Texas wic formulary - TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE October 2021: Formula Name Formula Code Description Qualifying Conditions: Staff Guidance Manufacturer: BCAD 2 278: Metabolic: isoleucine, leucine and valine-free; branched-chain amino acid-free. 24 g protein equivalents per 100 g powder.

 
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Texas WIC Health and Human Services Commission Effective August 9 , 2022 Policy No. FD:19.0 WIC Policy and Procedures Manual 1 ... Staff must not reissue containers of returned formula to another WIC participant for any reason, except as provided under #7 below. 5. Staff must determine if returned containers are to be donated or disposed.Families with Formula-Fed Infants. Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your. baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. (starting 2/1/21) Breastfeeding and Formula Feeding. WIC is here to help you meet your breastfeeding goals. Starting or increasing formula can decrease your breastmilk supply. If you need help maintaining your supply, please talk to someone at your local WIC clinic or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667. Texas WIC Formula Request Form (pdf) The following is a list of WIC Offices located throughout Collin County. If you have questions about eligibility or the services offered under the WIC program, please contact the Collin County WIC Office closest to you. Collin County WIC Offices McKinney Office. 825 N. McDonald, Suite 120 McKinney, TX 75069 MapLook through your Texas WIC Shopping Guide to learn which brands and sizes of food you can buy with your Texas WIC Card. . Approved WIC Foods Shopping Guide (English - PDF, 7.3 MB); Approved WIC Foods Shopping Guide (Spanish - PDF, 6.7 MB); Approved WIC Foods Shopping Guide (Vietnamese - PDF, 6.7 MB); Approved …WIC Temporary Product: Enfamil NEURO INF PWD 28.3OZ (679) - NTE $50.56 WIC Temporary Product: Enfamil NEURO INF BOX PWD 31.4OZ (680) - NTE $54.10 WIC Temporary Product: ENFAMIL REGULINE PWD 19.5OZ (692) - NTE $41.35 WIC Temporary Product: ENF NEURO INFANT PWD BOX 36.4OZ (697) - NTE $69.72 Generic Hypoallergenic Formula Options - available ...Formula Powder Reckitt/Mead Johnson has issued a voluntary recall for specific lots of Nutramigen Hypoallergenic Infancy Formula LGG Powder in 12.6 and 19.8 oz. WIC clients who have Nutramigen Hypoallergenic Infant Formula Powder . with the batch codes below should stop using it and contact Reckitt/Mead . Johnson Nutrition for guidance:Maximum Monthly Allowances of Supplemental Foods for Infants in Food Packages I, II and III. Fully Formula fed. Partially Breastfed. Fully Breastfed. Foods. Food PackagesI and III A: 0-3 months B: 4-5 months. Food PackagesII and III 6-11 months. Food PackagesI and III A: 0 to 3 months B: 4-5 months. Food PackagesII and III 6-11 months. WIC Product: Enfamil Infant 12.5 oz (663) - NTE $19.26 ... Texas WIC Subject: Vendor Formula Alternates - March 1, 2023 Keywords: Texas, WIC, Vendor, Formula ... that the reconciliation of cost for the formula is between the grocery store and Reckitt. Texas WIC is ready to assist our vendor partners. For questions regarding this Vendor News Flash, please contact the Vendor Management Unit’s Vendor Outreach Branch at . [email protected] or 1-800-252-9629. Find more WIC vendor resources ... Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC office or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667.Modular: 1 scoop = 1 tablespoon = 8.6 g = 35 cal; 4.1 cal/g; standard serving 2 scoops per 1/2 cup food or water; 40 scoops per can; nutritionally incomplete; macronutrient distribution range per 100 g: 54% carbohydrate, 25% protein, 21% fat; 8% of fat is MCT oil; enriched with L-leucine, 29 vitamins and minerals. Available in PWD (12oz can).Explore Our Classes. WIC's online classes make it easy for you to learn about a variety of nutrition and breastfeeding topics. Click and learn classes are available anytime — day or night. Take them at your own pace. Live classes are 30-60 minutes long and offered at set days and times. Chat with other parents and WIC experts in real time. Items marked "Restricted for WIC Use Only" are reserved for WIC staff. Texas residents: WIC provides up to 50 courtesy