Standard Formula Package
What are the 4 Standard Formulas?
1.Similac Advance
2.Similac Sensitive
3.Similac Total Comfort
4.Similac Isomil (Soy)
Where can Staff and Medical Providers find the most recent SFFR and list of authorized formulas?
What is Michigan.gov/wic Medical Provider(s) Tab.
Who can approve Class II formulas?
Who are CPAs and RDs.
Who can approve class III formulas?
Who are WIC RD’s.
Can I use the formula/food request past the end of the certification date?
What is Yes, after the client has been recertified the special formula/food can be added to the expiration date. Re-evaluate formula usage during recert appointment.
A caregiver asks what formula would be best for lactose sensitivity-What formula do you recommend?
What is Similac Sensitive.
What would you call a formula item that has the designator "l" on the authorized formula list?
What is an Institutional formula that may require a special order from a WIC authorized pharmacy vendor.
What is required to be able to assign a Class II formula to an infant food package.
What is an SFFR (Special Formula Food Request Form).
Name a formula for premature or low-birth weight infants.
What is Neosure, Enfacare.
When can you give RTF (ready to feed) formula when it is not medically necessary?
When there is documented unsanitary or insufficient water. No access to refrigeration or poor refrigeration. Caretaker has difficulty correctly diluting powder or concentrate formula. Product is only available in RTF form.
A caregiver calls, stating they are using Similac Advance and baby is very gassy and spitting up. What formula do you recommend?
What is Similac Total Comfort.
What would you call a formula item that has the designator “R” on the authorized formula list?
What is a Retail product ("R") shelf stock items available via WIC grocery vendors.
Which Class II formula is commonly used for infants with Gastroesophageal Reflux (GERD)?
What is Enfamil AR.
What formulas are used for severe protein allergies?
What are amino acid based formulas: Neocate, Elecare, Puramino, Alfamino.
What do you do if a client needs more formula that WIC can provide?
Refer to food/infant pantry, use SNAP benefits, purchase less expensive store brand formula, some formulas are covered by CSHCS.
A doctor is requesting dairy free formula for an infant client. What do you do?
Contact the caregiver and suggest that they try Similac Isomil on the Standard Formula Package.
Where can you find the reconstituted volume in ounces of powered and concentrate formula cans?
What is the Formula Maximums Sheet.
Name a class II formula that is commonly assigned for infants with milk protein intolerance
What is Nutramigen, Alimentum, or Gerber Extensive HA, Hypoallergenic Store Brand.
What supplement might be prescribed by a doctor for failure to thrive children?
What is Pediasure.
What do you do if a provider does not fill out the “Medical Conditions” section of the SFFR?
Call the provider to clarify medical diagnosis, or fax the form back for correction.
Which Standard Formulas have formula concentrate as an option?
What is Similac Advance and Similac Soy Isomil.
What is the maximum amount of powdered formula that an infant on the Standard Formula Pkg gets at 7 months of age?
What is 7 cans/month.
Name a class II formula that is for fat malabsorption and lactose intolerance.
What is Pregestimil.
What category of WIC participant can receive Ensure or Boost supplements with a valid SFFR?
What is NPP, BE, BP, PG. Will accept “women”.
Who should you refer to any time a client is put on a class II or Class III formula?
Who is the WIC dietitian.