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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 Missouri WIC

Standard Infant Formulas

WIC provides standard infant formulas for all infant participants regardless of insurance status.

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

  • Similac Advance 
  • Similac Sensitive 
  • Similac Gentle Comfort 
  • Similac Isomil 

Non-Standard Infant Formula

  • Enfamil AR

Missouri WIC provides the non-standard formula Enfamil AR with a WIC 27 and a qualifying condition for all infant participants regardless of insurance status.

 

Photo of can of powder infant formula with a pink scoop of powder formula over it.

Special Formulas and WIC-eligible Nutritionals

Beginning July 1, 2026, health insurance companies, including MO HealthNet, will assume the primary payer role for special formulas for infant and child WIC participants. This means that WIC will no longer provide special formulas or WIC-eligible Nutritionals to participants that have health insurance. This change allows WIC to provide nutritious food to more eligible participants. Health insurance companies can provide special formula, and WIC can provide healthy food!

For infant and child participants whose insurance covers special formula, the participants HCP will need to send a prescription for the special formula to a durable medical equipment (DME) company or entity as determined by the insurance company. If you have questions, please email WICInfo@health.mo.gov. Health care provider updates for Missouri WIC are available by subscribing to our MO WIC Info for Health Care Providers email.

Participants With No Insurance or Insurance Denies Coverage

Missouri WIC is the secondary payer and will provide WIC-approved special formula in accordance with WIC requirements and when one or more of the following apply.

A participant:
• Does not have insurance.
• Is enrolled in MO HealthNet, private or military insurance, but their formula is not covered.
• Is waiting for a MO HealthNet application or formula request to be approved.
You will continue to complete a WIC-27 for these WIC participants who rely on WIC for ongoing or transitional special formula needs.

A WIC-27 is required when requesting a non-standard infant formula,speical 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.

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.