copies of print materials per month. You can also print copies using the PDFs provided online. Out-of-state residents: WIC provides one courtesy copy per item. You can print as many copies as you like from items with an online PDF. WIC Product: Enfamil Infant 12.5 oz (663) - NTE $19.26 WIC Product: Enfamil Gentlease 12.4 oz (668) - NTE $20.01: 070074575414 SIMILAC SENSITIVE PWD 12.5OZ: ... Texas WIC Subject: Vendor Formula Alternates - March 1, 2023 Keywords: Texas, WIC, Vendor, Formula, Alternates, March 1, 2023Breastfeeding and Formula Feeding. WIC is here to help you meet your breastfeeding goals. Starting or increasing formula can decrease your breastmilk supply. If you need help maintaining your supply, please talk to someone at your local WIC clinic or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667.TEXAS WIC APPROVED FOODS SHOPPING GUIDE Choose Any Brand • 16 to 18 oz. jar • Creamy or crunchy NOT WIC APPROVED: ... Cereal with fruit, formula, DHA, added ingredients, or organic. Exclusively Breastfeeding Infants 6 …Page 3 Revised 6/1/2021 TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE June 2021 Formula Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert Manufacturer Name period unless otherwise indicated. Boost Plus Increased 46 cal/oz, lactose-free, high-calorie; 1) Increased calorie needs …Texas residents who are struggling to pay their utility bills may be eligible for assistance. Utility assistance programs provide financial aid to help households pay for energy co...Texas homestead exemptions only need to be filed once, within two years after your homestead property taxes are due. After you file and receive your exemption, you don't need to re...Texas WIC Medical Request for Non-Standard Formula (English) F13-06-13152 (PDF, 1.0MB) Texas WIC Medical Request for Metabolic Formula (English) EF13-06-13158 (PDF, 325KB) Instructions for Medical Request Form for Metabolic Formula (English) EF13-06-13158-1 (PDF, 122KB) TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE February 2020 Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer Alfamino Infant Elemental 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based elemental. 43% of fat is MCT On Oct. 1, Texas WIC’s new formula contract went into effect. Texas WIC’s contract for milk-based formulas has switched from Abbott Laboratories, the makers of Similac, to Mead Johnson, the makers of Enfamil products. The new contract is only for milk-based formulas. All other formula products remain unchanged. “All WIC participants receiving standard milk-based infant […]permanent US formula and will continue to be available at Texas WIC for the foreseeable future. Pepticate may be ordered through drop ship vendors. Please confirm availability of this formula with your selected drop ship vendor prior to releasing a drop ship order for this formula. Some supply of Pepticate may also be available at local Walmarts.Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC ofice or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667. August 2023. Enfamil A.R. 667. Milk-based Infant Formula: 20 cal/oz, milk-based with rice starch; contains prebiotic GOS (Galacto-oligosaccharides) and polydextrose (PDX); 20:80 whey-to-casein ratio; not intended for infants or children with galactosemia. Similar to Similac for Spit-Up. Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC ofice or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667.If WIC clients are unable to exchange recalled formula or find an alternative at the store, they can contact their WIC office for assistance. WCCHD WIC office locations: Cedar Park. 512-260-4241. [email protected]. Georgetown/ Liberty Hill. 512-943-3680.For exempt formulas, health care providers must authorize the specific brand and formulation through the Medical Request Form before it can be issued by the WIC program. Health care providers can provide verbal authorization to change to an alternative brand of formula to WIC staff over the phone, or the provider can complete a new Medical …Everything you need to know about the devastating storm approaching Texas. Preparations are underway across the Gulf Coast of the southern US today as residents brace for the first... Annually, Texas WIC reviews the