Texas wic formulary

March 2024. Enfamil Infant. 663 (PWD) 664 (CON) 665 (RTU) Milk-based Infant Formula: 20 cal/oz, milk-based with prebiotic GOS (Galacto-oligosaccharides) and polydextrose (PDX); 60:40 whey-to-casein ratio; not intended for infants or children with galactosemia. Similar to Similac Advance.

Texas wic formulary. Modular: 1 scoop = 1 tablespoon = 8.6 g = 35 cal; 4.1 cal/g; standard serving 2 scoops per 1/2 cup food or water; 40 scoops per can; nutritionally incomplete; macronutrient distribution range per 100 g: 54% carbohydrate, 25% protein, 21% fat; 8% of fat is MCT oil; enriched with L-leucine, 29 vitamins and minerals. Available in PWD (12oz can).

Feb 13, 2023 ... 346 Likes, TikTok video from Texas WIC SPCAA (@texaswicsouthplains): “New update for lactose free milk! #wicmoms #wicshopping #wichaul ...

More Formula. Full Formula Infant. 1000 Full Formula 0-3 Infant 1001 Full Formula 4-5 Infant 1002 Full Formula 6-11 Infant 1010 Rx More Formula FF 6-11 Infant. Some Breastfeeding Infant. 1003 SBF 0-3 Infant 1004 SBF ... HHSC, Texas, WIC, TXIN, Food, Packages, August, 2021 Created Date:Get Variety with Your WIC Foods. Your food package includes foods from this list. Fruits, Vegetables and Juice. Fresh, frozen and canned fruits and vegetables. Vitamin C-rich 100% fruit or vegetable juices. Whole Grains. Whole wheat bread. Corn or whole wheat tortillas. Brown rice.Explore Our Classes. WIC's online classes make it easy for you to learn about a variety of nutrition and breastfeeding topics. Click and learn classes are available anytime — day or night. Take them at your own pace. Live classes are 30-60 minutes long and offered at set days and times. Chat with other parents and WIC experts in real time. FORMULA CODE LIST JUNE 2021 Formula Level: LA = Local Agency approval. SA = State Agency approval Note: Shaded items have packaging challenges. Page 1 Revised 6/1/21 E=Exempt S=Std MF=WIC Elig Nutr Approval Level- LA-Local SA-State Formula Code Formula Description d. WIC clinic staff may call or fax your office if there is missing information or to clarify your request. Sometimes, a formula cannot be approved or is not available through Texas WIC. If so, clinic staff will call to discuss other options for your patient. e. WIC formula is typically purchased at retail stores. Some specialty items (such as2) Section B - Formula and WIC Supplemental Foods a. Length of issuance – the HCP can check 3 months, 6 months or fill in a different amount of time. b. A table is provided to fill in the name of the formula, the amount needed per day, the container size and the number of containers needed per month.

The Texas WIC Formula Team will provide a lunch-and-learn training on Thursday, August 11th instead of the Q and A for the Contract Formula Transition. If you have any questions or require additional information regarding . Texas WIC Policy FD:19.0 – Managing Returned Formula, please contact Gabrielle Serna, WIC Food and Formula Specialist, atWIC is for pregnant women, new parents, infants, and children under five. If you are on Medicaid, TANF, or SNAP you already qualify. * A pregnant woman’s household is increased by the number of infants she is expecting. If you have any income questions, call 1-800-942-3678. Start now.Get Variety with Your WIC Foods. Your food package includes foods from this list. Fruits, Vegetables and Juice. Fresh, frozen and canned fruits and vegetables. Vitamin C-rich 100% fruit or vegetable juices. Whole Grains. Whole wheat bread. Corn or whole wheat tortillas. Brown rice.Your Texas WIC Card works like a debit card and keeps track of your food benefits for each month. Take your WIC card to each WIC appointment so staff can reload your benefits. You can use your WIC card at over 2,000 authorized grocery stores throughout Texas. Find a store where you can pay with your WIC card here: Store Finder.TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE October 2021: Formula Name Formula Code Description Qualifying Conditions: Staff Guidance Manufacturer: BCAD 2 278: Metabolic: isoleucine, leucine and valine-free; branched-chain amino acid-free. 24 g protein equivalents per 100 g powder.Policy Manual - Texas Health and Human ServicesCompared to other states, Texas is a big U.S. city with farmland, ranches and the Gulf Coast shore. It’s a popular tourist destination with attractions and entertainment throughout...

