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Information for Medical Providers
- Healthcare Professionals Memo: 2-23-22
- Healthcare Professionals Memo: Hypoallergenic and Specialty Formulas 4-26-22
- Similac PM 60/40 Information
- Updated 3/9/22: Temporary Choices for Powder Formulas for Healthy Infants
- NEW: Hypoallergenic Store Brand Formula Options
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 4/8/22)
- WIC Qualifying Medical Conditions
- Medical Documentation Form for medical providers authorized to write prescriptions:
- Instructions for Special Formula/Food Requests
- Form DCH-1326 Michigan WIC Special Formula/Food Request form [Revised 9/20]
The current Michigan WIC infant formula manufacturer contract with Abbott Nutrition is effective November 1, 2021 through October 31, 2026.