Health Partners

WIC's health and nutrition program has a long-standing record of improving health outcomes of women, infants and children who are at risk for nutrition-related illness. 

Health Partners

Working together to improve health outcomes

This section of our website provides resources to our health partners in the medical profession to help improve the lives of women and children. Here you’ll find information on classes, breastfeeding services, nutrition and referrals.

WIC’s health and nutrition program has a long-standing record of improving health outcomes of women, infants and children who are at risk for nutrition-related illness. 

Studies show pregnant women who participate in WIC have fewer premature births, fewer low birth weight babies, experience fewer fetal and infant deaths, seek prenatal care earlier in pregnancy, and consume more key nutrients like iron, protein, calcium, and Vitamins A and C. It has been estimated that for ​each dollar spent on WIC for prenatal education, $3.50 is saved in Medicaid and disability payments and in medical-care costs paid by private health-care providers. 

Check out our section on Partner Resources for more information on how to access these and other benefits available to you through Texas WIC.

WIC Provides Your Patients:

Personalized nutrition education and services.
Breastfeeding support, education and assessment.
Nutrient dense, prescribed food packages.
Screenings and referrals for health care and social services.

WIC Offers Partners:

Breastfeeding and other health care training.
Nationally recognized patient education materials.
Partnership and collaboration with local agency clinic staff.

Formula Changes are Coming to Texas WIC (Updated 11/22/2022)

WIC programs must have contracts for milk-based and soy-based infant formulas. On October 1, 2022, Texas WIC milk-based formulas changed to Enfamil. The Soy-based formula remains with Similac Soy Isomil.

Babies who use standard formula can be issued:

  • Enfamil Infant
  • Enfamil Gentlease
  • Enfamil A.R.
  • Enfamil Reguline
  • Similac Soy Isomil

Health Partners are strongly encouraged to support WIC participants in using contract formula products if they are medically appropriate and tolerated by the child. 

Mead Johnson, the makers of Enfamil, has been working to increase the supply of Enfamil products in Texas so that they will be available for WIC families. However, USDA has stated they anticipate infant formula supply to continue to face challenges. Consistent with USDA guidance, Texas WIC will continue to offer temporary alternative options through the end of December.

If Enfamil Infant, Enfamil Gentlease or Similac Soy Isomil powdered formulas are not available at the store, alternative options and sizes are available through the end of December.

If Enfamil Reguline or Enfamil A.R. is not available at the store, your patients can contact their WIC office to discuss formula options. These formulas. can be issued in larger container sizes. However, your patients may seek your guidance for alternative formulas if Enfamil A.R. or Enfamil Reguline are not available.

Resources for Health Partners:

Therapeutic Formulas

Available brands of therapeutic formulas are not impacted by the contract change. Texas WIC continues to have a wide variety of therapeutic formulas available with a completed medical request. For more information on formulas available through the Texas WIC program, please visit our formulary.

Examples of available therapeutic formulas with a medical request include:

Preterm formulas and Human Milk Fortifiers

  • Enfamil Human Milk Fortifier PWD or Acidified Liquid – Mead Johnson
  • Similac Human Milk Fortifier Concentrated Liquid- Abbott Laboratories
  • Similac Human Milk Fortifier Hydrolyzed Protein Concentrated Liquid - Abbott Laboratories
  • Enfamil Premature 24 w/ Iron – Mead Johnson
  • Enfamil Premature High Protein 24 w/ Iron – Mead Johnson
  • Enfamil Premature 30– Mead Johnson
  • Similac Special Care 20 w/Iron - Abbott Laboratories
  • Similac Special Care 24 w/Iron - Abbott Laboratories
  • Similac Special Care 24 High Protein - Abbott Laboratories
  • Similac Special Care 30 - Abbott Laboratories

Premature transitional formulas

  • Neosure 22kcal/oz - Abbott Laboratories
  • Enfamil Enfacare 22kcal/oz – Mead Johnson

 Protein Hydrolysate Hypoallergenic formulas

  • Alimentum - Abbott Laboratories
  • Extensive HA- Gerber
  • Nutramigen – Mead Johnson
  • Generic Hypoallergenic- Perrigo
  • Pregestimil 24 – Mead Johnson
  • Pregestimil DHA/ARA – Mead Johnson

 Elemental/Amino Acid Based formulas

  • Alfamino Infant - Nestle
  • Elecare DHA/ARA - Abbott Laboratories
  • Neocate w/DHA/ARA - Nutricia
  • PurAmino – Mead Johnson
  • Neocate Syneo- Nutricia

Additional formula products such as toddler formulas, increased calorie supplements and metabolic formulas are also available.