Texas WIC helps you buy the foods that you and your children need to stay healthy. The WIC foods in your monthly food package are low in fat, high in fiber, help you get important nutrients, and promote a healthy weight. ... Download the latest Texas WIC formulary (PDF, 487 KB) Disclaimer: Product descriptions and details may vary over time ...For questions or concerns, contact the Texas WIC Formula Team at: [email protected]. This institution is an equal opportunity provider. Title: Memo 23-008 Author: Texas WIC Subject: New formulas effective January 18, 2023 Keywords: Memo, 23-008, Texas, WIC, New, formulas, effective, January 18, 2023Monthly Formula Container Number when Averaged Reconstituted Ounce Amount 593 ALFAMINO INF PWD 14.1OZ. 94: 593: Infant-PBF-Age 0: 1: 94: 593: Infant-PBF-Age 1-3 ...Heat water to at least 158 F/70 C. To do this, boil the water and then let cool for 5 minutes. Being careful to avoid burns, pour the correct amount of heated water into a clean and sterile bo le. Add the correct amount of formula right away, atach nipple and ring to the botle, and shake well to mix.Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC ofice or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667.IF YOUR TEXAS WIC CARD doesn’t work, call your local WIC staff or take it to the clinic. IF YOUR WIC CARD IS LOST OR STOLEN. call and report it to 1-800-942-3678 so WIC can cancel your card and protect your benefits. It can take up to 3 days for the WIC clinic to get you a new card.

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Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. For 24/7 breastfeeding support, call 855-550 …30 cal/oz, low levels of milk protein, calcium, potassium, phosphorus and vitamin A. Available in PWD. Formula history required. Can only be issued to women and children. 30 cal/oz, high-protein, lactose-free with fiber; 25% of calories as protein; 25% of fat is MCT oil; 3.5 g fiber/250 mL container.WIC-34Pashto Texas WIC Shopping Guide Pashto (PDF) WIC-34-1 Shopping Guide for Infant Formula English/Spanish (PDF) WIC-34-1V Shopping Guide for Infant Formula Vietnamese (PDF) Download Only; Posters. WIC-34P Texas WIC Approved Foods Poster English (PDF) WIC-34PA Texas WIC Approved Foods Poster Spanish (PDF) …Monthly Formula Quantity Recon. Ounce Monthly Max Ounces Y=Issued to Infants N=Not Issued to Infants Formula Approval Level Smallest Purchas-ing UnitNUTRITION ASSESSMENT REQUIREMENTS GUIDE (March 2024) This handout lists all Texas WIC formulas in columns according to the assessment parameters required by the Texas WIC Formulary and Policy FD: 16.0. The required assessment parameters are described as follows: No Assessment Required – Diet history, and other …

Formula Powder Reckitt/Mead Johnson has issued a voluntary recall for specific lots of Nutramigen Hypoallergenic Infancy Formula LGG Powder in 12.6 and 19.8 oz. WIC clients who have Nutramigen Hypoallergenic Infant Formula Powder . with the batch codes below should stop using it and contact Reckitt/Mead . Johnson Nutrition for guidance:Finding an affordable home in Texas can be a daunting task. With the cost of living rising, it can be difficult to find a home that fits within your budget. Fortunately, there are ...Mar 7, 2023 ... Aprende a cómo encontrar la leche y el yogur que sea parte de tus beneficios WIC de Texas. /// Conoce más acerca de los alimentos WIC, ...Texas WIC helps you buy the foods that you and your children need to stay healthy. The WIC foods in your monthly food package are low in fat, high in fiber, help you get important nutrients, and promote a healthy weight. ... Download the latest Texas WIC formulary (PDF, 487 KB) Disclaimer: Product descriptions and details may vary over time ...WIC health partners should fill out the Medical Request for Formula form to request WIC formulas for their patients. Once completed, fax the form to your patient’s local WIC clinic, or print it for the patient to bring to the clinic. Local WIC clinical staff have to review all medical requests for formula, which are subject to approval based ...TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE MAY 2019 Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer Alfamino Infant Elemental 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based elemental. …Texas WIC . Health and Human Services Commission . Effective May 1 , 202 3 Policy No. FD:1 6 .1 . FD:16.1 – Issuance of Formula Food Packages and Transfer Scenarios . WIC Policy and Procedures Manual 1 . Issuance of Formula Food Packages and Transfer Scenarios Purpose . To ensure that Texas WIC participants receive the infant formula,Texas WIC Date: March 5, 2024 Subject: March 2024 Formula Approval Resources. The following Formula Approval resources have been updated and are posted as of 3/1/2024. • Texas WIC Formulary • Nutrition Assessment Requirement Guide • Texas WIC Maximum Quantity Table for Infants • Texas WIC Maximum Quantity Table for Women and Children

