Formulas Available from the SD WIC Program


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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 (vanilla, banana, chocolate, unflavored)
  • Ensure Clear (any flavor)
  • Glutarex-1*
  • Glutarex-2*
  • I-Valex-1*
  • Ketonex-1*
  • Ketonex-2*
  • PediaSure Enteral
  • PediaSure Enteral with Fiber
  • PediaSure Grow & Gain (any flavor)
  • PediaSure Grow & Gain w/Fiber (any flavor)
  • Pepdite Junior
  • Phenex-1*
  • Phenex-2*
  • Pro-Phree*
  • Propimex-1*
  • Propimex-2*
  • ProViMin*
  • Ross Carbohydrate Free (RCF)*
  • Similac Alimentum
  • Similac Human Milk Fortifier
  • 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 Human Milk Fortifier
  • 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 (unflavored, vanilla)

Nestle

  • Alfamino Infant
  • Alfamino Junior (unflavored, vanilla)
  • Boost
  • Boost Kid Essentials (strawberry, chocolate, vanilla)
  • Boost Kid Essentials 1.5 w/Fiber (vanilla)
  • Boost Kid Essentials 1.5 (strawberry, chocolate, vanilla)
  • Boost Plus
  • Peptamen Jr 1.5 (unflavored, vanilla)
  • Peptamen Junior (unflavored, vanilla, strawberry)
  • Peptamen Junior Fiber (vanilla)
  • Tolerex
  • Vivonex T.E.N.

Bright Beginnings Soy Pediatric Drink

Gerber GoodStart Extensive Hypoallergenic

Kate Farms

  • Pediatric Peptide 1.0 (vanilla)
  • Pediatric Peptide 1.5 (vanilla)
  • Pediatric Standard 1.2 (vanilla, chocolate)
  • Standard 1.0 (vanilla)

Nutricia

  • Duocal (unflavored)
  • GA-1 Anamix Early Years*
  • GutarAde AA Blend (unflavored)
  • GlutarAde Essential GA-1 DM
  • Ketocal 4:1 (vanilla)
  • Neocate Infant
  • Neocate Syneo Infant
  • Neocate Junior (any flavor)
  • Neocate Junior with Prebiotics
  • Neocate Splash (any flavor)
  • Periflex Infant*
  • Phenylade Drink Mix (any flavor)*
  • PhenylAde MTE Amino Acid Blend*
  • Periflex Junior Plus*
  • XPhe Maxamum*

*Metabolic formulas

Rev. 07.2023