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List of Michigan WIC Authorized Formulas

List of Michigan WIC Authorized Formulas

Michigan WIC Authorized Formulas

Effective October 20, 2025

This table lists Michigan WIC authorized formulas, including formula name, size, form, manufacturer, category and subcategory, retail or institutional status, purchase quantity, and WIC eligible category.

Michigan WIC Authorized Formulas Effective October 20, 2025
Formula Category Formula Size Form Manufacturer Category and Subcategory Retail or Institutional Purchase Quantity WIC Eligible Category
Contract/Standard Infant Formulas
Class I Formulas Similac Advance 12.4 oz can Powder Abbott 21 990 Retail 1 Infant, Child 1-4
Class I Formulas Similac Advance 32 fl oz bottle Ready to Feed Abbott 21 992 Retail 1 Infant, Child 1-4
Class I Formulas Similac Advance 13 fl oz can Concentrate Abbott 21 991 Retail 1 Infant, Child 1-4
Class I Formulas Similac Sensitive 12.5 oz can Powder Abbott 21 990 Retail 1 Infant, Child 1-4
Class I Formulas Similac Sensitive 32 fl oz bottle Ready to Feed Abbott 21 992 Retail 1 Infant, Child 1-4
Class I Formulas Similac Soy Isomil 12.4 oz can Powder Abbott 21 990 Retail 1 Infant, Child 1-4
Class I Formulas Similac Soy Isomil 32 fl oz bottle Ready to Feed Abbott 21 992 Retail 1 Infant, Child 1-4
Class I Formulas Similac Soy Isomil 13 fl oz can Concentrate Abbott 21 991 Retail 1 Infant, Child 1-4
Class I Formulas Similac Total Comfort 12.6 oz can Powder Abbott 21 990 Retail 1 Infant, Child 1-4
Special Formulas
Class II Formulas Enfamil AR 12.9 oz can Powder Mead Johnson Nutrition 21 013 Retail 1 Infant, Child 1-4
Class III Formulas Extensive HA 14.1 oz can Powder Nestle 31 091 Retail 1 Infant, Child 1-4
Class III Formulas Nutramigen 13 fl oz can Concentrate Mead Johnson Nutrition 31 002 Retail 1 Infant, Child 1-4
Class III Formulas Nutramigen 32 fl oz bottle Ready to Feed Mead Johnson Nutrition 31 003 Retail 1 Infant, Child 1-4
Class III Formulas Nutramigen with Probiotic LGG 12.6 oz can Powder Mead Johnson Nutrition 31 070 Retail 1 Infant, Child 1-4
Class III Formulas Nutramigen with Probiotic LGG 19.8 oz can Powder Mead Johnson Nutrition 31 995 Retail 1 Infant, Child 1-4
Class III Formulas Pepticate 13.2 oz can Powder Nutricia 31 993 Retail/Institutional 1 Infant, Child 1-4
Class III Formulas Pregestimil 16 oz (1 lb) can Powder Mead Johnson Nutrition 31 007 Retail 1 Infant, Child 1-4
Class III Formulas Pregestimil 2 fl oz bottle Ready to Feed Mead Johnson Nutrition 31 008 Institutional 6 Infant, Child 1-4
Class III Formulas Similac Alimentum 12.1 oz can Powder Abbott 31 081 Retail 1 Infant, Child 1-4
Class III Formulas Similac Alimentum 32 fl oz bottle Ready to Feed Abbott 31 032 Retail 1 Infant, Child 1-4
Class III Formulas Alfamino Infant 14.1 oz can Powder Nestle 31 093 Institutional 1 Infant, Child 1
Class III Formulas Alfamino Junior 14.1 oz can Powder Nestle 41 329 Institutional 1 Child 1-4
Class III Formulas Boost 8 fl oz bottle Ready to Feed Nestle 41 173 Retail 6, 12, 15, 24 Woman
Class III Formulas Boost Breeze 8 fl oz drink box Ready to Feed Nestle 41 171 Institutional 1, 24 Woman, Child 1-4
Class III Formulas Boost Glucose Control 8 fl oz bottle Ready to Feed Nestle 41 174 Retail 6, 12, 15, 24 Woman
Class III Formulas Boost High Protein 8 fl oz bottle Ready to Feed Nestle 41 225 Retail 6, 12, 15 Woman, Child 1-4
Class III Formulas Boost Kid Essentials 1.0 8 fl oz drink box Ready to Feed Nestle 41 224 Institutional 1, 24 Child 1-4
Class III Formulas Boost Kid Essentials 1.5 8 fl oz drink box Ready to Feed Nestle 41 277 Institutional 1, 24 Child 1-4
Class III Formulas Boost Kid Essentials 1.5 with Fiber 8 fl oz drink box Ready to Feed Nestle 41 287 Institutional 1, 24 Child 1-4
Class III Formulas Boost Plus 8 fl oz bottle Ready to Feed Nestle 41 172 Retail 6, 12 Woman
Class III Formulas Compleat Pediatric 250 ml tetra prisma Ready to Feed Nestle 41 181 Institutional 1 Child 1-4