Lyons Magnus issues voluntary recall of Kate Farms products and Pediasure Harvest

A voluntary recall was issued on August 10th by the manufacturer Lyons Magnus due to concern over potential bacterial contamination of Kate Farms formula and Pediasure Harvest with the organisms Cronobacter sakazakii and Clostridium botulinum.

These are specialized formulas that are available through WIC only with a prescription. Patients with recalled formula should contact their WIC clinic for replacement. Do not use recalled formula.

If a patient would like to switch formulas, they will need an updated medical request form from the healthcare provider prior to being issued an alternative by WIC.

The following formulas may be an alternative option if needed:

  • Compleat Pediatric
  • Compleat Pediatric Peptide 1.5
  • **Compleat Pediatric Organic Blends
  • **Nourish
  • **Nourish Peptide

**These are thicker blenderized formulas, usually used for tube feedings. These may not be appropriate alternatives in all cases.

For a list of Kate Farms products impacted visit  www.myproductinformation.com.

For a list of Pedisure Harvest products impacted check the lot numbers here.

Abbott’s Formula Recall Information for Health Care Providers

Texas WIC is actively working with the USDA and Abbott, the makers of Similac, on the impact of the Abbott formula recall to WIC families. WIC sent text messages Wednesday, February 23 to clients that may be impacted by the recall.

For Similac Advance, Similac Total Comfort, Similac Sensitive and Similac for Spit-Up, WIC has temporarily added more options so parents can find a formula at the store that will meet their babies’ needs without updating their cards. 

For Similac PM 60/40, Alimentum, EleCare and EleCare Jr., clients have been instructed to contact their healthcare provider to ask for a new prescription. Since these are highly specialized formulas, a healthcare provider must be consulted to make sure that the formula will meet the infant’s medical needs.  

  • plus sign minus sign What should my patient do if they were impacted by the formula recall?

    Families should check their formula products at similacrecall.com to determine if they were impacted. Recalled infant formula can be returned to the grocery vendor for an exchange. If your patient is unable to make an exchange at the store, they should contact their WIC office for assistance. 

    Medical formulas can be returned to WIC to change to a different formula with a new prescription within the same month they purchased the formula.

  • plus sign minus sign What should my patient do if they currently receive Similac Advance, Similac Sensitive, Similac Total Comfort or Similac for Spit-up through the WIC program?

    WIC has temporarily added more options so that WIC participants can find a formula at the store to meet their baby’s needs without updating the WIC card.

    For a list of alternative brands that families can get with WIC, visit texashhs.org/wicfoodupdates. This page has the most up-to-date information on alternative formulas as more brands are being added. 

  • plus sign minus sign What should my patient do if they currently receive Similac PM 60/40, Alimentum, EleCare or EleCare Jr. through the WIC program?

    The WIC program has sent text messages to clients receiving these formulas advising them to talk with their healthcare provider about the best alternative. You will need to provide your patient with a new prescription or verbally confirm the new formula choice with the WIC program. Due to potential supply shortages, please be prepared to provide your WIC clinic with an additional alternative formula for your patient if the first choice is unavailable. 

    WIC clinics in your area may call your office on behalf of clients to ask for this information.

  • plus sign minus sign How do I fill out a prescription form?

    Prescription forms can be found here: Texas WIC Medical Request for Formula/Food

    You must fill out these boxes at a minimum: 

    • 1: Patient name
    • 3: Formula name and quantity needed
    • 4: Length of issuance
    • 5: Qualifying condition
    • 7: Name, Signature and Contact information of Healthcare Provider. 

    If you do not fill out these boxes, the prescription is considered incomplete and cannot be accepted by the WIC clinic.

  • plus sign minus sign What alternative formulas are available for patients impacted by the recall?

    For exempt formulas, health care providers must authorize the specific brand and formulation through the Medical Request Form before it can be issued by the WIC program. Health care providers can provide verbal authorization to change to an alternative brand of formula to WIC staff over the phone, or the provider can complete a new Medical Request Form listing the acceptable alternatives for a patient. Without healthcare provider authorization, the WIC clinic is unable to make changes to the formula package.

