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Women, Infants and Children Program
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Therapeutic Formula Training Part 1
WIC Infant Formula: Therapeutic Formula
Procedures
Processing Therapeutic Formula Requests:
Process for Therapeutic Formula Requests (PDF)
Pediatric Referral Form
Full Sheet Version (PDF)
with
Instructions (PDF)
WIC Program Manual Policies for Therapeutic Formula and Medical Foods:
390-10 Therapeutic Formulas, Medical Foods and WIC Foods (PDF)
390-20 Provision of Medically Necessary Formulas or Medical Foods (PDF)
Common Indications for Therapeutic Formula (PDF)
(also see the Formula Product Information links below)
Training
Therapeutic Formula Training Part 1 (PPT)
Therapeutic Formula Training Part 1 Q and A (PDF)
For additional information, please contact
Denay.Mintz@cdph.ca.gov
phone 916-928-8762 or
Paula.Etcheberry@cdph.ca.gov
phone 916-928-8539.
Formula Product Information Links
Mead Johnson
Abbott
Nutricia
Nestle/Gerber
Insurance Resources
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Medi-Cal
Enteral Nutrition Policy
Medi-Cal
MMCD Policy Letter 12-005
Medi-Cal Managed Care Health Plan Directory
California Healthy Families Program
California Children's Services
Children's Medical Services
Directory of Regional Centers
Last modified on: 2/20/2013 10:25 AM