula.
*The state of Georgia supports breastfeeding as the preferred method for infant feeding.
Georgia Medical Documentation Form #1 updated September 2016
- Use this form to prescribe special formulas and/or medical foods and to approve the WIC foods allowed based on a patient’s medical condition(s)
- Instructions and resources for form completion are included on page 2
- The fillable form can be saved, printed, signed and then faxed/delivered to the local WIC clinic
Georgia WIC Referral Form #2 updated September 2016
- Use this form to provide referral data for women, infants, and children
- Instructions and resources for form completion are included on the bottom of the page
- The fillable form can be saved, printed, signed and then faxed/delivered to the local WIC clinic
Georgia WIC Approved Formulas Effective October 29, 2018
- List of contract and non-contract formulas in Georgia.
- Items highlighted in yellow indicate a recent update to the list. (Name Change/New Addition)
Georgia WIC Formula Guide (English) Effective October 29, 2018
- Condensed list of approved and not approved formulas for use in Georgia
- Contact information for Georgia Department of Public Health, Office of Nutrition and Georgia Chapter, American Academy of Pediatrics
Common Formula Package Maximums (FFY 2019) Effective October 29, 2018
- Intended for use in calculating the number of ounces in a can of formula when reconstituted.
- Useful resource when creating special formula food packages.
- List of commonly used formulas and allowed quantities based on participant’s age.
- Includes additional information such as package size, manufacturer, and flavors.
WIC Works Formula Database
- This national database contains all formulas approved for use in WIC.
- Find indications for use, packaging, and other helpful information from the manufacturer.
Infant formulas are regulated through the U.S. Food and Drug Administration's Center for Food Safety and Applied Nutrition (CFSAN). For more information or to report a problem, visit the FDA/CFSAN website.
Contact Information
Nutrition Program
2 Peachtree Street
10th Floor
Atlanta, GA 30303
(404) 656-9837
Page last updated 10/26/18
Related Files
procurementguide_web_final_090214.pdf (23.17 MB)