Class III Formulas Compleat Pediatric Organic Blends 10.1 fl oz pouch Ready to Feed Nestle 41 355 Institutional 1, 24 Child 1-4
Class III Formulas Compleat Pediatric Reduced Calorie 250 ml tetra prisma Ready to Feed Nestle 41 290 Institutional 1 Child 1-4
Class III Formulas Compleat Pediatric Standard 1.0 250 ml tetra prisma Ready to Feed Nestle 41 998 Institutional 1 Child 1-4
Class III Formulas Elecare Infant 14.1 oz can Powder Abbott 31 042 Institutional 1 Infant, Child 1
Class III Formulas Elecare Jr 14.1 oz can Powder Abbott 41 899 Institutional 1 Child 1-4
Class III Formulas Enfamil Enfacare 13.6 oz can Powder Mead Johnson Nutrition 31 105 Retail 1 Infant, Child 1
Class III Formulas Enfaport 6 fl oz bottle Ready to Feed Mead Johnson Nutrition 31 075 Institutional 6, 24 Infant, Child 1
Class III Formulas Ensure 8 fl oz bottle Ready to Feed Abbott 41 005 Retail 6, 16 Woman
Class III Formulas Ensure Plus 8 fl oz bottle Ready to Feed Abbott 41 012 Retail 6 Woman
Class III Formulas Fortini 4 fl oz carton Ready to Feed Nutricia 31 992 Institutional 1 Infant, Child 1 up to 18 months
Class III Formulas Kate Farms Pediatric Blended Meals 250 ml pouch Ready to Feed Kate Farms 41 897 Institutional 1, 12 Child 1-4
Class III Formulas Kate Farms Pediatric Peptide 1.0 250 ml tetra prisma Ready to Feed Kate Farms 41 996 Institutional 1, 12 Child 1-4
Class III Formulas Kate Farms Pediatric Peptide 1.5 250 ml tetra prisma Ready to Feed Kate Farms 41 997 Institutional 1, 12 Child 1-4
Class III Formulas Kate Farms Pediatric Standard 1.2 250 ml tetra prisma Ready to Feed Kate Farms 41 995 Institutional 1, 12 Child 1-4
Class III Formulas Kate Farms Standard 1.0 325 ml tetra prisma Ready to Feed Kate Farms 41 994 Institutional 1, 12 Woman, Child 1-4
Class III Formulas Neocate Infant 400 g (14.1 oz) can Powder Nutricia 31 054 Institutional 1 Infant, Child 1
Class III Formulas Neocate Junior (with or without Prebiotics) 400 g (14.1 oz) can Powder Nutricia 41 063 Institutional 1, 4 Child 1-4
Class III Formulas Neocate Splash 8 fl oz tetra prisma Ready to Feed Nutricia 41 336 Institutional 1, 27 Child 1-4
Class III Formulas Neocate Syneo Infant 400 g (14.1 oz) can Powder Nutricia 31 102 Institutional 1 Infant, Child 1
Class III Formulas Neocate Syneo Junior 400 g (14.1 oz) can Powder Nutricia 41 898 Institutional 1 Child 1-4
Class III Formulas Nutren Junior 250 ml tetra prisma Ready to Feed Nestle 41 142 Institutional 1 Child 1-4
Class III Formulas Nutren Junior Fiber 250 ml tetra prisma Ready to Feed Nestle 41 143 Institutional 1 Child 1-4
Class III Formulas Pediasure 8 fl oz bottle Ready to Feed Abbott 41 036 Retail 6, 8, 16, 24 Child 1-4
Class III Formulas Pediasure with Fiber 8 fl oz bottle Ready to Feed Abbott 41 038 Retail 6, 16, 24 Child 1-4
Class III Formulas Pediasure 1.5 8 fl oz can Ready to Feed Abbott 41 256 Institutional 1, 24 Child 1-4
Class III Formulas Pediasure 1.5 with Fiber 8 fl oz can Ready to Feed Abbott 41 257 Institutional 1, 24 Child 1-4
Class III Formulas Pediasure Peptide 1.0 8 fl oz bottle Ready to Feed Abbott 41 228 Institutional 1, 24 Child 1-4
Class III Formulas Pediasure Peptide 1.5 8 fl oz bottle Ready to Feed Abbott 41 258 Institutional 1, 24 Child 1-4
Class III Formulas Peptamen Junior 250 ml tetra prisma Ready to Feed Nestle 41 153 Institutional 1, 24 Child 1-4
Class III Formulas Peptamen Junior Fiber 250 ml tetra prisma Ready to Feed Nestle 41 271 Institutional 1 Child 1-4
Class III Formulas Peptamen Junior 1.5 250 ml tetra prisma Ready to Feed Nestle 41 234 Institutional 1 Child 1-4
Class III Formulas Puramino 14.1 oz can Powder Mead Johnson Nutrition 31 069 Institutional 1 Infant, Child 1
Class III Formulas Puramino Jr 14.1 oz can Powder Mead Johnson Nutrition 41 331 Institutional 1 Child 1-4
Class III Formulas Similac Neosure 13.1 oz can Powder Abbott 31 029 Retail 1 Infant, Child 1
Class III Formulas Similac Neosure 32 fl oz bottle Ready to Feed Abbott 31 031 Retail 1 Infant, Child 1
Class III Formulas Similac PM 60/40 14.1 oz (400 g) can Powder Abbott 31 036 Institutional 1 Infant, Child 1

