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  • Va Wic-395 2017

Get Va Wic-395 2017-2025

Act infant formulas are available: C. Alternative Routine Infant Formulas  Similac Sensitive Powder  Similac Spit-up Powder  Similac Sensitive RTF*  Similac Spit-up RTF*  Similac Total Comfort Powder *RTF products require additional justification and issuance is subject WIC Policy If none of the above formulas are appropriate for the participant or if a food prescription modification is required, please complete the following: D. Exempt Infant Formulas/Nutritionals Produ.

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The Virginia WIC program offers specific foods including infant cereal, iron-fortified adult cereal, vitamin C-rich fruit or vegetable juice, eggs, milk, cheese, peanut butter, dried and canned beans/peas, and canned fish.

Due to this contract, Virginia WIC is unable to provide standard infant formulas which are made by other manufacturers (ex. Mead Johnson (Enfamil), Nestle (Gerber Good Start), or generic/store brands).

Both formulas are fundamentally the same, but some slight differences set them apart. The Similac Advance is treated with r-BST cow milk while the Pro Advance is made with non-r-BST cow milk. ... The last major difference is that the Pro Advance contains HMO, which is a prebiotic found in real breast milk.

The Virginia Women, Infants, and Children (WIC) Program promotes breastfeeding as the optimal feeding method for infants. For those infants who do consume formula, Similac Advance and Similac Soy Isomil are offered.

For women who do not fully breastfeed, WIC provides iron-fortified infant formula. Special infant formulas and medical foods may be provided when prescribed by a physician for a specified medical condition.

standard infant formulas such as Enfamil Premium Newborn, Enfamil Premium Infant, Similac Isomil Soy, or Good Start products. Specialized formulas may be provided, when appropriate, regardless of manufacturer. (MD/DO/CNM/CNP/PA with prescriptive authority signature required.)

Dear Health Care Professional: The Virginia Women, Infants, and Children (WIC) Program provides Abbott formulas, Similac Advance EarlyShield and Similac Isomil Advance, for healthy infants from birth through twelve months of age whose mothers choose not to breastfeed or who partially breastfeed.

NC contract formulas are Gerber Good Start Gentle, Gerber Good Start Soothe and Gerber Good Start Soy.

WIC can provide alternate Similac formulas if Similac Advance or Good Start Soy isn't tolerated. To request Similac Sensitive, Similac for Spit-up or Similac Total Comfort: Check the appropriate box for either Similac Sensitive, Spit-up or Total Comfort.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232