Authorized Product List (APL) and selects specific foods that will improve the diet of WIC participants. WIC foods are rich in protein, iron, vitamins C and A, and calcium, which are vital to healthy development during pregnancy and early childhood. Click on each item to see the Texas authorized product with ... Texas WIC is ready to assist our vendor partners. Should you have any questions regarding this Vendor News Flash or any challenges purchasing the supply of contract brand formula, please contact the Vendor Outreach Branch at [email protected] or 1-800-252-9629. Find additional WIC vendor …According to Walmart’s coupon policy, WIC purchases are accepted by all Walmart stores. However, certain restrictions apply to these purchases and vary based on the purchase and lo...WIC Policy and Procedures Manual 4 . Texas WIC Health and Human Services Commission Effective: December 1, 2017 Policy No. FD: 13.0 (T) D. In-State Transfers – If a participant received an alternate contract formula with prescription and transfers to another local clinic in Texas, the gaining clinic may use the RX expiration date available inYour Texas WIC Card works like a debit card and keeps track of your food benefits for each month. Take your WIC card to each WIC appointment so staff can reload your benefits. You can use your WIC card at over 2,000 authorized grocery stores throughout Texas. Find a store where you can pay with your WIC card here: Store Finder.Real moms, Amber and Nguyen, from The Mom Team discuss how to safely mix your baby’s formula. Learn how to safely store and mix your baby’s formula. The moms...Texas WIC Formulary. Alfamino Infant. 593. Elemental: 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based. 43% of fat is MCT oil. Similar to Elecare DHA/ARA, Neocate DHA/ARA and PurAmino. Available in PWD (14.1oz can). Condition that impairs digestion/absorption. 2) GI Disorder.For more information, contact Kathrine Galvan – WIC Program Director 361-826-1355 or at [email protected]. About Texas WIC. The Special Supplemental Nutrition Program for Women, Infants and Children (WIC), which is administered by Texas HHSC, is a nutrition program for pregnant women, breastfeeding women, and families …permanent US formula and will continue to be available at Texas WIC for the foreseeable future. Pepticate may be ordered through drop ship vendors. Please confirm availability of this formula with your selected drop ship vendor prior to releasing a drop ship order for this formula. Some supply of Pepticate may also be available at local Walmarts.There are three biomes found in Texas: grasslands, desert and southern pine forest. Grasslands make up the bulk of the Texas, with desert in southwest Texas and forest in southeast...Families with Formula-Fed Infants. Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. (starting 10/1/22)B. Formula and WIC Supplemental Foods. Requested length of issuance: 3 months 6 months Other: Name of Formula(s) Amount per Day. Unit Size: ... STATE of TEXAS-WIC Office; Administrative Assistance only; 4616 West Howard Lane, Suite 840; Austin, Texas 78728. 512-552-6783. 512-751-7537. 512-547-8105. 512-243-4850:HHSC requires managed care organizations to adhere to the Medicaid and CHIP formularies. These formularies include: Legend drugs. Over-the-counter drugs. Refer to the Pharmacy Provider Procedure Manual for more information about other products available as a pharmacy benefit, including: COVID-19 vaccines. COVID-19 test kits.found easily. This database is intended to be a resource for Regional offices and WIC staff at State and local agencies. Disclaimer for WIC Formula Database As a courtesy, FNS has determined that the products listed in this database meet the minimum Federal requirements for eligibility in the WIC Program as an infant formula, exempt infant ...The Texas WIC Program encourages mothers to breastfeed their babies for the first year of life, with the addition of complementary foods around six months. When infant formula is necessary or requested, WIC provides contracted formulas or requires a medical request for therapeutic formulas. All requests are subject to approval and provision ...How to enjoy Texas outdoors in summer. The best swimming and water sports are at natural springs, beaches, outdoor pools, and rivers. Everything is bigger in Texas, including the h...Information for. Families with Formula-Fed Infants. Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges.Discover some of the most interesting businesses for sale in Texas, from a winery and wedding venue to a thriving restaurant and oilfield services. Everything’s bigger (and more in...Feb 13, 2023 ... 346 Likes, TikTok video from Texas WIC SPCAA (@texaswicsouthplains): “New update for lactose free milk! #wicmoms #wicshopping #wichaul ...Every state has its own laws regarding infant and child car seat use. These standards state the specifics for age, weight and size of the child where their safety is of concern whe...May 4, 2024 · Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC office or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667. Monthly Formula Quantity Recon. Ounce Monthly Max Ounces Y=Issued to Infants N=Not Issued to Infants Formula Approval Level Smallest Purchas-ing Unit Formula Recall. There is a recall of Similac, Similac PM 60/40, Alimentum, EleCare and EleCare Jr. powdered formulas. If you use powdered formula, follow these steps: Check to see if your formula has been recalled at similacrecall.com. If recalled, do NOT use it. Return it to the store or call the manufacturer at 800-986-8540 for replacement. Oct 11, 2022 · Similac PRO Total Comfort 20.1oz PWD. Enfamil Gentlease 12.4oz PWD. Similac PRO Total Comfort 29.8 PWD. Enfamil Gentlease 12.4oz PWD. Filed under: Formula, Texas WIC. Tags: Texas WIC, WIC baby. On Oct. 1, 2022, Texas WIC's new formula contract went into effect. The listed Similac products become the corresponding Enfamil product. Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC ofice or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667.Code 606 Ensure Clear RTU now includes Blueberry and Mixed Fruit. All information within the Formula Code List is now in the Formulary. The former Formula Code List will be discontinued, and all future updates will be revised on the Texas WIC Formulary. Staff may join us for a live training on 10/4/21 or 10/5/21 to go over the new formulas as ...When infant formula is necessary or requested, WIC provides contracted formulas or requires a medical request for specialty formulas. All requests are subject to approval and provision based on federal and state policies of the WIC program.Quart only if on shopping list. NOT WIC APPROVED: Organic, flavored milk (such as chocolate), milk with DHA or omega-3, rice milk, almond milk or goat’s milk. Cheese. Look for the Pink WIC Sticker. 16 oz. (1 lb.) or 32 oz. (2 lb.) packages. Block or sliced. Regular, reduced-fat or low-fat. Mozzarella string cheese (16 oz.)B. Formula Food Package Exchanges 1. Formula to Formula a. Any formula food package can be exchanged for another formula food package at any time if the formula quantity on Texas WIC Card and/or returned is equal to or more than the formula quantity in the new food package. b. When exchanging food packages with formula, formulaDec 31, 2020 · 30 cal/oz, low levels of milk protein, calcium, potassium, phosphorus and vitamin A. Available in PWD. Formula history required. Can only be issued to women and children. 30 cal/oz, high-protein, lactose-free with fiber; 25% of calories as protein; 25% of fat is MCT oil; 3.5 g fiber/250 mL container. A list of approved infant and pediatric formulas for Texas WIC participants with special medical conditions or increased calorie needs. Includes brand names, calorie content, availability, requirements, approval authority, and limitations for each formula.Learn how to request WIC formulas for your patients and download the latest Texas WIC formulary. Find instructions, forms and information for families of formula fed infants.Formula Powder Reckitt/Mead Johnson has issued a voluntary recall for specific lots of Nutramigen Hypoallergenic Infancy Formula LGG Powder in 12.6 and 19.8 oz. WIC clients who have Nutramigen Hypoallergenic Infant Formula Powder . with the batch codes below should stop using it and contact Reckitt/Mead . Johnson Nutrition for guidance:Everything is bigger in Texas, including — surprise! — its Gulf Coast beaches. These are the best places to swim and suntan in the Lone Star State. We