Formulas Available from the SD WIC Program


Article Body

Formulas Available from the SD WIC Program

Contract Formulas (Do Not Require RD Approval)

Similac Advance
Similac Total Comfort
Similac Soy Isomil
Similac Sensitive

Non-Contract Formula (Requires RD Approval)

Mead Johnson Enfamil AR

Exempt Formulas (Require RD Approval)

Abbott

  • Calcilo XD
  • Cyclinex-1
  • Cyclinex-2
  • Elecare
  • Elecare JR
  • Ensure Clear
  • Glutarex-2
  • I-Valex-1
  • Ketonex-1
  • Ketonex-2
  • PediaSure Grow & Gain
  • PediaSure Grow & Gain w/Fiber
  • Pepdite Junior
  • Phenex-1
  • Phenex-2
  • Pro-Phree
  • Propimex-1
  • Propimex-2
  • ProViMin
  • Ross Carbohydrate Free (RCF)
  • Similac Alimentum
  • Similac NeoSure
  • Similac PM 60/40
  • Similac Special Care 20, 24, or 30
  • Tyrex-1
  • Tyrex-2

Mead Johnson

  • BCAD-1
  • Enfamil - 24cal 2oz Nursettes
  • Enfamil Enfaport
  • Enfamil NeuroPro Enfacare
  • Enfamil Nutramigen with Probiotic
  • Enfamil Pregestimil 20 or 24 Nursettes
  • Enfamil Premature 20 cal
  • Phenyl-Free-1
  • Phenyl-Free-2
  • Phenyl-Free-2 HP
  • Portagen
  • PurAmino
  • PurAmino Junior

Nestle

  • Alfamino Infant
  • Alfamino Junior
  • Boost
  • Boost Kid Essentials
  • Boost Kid Essentials 1.5 w/Fiber 
  • Boost Kid Essentials 1.5
  • Boost Plus
  • Extensive HA
  • Peptamen Jr 1.5
  • Peptamen Junior
  • Peptamen Junior Fiber
  • Tolerex
  • Vivonex T.E.N.

Kate Farms

  • Pediatric Peptide 1.0
  • Pediatric Peptide 1.5
  • Pediatric Standard 1.2
  • Standard 1.0

Nutricia

  • Duocal
  • GA-1 Anamix Early Years
  • GlutarAde AA Blend 
  • GlutarAde Essential GA-1 DM
  • Fortini
  • Ketocal 4:1
  • Neocate Infant
  • Neocate Syneo Infant
  • Neocate Junior
  • Neocate Splash
  • Periflex Infant
  • Phenylade Drink Mix
  • PhenylAde MTE Amino Acid Blend
  • Pepticate
  • Periflex Junior Plus
  • XPhe Maxamum
  • XPhe Maxamaid

 

Rev. 09.2025