    Similac Alimentum Powder Alternatives 

    • Extensive HA: 20kcal/oz, hypoallergenic, extensively hydrolyzed whey protein
    • Nutramigen: 20 kcal/oz hypoallergenic, casein hydrolysate (due to shortage, please indicate if generic option is ok)
    • Pregestimil DHA/ARA: hypoallergenic casein hydrolysate

    EleCare Powder Alternatives

    • Alfamino Infant: 20kcal/oz, hypoallergenic, 100% free amino acids
    • Neocate DHA/ARA: 20kcal/oz, hypoallergenic, 100% free amino acids
    • Neocate Syneo 20kcal/oz, hypoallergenic, 100% free amino acids, contains prebiotics and probiotics.
    • PurAmino: 20kcal/oz, hypoallergenic, 100% free amino acids

    EleCare Jr. Powder Alternatives

    • Alfamino Jr. 30kcal/oz, hypoallergenic, 100% free amino acids
    • Equacare Jr. 30kcal/oz, hypoallergenic, 100% free amino acids
    • Essential Care Jr. 30kcal/oz, hypoallergenic, 100% free amino acids, contains low FODMAP prebiotics
    • Neocate Jr. 30kcal/oz, hypoallergenic, 100% free amino acids
    • Puramino Jr. 30kcal/oz, hypoallergenic, 100% free amino acids

    Similac PM 60/40

    Possible alternatives include:

    • Human milk*
    • Standard infant formula, used with phosphate binders
    • Renastart (currently only available from WIC for children over age 1)

    *Donor human milk has a similar composition of phosphorus and is covered with a prescription by Texas Medicaid. Information about coverage of donor human milk is outlined in the Texas Medicaid Provider Procedures Manual, Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook, Section 2.2.13.

    If your patient needs breastfeeding support, please refer them to the free 24/7 Texas Lactation Support Hotline at 855-550-6667 to speak with a lactation consultant. In-person and virtual breastfeeding assistance is available at one of our five lactation support centers, available to all moms regardless of WIC enrollment. Refer moms to this webpage: We’re Here to Help | Texas WIC.

     

  • plus sign minus sign Where can I find more information on formulas provided through Texas WIC?

    All formulas available through Texas WIC with a prescription can be found on the Texas WIC Formulary. This document also contains helpful nutrition information and qualifying conditions for each formula.

  • plus sign minus sign What if I have a patient taking an Abbott metabolic formula?

    Abbott sent out information to health care providers about extended supply disruptions for metabolic and some specialty formulas. You can find updated information from the FDA Investigation of Cronobacter Infections for parents and caregivers of infants receiving medical specialty infant formulas.

    Specialty formulas and formulas designed for inborn errors of metabolism were also produced at the Sturgis, Michigan plant, where the recall originated. However, metabolic formulas were not included in the recall because the FDA determined that “the risk of not having these products available could significantly worsen underlying medical conditions. For many of these patients, the risk of life-threatening adverse events from restricted access to these critically needed products is likely greater than the risk from consuming products that have been produced at the facility.” 

    The FDA indicates that parents and caregivers who use these formulas should be aware that there may be some risk of Cronobacter contamination.  

    Potentially impacted metabolic formulas are:

    Calcilo XD I-Valex-1 Pro-Phree
    Cyclinex-1 I-Valex-2 Propimex-1
    Cyclinex-2 Ketonex-1 Propimex-2
    Glutarex-1 Ketonex-2 ProViMin
    Glutarex-2 Phenex-1 Tyrex-1
    Hominex-1 Phenex-2 Tyrex-2
    Hominex-2 Phenex-2 Vanilla  

    Texas WIC offers a variety of alternative metabolic formulas that can be found on the Texas WIC Formulary. Please contact your patients that receive these formulas to discuss options and provide an updated Texas WIC Medical Request for Metabolic Formula/Food. WIC clients will need to return to their WIC clinic to update their monthly benefits to an alternative formula. 

  • plus sign minus sign Who can I contact if I have questions about WIC and Formula?

    Please send an email to [email protected]

Contact Us

For more information about the WIC program call 800-942-3678 or email WICG[email protected].

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