Feb 5, 2021 ... Real moms, Nayeli and Claire, talk about continuing to add new foods into your baby's diet. Learn about moving from pureed foods to mashed ...

Aug 1, 2023 · SUBJECT: Formula Approval Resources . The following Formula Approval resources have been updated and are posted as of 8/1/2023. • Texas WIC Formulary • Nutrition Assessment Requirement Guide • Texas WIC Maximum Quantity Table for Infants • Texas WIC Maximum Quantity Table for Women and Children WIC is the special supplemental nutrition program for pregnant women, new mothers and young children. Participants learn about nutrition and how to stay healthy, and receive benefits to purchase healthy foods. Services are free to those who are eligible. WIC is an equal opportunity provider.Oct 27, 2021 ... 4703 Likes, 152 Comments. TikTok video from Texas WIC SPCAA (@texaswicsouthplains): “Increased fruit and veggie benefits now through ...Quart only if on shopping list. NOT WIC APPROVED: Organic, flavored milk (such as chocolate), milk with DHA or omega-3, rice milk, almond milk or goat’s milk. Cheese. Look for the Pink WIC Sticker. 16 oz. (1 lb.) or 32 oz. (2 lb.) packages. Block or sliced. Regular, reduced-fat or low-fat. Mozzarella string cheese (16 oz.)Formula Powder Reckitt/Mead Johnson has issued a voluntary recall for specific lots of Nutramigen Hypoallergenic Infancy Formula LGG Powder in 12.6 and 19.8 oz. WIC clients who have Nutramigen Hypoallergenic Infant Formula Powder . with the batch codes below should stop using it and contact Reckitt/Mead . Johnson Nutrition for …CAD Search. NDC Label Name. CAD Drug NDC. HCPCS Code*. *Miscellaneous HCPCS codes may have multiple corresponding drugs and NDCS listed. HCPCS Description. Relation start date. Enter the date in MM/DD/YYYY format, including leading 0 if needed (e.g., 03/15/2017). Relation End Date. HHSC requires managed care organizations to adhere to the Medicaid and CHIP formularies. These formularies include: Legend drugs. Over-the-counter drugs. Refer to the Pharmacy Provider Procedure Manual for more information about other products available as a pharmacy benefit, including: COVID-19 vaccines. COVID-19 test kits.