may be compensated when you c...The use of ready-to-use exempt formula for nfants, and any formula for women and ch ldren, mproves a part c pant’s compl ance n consum ng the prescr bed formula. Refer to the spec f c formula n the Texas WIC Formulary. The cont nued ssuance of RTU shall. be evaluated at subsequent cert f cat ons. WIC Pol cy and …Texas WIC Medical Request for Non-Standard Formula (English) F13-06-13152 (PDF, 1.0MB) Texas WIC Medical Request for Metabolic Formula (English) EF13-06-13158 (PDF, 325KB) Instructions for Medical Request Form for Metabolic Formula (English) EF13-06-13158-1 (PDF, 122KB) FORMULA CODE LIST JUNE 2021 Formula Level: LA = Local Agency approval. SA = State Agency approval Note: Shaded items have packaging challenges. Page 1 Revised 6/1/21 E=Exempt S=Std MF=WIC Elig Nutr Approval Level- LA-Local SA-State Formula Code Formula Description Welcome to Texas WIC's online ordering system. Browse the catalog to order from a variety of WIC materials. Many items can be printed from a PDF. To learn more, you can view our Frequently Asked Questions. Log in to the WIC Catalog.Texas Medical Disclosure Panel Menu button for Texas Medical Disclosure Panel"> Texas Medical Disclosure Panel – Frequently Asked Questions; Health Services Providers Menu button for Health Services Providers"> Breast and Cervical Cancer Services Menu button for Breast and Cervical Cancer Services"> BCCS Med-IT Information; BCCS Provider ...Feb 13, 2023 ... Texas WIC. From pregnancy to 5, WIC is with you every inch of the way! Apply today at: https://texaswic.org/apply #TexasWIC.Real moms, Amber and Nguyen, from The Mom Team discuss how to safely mix your baby’s formula. Learn how to safely store and mix your baby’s formula. The moms...Mar 1, 2024 · Texas WIC Date: March 5, 2024 Subject: March 2024 Formula Approval Resources. The following Formula Approval resources have been updated and are posted as of 3/1/2024. • Texas WIC Formulary • Nutrition Assessment Requirement Guide • Texas WIC Maximum Quantity Table for Infants • Texas WIC Maximum Quantity Table for Women and Children Texas WIC is a program that stands for ‘Women, Infants and Children’. It’s a nutrition assistance program helps at-risk babies, children and pregnant and nursing mothers through easy access to formula, baby food and basic groceries. The Texas WIC program helps pregnant and breastfeeding mothers provide a healthy start for their … Formula . No Shading = Issued to Women and Children Only Revised March 2024. TXIN WOMEN AND CHILDREN MAXIMUM FORMULA QUANTITIES TABLE MARCH 2024. Formula . 1. MARCH ... Today, the U.S. Department of Agriculture’s (USDA) Food and Nutrition Service (FNS) is publishing a final rule to implement the Access to Baby Formula Act. As part of the months-long, whole-of-government response to the recall-driven infant formula shortages in 2022, Congress passed legislation to support access to formula for WIC ...Real moms, Amber and Nguyen, from The Mom Team discuss how to safely mix your baby’s formula. Learn how to safely store and mix your baby’s formula. The moms...Oct 27, 2021 ... 4703 Likes, 152 Comments. TikTok video from Texas WIC SPCAA (@texaswicsouthplains): “Increased fruit and veggie benefits now through ...Formula Powder Reckitt/Mead Johnson has issued a voluntary recall for specific lots of Nutramigen Hypoallergenic Infancy Formula LGG Powder in 12.6 and 19.8 oz. WIC clients who have Nutramigen Hypoallergenic Infant Formula Powder . with the batch codes below should stop using it and contact Reckitt/Mead . Johnson Nutrition for guidance:Similac PRO Total Comfort 20.1oz PWD. Enfamil Gentlease 12.4oz PWD. Similac PRO Total Comfort 29.8 PWD. Enfamil Gentlease 12.4oz PWD. Filed under: Formula, Texas WIC. Tags: Texas WIC, WIC baby. On Oct. 1, 2022, Texas WIC's new formula contract went into effect. The listed Similac products become the corresponding …

Families with Formula-Fed Infants. Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your. baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. (starting 2/1/21). Cajun catfish buffet photos

texas wic formulary

