Once completed fax the form to your patient s local wic clinic or print it for the patient to bring to the clinic.
Wic approved baby formula arizona.
Wic participant responsibilities 1 while you shop.
If your baby doesn t do well on similac soy isomil we will work with you and your baby s health care provider to find the formula that is best for your baby.
Wic health partners should fill out the medical request for formula form to request wic formulas for their patients.
18th avenue suite 310 phoenix az 85007 call 1 800 252 5942 to report wic fraud and abuse use our online complaint form call our fraud hotline 866 229 6561 or email us.
Look for the we accept wic decal at the grocery store.
Ezwic app arizona wic program or wic shopper app itca wic.
The arizona supplemental nutrition program for women infants and children wic provides nutrition education and breastfeeding support services supplemental nutritious foods and referrals to health and social services.
This means wic state agencies agree to provide one brand of infant formula and in return the manufacturer gives the state agency a rebate for each can of infant formula purchased by wic participants.
Alfamino infant formula is excempt and alfamino junior children s formula is a wic eligible nutritional.
Your wic office will let you know the locations where you can use your benefits.
Under such an agreement most healthy wic infants may be provided either a milk based or soy based iron fortified infant formula produced by the manufacturer awarded the contract.
Arizona wic approved foods.
And children under the age of five.
Wic serves pregnant breastfeeding and postpartum women.
Shop only at wic approved stores.
In turn wic state agencies receive a rebate per can of infant formula issued to a wic infant.
Arizona wic formulary ffy 2020 intended for use by az wic nutritionists rds only in combination with other.
When you go shopping at a grocery store remember to bring your wic id folder along with your checks vouchers or your ewic card depending on what the state gives you.
For infants and children with a cow milk.
Wic state agencies are required by law to have competitively bid infant formula rebate contracts with infant formula manufacturers.
Read your benefits carefully to know which foods you can get.
Below is a list of arizona wic approved foods.
Women infants children wic 150 n.
Info form yes no conc.
What if my baby doesn t do well on the new contract formula.
You can check your wic balance at the store by swiping your card at the checkout stand and entering your pin calling the customer service number on your card or using your wic program s shopping app.
Powder ready to use alfamino infant.