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TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE February 2021. Formula Name Category Description. Qualifying Conditions HHSC requires managed care organizations to adhere to the Medicaid and CHIP formularies. These formularies include: Legend drugs. Over-the-counter drugs. Refer to the Pharmacy Provider Procedure Manual for more information about other products available as a pharmacy benefit, including: COVID-19 vaccines. COVID-19 test kits. Products prescribed for inborn-errors of metabolism. (e.g., PKU) require a completed Texas WIC Medical Request for Metabolic Formula/Food (stock no, EF-16-03-13158) from a qualified metabolic Center listed on the back of the metabolic prescription form. If center is not listed, contact the SA. The metabolic form is available at.Texas WIC Date: March 5, 2024 Subject: March 2024 Formula Approval Resources. The following Formula Approval resources have been updated and are posted as of 3/1/2024. • Texas WIC Formulary • Nutrition Assessment Requirement Guide • Texas WIC Maximum Quantity Table for Infants • Texas WIC Maximum Quantity Table for Women and ChildrenTEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE June 2021 Formula Name Category Description. Qualifying Conditions. Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer. Alfamino Infant Elemental. 20 cal/oz when mixed 1 scoop to 1 ozThere are three biomes found in Texas: grasslands, desert and southern pine forest. Grasslands make up the bulk of the Texas, with desert in southwest Texas and forest in southeast...May 4, 2024 · Contact Us. For more information about the WIC program call 800-942-3678 or email WICG [email protected]. WIC Product: Enfamil Infant 12.5 oz (663) - NTE $19.26 WIC Product: Enfamil Gentlease 12.4 oz (668) - NTE $20.01: 070074575414 SIMILAC SENSITIVE PWD 12.5OZ: ... Texas WIC Subject: Vendor Formula Alternates - March 1, 2023 Keywords: Texas, WIC, Vendor, Formula, Alternates, March 1, 2023August 2023. Enfamil A.R. 667. Milk-based Infant Formula: 20 cal/oz, milk-based with rice starch; contains prebiotic GOS (Galacto-oligosaccharides) and polydextrose (PDX); 20:80 whey-to-casein ratio; not intended for infants or children with galactosemia. Similar to Similac for Spit-Up.Policy. When issuing approved exempt formula to women, infants, and children for valid medical conditions, in compliance with policy FD 16.0, authorized WIC staff must: Issue appropriate quantities of formula within maximum monthly allowances (MMA) as indicated by federal regulation. Quantities issued cannot be increased to offset reduced final ...The use of ready-to-use exempt formula for nfants, and any formula for women and ch ldren, mproves a part c pant’s compl ance n consum ng the prescr bed formula. Refer to the spec f c formula n the Texas WIC Formulary. The cont nued ssuance of RTU shall. be evaluated at subsequent cert f cat ons. WIC Pol cy and Procedures Manual.Generic Hypoallergenic Formula Options - available indefinitely UPC Generic Hypoallergenic Options. 00000041260385728 COMFORTS HYPOALLERGENIC PWD 12.6OZ ... Texas WIC Subject: Vendor Formula Alternates - April 1, 2023 Keywords: Texas, WIC, Vendor, Formula, Alternates, April 1, 2023 ….

