Information for Healthcare Providers

Access to WIC approved infant formulas and nutritionals, as well as the most up-to-date Medical Documentation Form (also known as a Special Formula Form or WIC-27).


Formulas Offered by WIC

WIC offers a variety of standard Similac formulas, as well as specialty formulas for infants with specific medical needs. A Medical Documentation Form (also known as a Special Formula Form or WIC-27) is required for specialty formulas.

The infant formulas listed below are WIC approved standard formulas and only require a WIC-27 if they are prepared at a dilution different from what is stated on the product label: 

  • Similac Advance 
  • Similac Sensitive 
  • Similac Total Comfort 
  • Similac Isomil 

A WIC-27 is required when requesting a non-contract standard infant formula, exempt infant formula, or WIC-eligible nutritional. Please note that a prescription from a health care provider cannot be accepted in place of the WIC-27, and approval requires a qualifying medical condition. Formulas not on the Missouri WIC Approved Formulas list can not be issued even with a WIC-27 or Doctor’s note.

Contact Taney County WIC or your WIC local agency if you have specific questions about completing a
WIC-27.
 

powder infant formula

MO WIC Approved Formulas & Nutritionals

Use the links below to access the current list of Missouri WIC Approved Formulas, WIC-Eligible Nutritionals, and the most up-to-date WIC-27 form. 

Formula & Nutritionals


WIC-27



Healthcare Provider Resources

This site is designed for physicians, nurses, dietitians, and other health care providers. Missouri WIC relies on strong partnerships with professionals like you. Your support is key in helping participants make healthy, informed choices.