Information for Medical Providers
Medical providers: What you need to know about medical documentation required to request WIC Special Formulas/Foods
- WIC Anthropometric and Laboratory Information Request form
- List of Authorized WIC Formulas (Effective 4/16/21)
Medical Documentation Form for medical providers authorized to write prescriptions:
The current Michigan WIC infant formula manufacturer contract with Mead Johnson Nutrition is effective November 1, 2016 through October 31, 2021.