Revised October 2012. WIC Eligible Formulas. Policy: Some of these formulas require a medical prescription as well as approval by the state or local agency WIC program. Other infant formulas may be available based on individual need. When in doubt about the eligibility of a formula, the local agency should contact the state agency nutritionist.Additional Medicaid Contact Information. Medicaid Clients and Health Professionals: Call the phone number on the reverse side of the ProviderOne Services Card: 800-562-3022. Medicaid (Health and Recovery Services Administration) Enteral Nutrition Billing Instructions (PDF) New WIC Approved Infant Formula starting on April 2024.WIC Temporary Product: Enfamil NEURO INF PWD 28.3OZ (679) - NTE $50.56 WIC Temporary Product: Enfamil NEURO INF BOX PWD 31.4OZ (680) - NTE $54.10 WIC Temporary Product: ENFAMIL REGULINE PWD 19.5OZ (692) - NTE $41.35 WIC Temporary Product: ENF NEURO INFANT PWD BOX 36.4OZ (697) - NTE $69.72 …Welcome to Texas WIC's online ordering system. Browse the catalog to order from a variety of WIC materials. Many items can be printed from a PDF. To learn more, you can view our Frequently Asked Questions. Log in to the WIC Catalog.Maximum Monthly Allowances of Supplemental Foods for Infants in Food Packages I, II and III. Fully Formula fed. Partially Breastfed. Fully Breastfed. Foods. Food PackagesI and III A: 0-3 months B: 4-5 months. Food PackagesII and III 6-11 months. Food PackagesI and III A: 0 to 3 months B: 4-5 months. Food PackagesII and III 6-11 months.TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE February 2021; Formula Name Category Description; Qualifying Conditions; Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer: Boost Plus Increased Calorie Supplement 46 cal/oz, lactose-free, high-calorie; nutritionally complete; similar to Ensure Plus ...WIC Policy & Procedures Manual. To download and print individual policies, choose a document on this page. The complete policy and procedures manual is also available for those who wish to download and print the entire manual at once. Complete Policy and Procedures Manual (PDF)Breastfeeding and Formula Feeding. WIC is here to help you meet your breastfeeding goals. Starting or increasing formula can decrease your breastmilk supply. If you need help maintaining your supply, please talk to someone at your local WIC clinic or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667.Feb 5, 2021 ... Bottle Feeding the Breastfed Baby | Texas WIC for Breastfeeding Support | BreastmilkCounts.com · TexasHHSC · Safe Formula Prep | Texas WIC for ..... Texas wic formulary, Choose Any Brand. 15 oz. to 16 oz. can. Regular, low sodium or organic. Any type of bean. Fat-free refried beans are allowed. Not WIC Approved: Baked beans, soups, added ingredients like meat, vegetables or oil. Shopping Tip: Canned green beans, wax beans and lima beans count as fruit and vegetable benefits., WIC is a federally-funded public health nutrition program administered through the Texas Department of State Health Services. The program is exceptional among federally administered programs in that it provides support to a specific population: pregnant women or women who are breastfeeding or have recently had a baby, infants, and children up to …, For more information, contact Kathrine Galvan – WIC Program Director 361-826-1355 or at [email protected]. About Texas WIC. The Special Supplemental Nutrition Program for Women, Infants and Children (WIC), which is administered by Texas HHSC, is a nutrition program for pregnant women, breastfeeding women, and families with children ..., Families with Formula-Fed Infants. Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. (starting 10/1/22), See the Texas WIC Formulary for available therapeutic formulas, which require health partners to fill out a Texas WIC Medical Request for Therapeutic formula. WIC approval is required. See the …, Texas WIC Date: March 5, 2024 Subject: March 2024 Formula Approval Resources. The following Formula Approval resources have been updated and are posted as of 3/1/2024. • Texas WIC Formulary • Nutrition Assessment Requirement Guide • Texas WIC Maximum Quantity Table for Infants • Texas WIC Maximum Quantity Table for Women and Children, Lactose-free Milk. New size available – 96 oz. container. Women and children 2-5 years old get skim or 1% milk and one-year-old children get whole milk. Tell staff at your WIC office if you would like lactose-free milk instead of regular milk, then choose any brand. These foods became available on October 1, 2022., Top 5 Things Moms Love About Texas WIC. Contact Us. Resources. WIC In the News. ... Formula Prescriptions. ... call the Texas Lactation Support Hotline at 855-550-6667., Texas WIC Date: March 5, 2024 Subject: March 2024 Formula Approval Resources. The following Formula Approval resources have been updated and are posted as of 3/1/2024. • Texas WIC Formulary • Nutrition Assessment Requirement Guide • Texas WIC Maximum Quantity Table for Infants • Texas WIC Maximum Quantity Table for Women and Children, Texas WIC Health and Human Services Commission Effective August 9 , 2022 Policy No. FD:19.0 WIC Policy and Procedures Manual 1 ... Staff must not reissue containers of returned formula to another WIC participant for any reason, except as provided under #7 below. 