If Medi-Cal or Medi-Cal Managed Care will not cover a formula, WIC may be able to provide one of the above formulas.įor questions or assistance regarding a therapeutic formula for your infant, text 91997. WIC requires the health care provider to submit an authorization/referral to the patient’s Medi-Cal Managed Care plan or a prescription for the patient to take to a pharmacy that accepts Medi-Cal. New Pediatric Referrals are required every six months while infants and children receive WIC and formulas for medical conditions from any source. The following WIC foods must also comply with Food and Drug Administration (FDA) Standards of Identity: infant formula, exempt infant formula, milks, cheese, fruit and vegetable juices, shell eggs, canned/frozen fruits and vegetables, whole wheat bread, canned fish, and peanut butter. The WIC program helps coordinate care with health care providers to provide these formulas to WIC-eligible infants and children along with WIC services and other allowed WIC foods.Īll infants and children receiving WIC services and medically necessary formulas from any source are required to submit a completed Medical Formula and Nutritionals Request Form form signed by their physician. Some infants may require therapeutic formulas for medical conditions. A spokesperson for the Agriculture Department, which oversees the WIC program, confirmed the department is taking a.
