Information for Medical Providers

Medical providers: What you need to know about medical documentation required to request WIC Special Formulas/Foods

• List of Authorized WIC Formulas (Effective 10/1/18) 
• WIC Qualifying Medical Conditions  
• New Medical Documentation Form for medical providers authorized to write prescriptions:
  • Instructions for Special Formula/Food Requests   
  • Form DCH-1326 Michigan WIC Special Formula/Food Request form [Revised 9/18] 

 

The current Michigan WIC infant formula manufacturer contract with Mead Johnson Nutrition is effective November 1, 2016 through October 31, 2021.