August 2023. Enfamil A.R. 667. Milk-based Infant Formula: 20 cal/oz, milk-based with rice starch; contains prebiotic GOS (Galacto-oligosaccharides) and polydextrose (PDX); 20:80 whey-to-casein ratio; not intended for infants or children with galactosemia. Similar to Similac for Spit-Up.Quart only if on shopping list. NOT WIC APPROVED: Organic, flavored milk (such as chocolate), milk with DHA or omega-3, rice milk, almond milk or goat’s milk. Cheese. Look for the Pink WIC Sticker. 16 oz. (1 lb.) or 32 oz. (2 lb.) packages. Block or sliced. Regular, reduced-fat or low-fat. Mozzarella string cheese (16 oz.)Texas WIC helps you buy the foods that you and your children need to stay healthy. The WIC foods in your monthly food package are low in fat, high in fiber, help you get important nutrients, and promote a healthy weight. ... Download the latest Texas WIC formulary (PDF, 487 KB) Disclaimer: Product descriptions and details may vary over time ...Breastfeeding and Formula Feeding. WIC is here to help you meet your breastfeeding goals. Starting or increasing formula can decrease your breastmilk supply. If you need help maintaining your supply, please talk to someone at your local WIC clinic or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667.Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. For 24/7 breastfeeding support, call 855-550-6667.WIC health partners should fill out the Medical Request for Formula form to request WIC formulas for their patients. Once completed, fax the form to your patient’s local WIC clinic, or print it for the patient to bring to the clinic. Local WIC clinical staff have to review all medical requests for formula, which are subject to approval based ...permanent US formula and will continue to be available at Texas WIC for the foreseeable future. Pepticate may be ordered through drop ship vendors. Please confirm availability of this formula with your selected drop ship vendor prior to releasing a drop ship order for this formula. Some supply of Pepticate may also be available at local Walmarts.See the Texas WIC Formulary for available therapeutic formulas, which require health partners to fill out a Texas WIC Medical Request for Formula/Food Form. WIC approval is required. See the Formula Prescriptions page for forms and other formula-related documents.Alternate Formulas Extended Through February 28. Texas WIC will continue allowing alternative brand formulas through February 28, 2023. WIC participants are being informed that when Enfamil and Similac Soy Isomil formula is unavailable, they may get alternative options. It is very likely February will be the last month that alternative formula ...TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE October 2021: Formula Name Formula Code Description Qualifying Conditions: Staff Guidance Manufacturer: BCAD 2 278: Metabolic: isoleucine, leucine and valine-free; branched-chain amino acid-free. 24 g protein equivalents per 100 g powder.TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE October 2022. Formula Name Formula Code Description Qualifying Conditions. Staff Guidance Manufacturer/ Packaging* Alfamino Infant 593. Elemental: 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based. 43% of fat is MCTTEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE OCTOBER 2018 Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer Alfamino Infant Elemental 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based elemental. 43% of … Breastfeeding and Formula Feeding. WIC is here to help you meet your breastfeeding goals. Starting or increasing formula can decrease your breastmilk supply. If you need help maintaining your supply, please talk to someone at your local WIC clinic or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667. 30 cal/oz, low levels of milk protein, calcium, potassium, phosphorus and vitamin A. Available in PWD. Formula history required. For infants and children. 30 cal/oz, high-protein, lactose-free with fiber; 25% of calories as protein; 25% of fat is MCT oil; 3.5 g fiber/250 mL container. Available in RTU.Texas WIC Formulary. Alfamino Infant. 593. Elemental: 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based. 43% of fat is MCT oil. Similar to Elecare DHA/ARA, Neocate DHA/ARA and PurAmino. Available in PWD (14.1oz can). Condition that impairs digestion/absorption. 2) GI Disorder..

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