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Women, Infants & Children (WIC)

Therapeutic Formula

A WIC participant may have a medical condition and need therapeutic formula that is not a WIC contract formula. Therapeutic formulas should be covered by the WIC participant’s health plan when the clinician provides adequate medical justification. Should a WIC participant be denied therapeutic formula coverage by his or her health plan (Medi-Cal or other health insurance), the WIC Program may provide the therapeutic formula.

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For general inquiries and formula orders, contact us at

For additional information regarding Therapeutic Formula, please contact or

For additional information regarding Medi-Cal, please contact

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