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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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WIC Policy and Procedure Manual for Therapeutic Formula and Medical Foods:

Training

Contact

For additional information regarding Therapeutic Formula, please contact
E-mail: Denay.Mintz@cdph.ca.gov
Phone: (916) 928-8762

For additional information regarding Medi-Cal, please contact
Email: Cheryl.Barrios@cdph.ca.gov
Phone: (916) 928-8579

 Additional Links

​Formula Product Information Links

Mead Johnson

Abbott

Nutricia

Nestle/Gerber

​Insurance Resources

Medi-Cal

Apply for Medi-Cal

Enteral Nutrition Policy

1.      Click on Provider Manuals
2.      Click on Part 2 - Pharmacy Manual
3.      Scroll down and click on Enteral Nutrition 

MMCD Policy Letter 14-003

Medi-Cal Managed Care Health Plan Directory

California Children's Services

Children's Medical Services

Directory of Regional Centers
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