Instructions for health care providers on filling out the prescription formula form.
Prescription Formula Form for medical formulas/medical foods which must be completed by a health care provider.
The West Virginia WIC Program continues to promote breastfeeding as the preferred method of infant feeding for at least the infant's first year. For healthy infants prescribed a standard soy-based infant formula, the West Virginia WIC Program will transition from providing Gerber Good Start Soy to Similac Soy Isomil effective January 29, 2019. Standard milk-based formulas provided by WIC will continue to be Similac Advance OptiGRO, Similac Sensitive, Similac for Spit-Up and Similac Total Comfort.