Abbreviations

  • Child 1-4: Child 1-4 years old
  • Infant: Infant
  • Mead Johnson Nutrition: Mead Johnson Nutrition
  • Retail/Institutional: Retail or Institutional
  • Ready to Feed: Ready to Feed
  • Woman: Woman

Footnotes

  1. Special Formula/Food Request form and current WIC Authorized Formulas List are available at michigan.gov/wic, Health Care Provider link.
  2. Retail products are shelf stock items available at WIC grocery vendors. Institutional products may require a special order at WIC pharmacy vendors.
  3. Purchase Quantity: WIC staff should inform the client that these are the quantities the formula is packaged, such as a 6-pack. The maximum food package may not be evenly divided by the purchase quantity. If “1” is not listed, individual bottles are not allowed, such as Pediasure.
  4. Ready to Feed formulas, when available in other forms, require one or more of the conditions in MI-WIC policy 7.02 or 7.03 to be approved.
  5. These formulas require a qualifying condition of prematurity or low birth weight. See MI-WIC Policy 7.03 for requirements.
  6. These formulas can be issued in cases of prematurity up to one year adjusted age. See MI-WIC Policy 7.03 for requirements.
  7. This formula can be issued from birth up to 18 months of age or 19.8 pounds.

This institution is an equal opportunity provider.