5. Staff must determine if returned containers are to be donated or disposed., Texas WIC is ready to assist our vendor partners. Should you have any questions regarding this Vendor News Flash or any challenges purchasing the supply of contract brand formula, please contact the Vendor Outreach Branch at [email protected] or 1-800-252-9629. Find additional WIC vendor …, Feb 5, 2021 ... Bottle Feeding the Breastfed Baby | Texas WIC for Breastfeeding Support | BreastmilkCounts.com · TexasHHSC · Safe Formula Prep | Texas WIC for ....., Death records are an important part of family history and genealogy research. If you’re looking for Texas death records, there are a few ways to go about it. This article will prov..., WIC health partners should fill out the Medical Request for Formula form to request WIC formulas for their patients. Once completed, fax the form to your patient’s local WIC clinic, or print it for the patient to bring to the clinic. Local WIC clinical staff have to review all medical requests for formula, which are subject to approval based ... , TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE February 2021; Formula Name Category Description; Qualifying Conditions; Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer: Boost Plus Increased Calorie Supplement 46 cal/oz, lactose-free, high-calorie; nutritionally complete; similar to Ensure Plus ..., TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE October 2022. Formula Name Formula Code Description Qualifying Conditions. Staff Guidance Manufacturer/ Packaging* Alfamino Infant 593. Elemental: 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based. 43% of fat is MCT, Maximum Monthly Allowances of Supplemental Foods for Infants in Food Packages I, II and III. Fully Formula fed. Partially Breastfed. Fully Breastfed. Foods. Food PackagesI and III A: 0-3 months B: 4-5 months. Food PackagesII and III 6-11 months. Food PackagesI and III A: 0 to 3 months B: 4-5 months. Food PackagesII and III 6-11 months., May 4, 2024 · Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC office or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667. , Breastfeeding and Formula Feeding. WIC is here to help you meet your breastfeeding goals. Starting or increasing formula can decrease your breastmilk supply. If you need help maintaining your supply, please talk to someone at your local WIC clinic or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667. , CAD Search. NDC Label Name. CAD Drug NDC. HCPCS Code*. *Miscellaneous HCPCS codes may have multiple corresponding drugs and NDCS listed. HCPCS Description. Relation start date. Enter the date in MM/DD/YYYY format, including leading 0 if needed (e.g., 03/15/2017). Relation End Date., that the reconciliation of cost for the formula is between the grocery store and Reckitt. Texas WIC is ready to assist our vendor partners. For questions regarding this Vendor News Flash, please contact the Vendor Management Unit’s Vendor Outreach Branch at . [email protected] or 1-800-252-9629. Find more WIC vendor …, Submit your completed form or letter to USDA by: mail: U.S. Department of Agriculture Ofice of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; fax: (202) 690-7442; or. email: [email protected]. This institution is an equal opportunity provider., May 4, 2024 · Talk with your WIC nutritionist and use the directions below to help support your baby’s formula change. If you are also breastfeeding your baby, WIC can help you maintain your breastmilk supply while supplementing. Talk to your local WIC office or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667. , August 2023. Enfamil A.R. 667. Milk-based Infant Formula: 20 cal/oz, milk-based with rice starch; contains prebiotic GOS (Galacto-oligosaccharides) and polydextrose (PDX); 20:80 whey-to-casein ratio; not intended for infants or children with galactosemia. Similar to Similac for Spit-Up., FORMULA FUNDING RATES Base Rate per Participant Effective October 1, 2022 $ 13.59 FFR for FY2023 % of Base +/- of base, the large can size options of Enfamil contract formulas. This formula is available under code 694, effective 1/18/23. This formula will not have additional alternate brand UPCs associated with the formula code and will be available until March 31, 2023. It will appear as 694 – ENFAMIL GENTLEASE PWD 19.9OZ on the WIC shopping list. , CAD Search. NDC Label Name. CAD Drug NDC. HCPCS Code*. *Miscellaneous HCPCS codes may have multiple corresponding drugs and NDCS listed. HCPCS Description. Relation start date. Enter the date in MM/DD/YYYY format, including leading 0 if needed (e.g., 03/15/2017). Relation End Date., Texas WIC Formulary. Alfamino Infant. 593. Elemental: 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based. 43% of fat is MCT oil. Similar to Elecare DHA/ARA, Neocate DHA/ARA and PurAmino. Available in PWD (14.1oz can). Condition that impairs digestion/absorption. 2) GI Disorder., FY2019 WIC Financial and Program Status Activity Reporting (FNS-798) December 2019 Annual Closeout (PDF) Funding Information Fiscal Year 2024. FY 2024 Funding Formula Narrative for Local WIC Agencies (PDF) FY 2024 Initial Funding Formula Rates (PDF) Fiscal Year 2023. FY 2023 Funding Formula Narrative for Local WIC Agencies (PDF), See the Texas WIC Formulary for available therapeutic formulas, which require health partners to fill out a Texas WIC Medical Request for Formula/Food Form. WIC approval is required. See the Formula Prescriptions page for forms and other formula-related documents., The state of Texas does not collect state income taxes; therefore, filing married but separately from your spouse is not an option at the state level. The Internal Revenue Service,..., Texas is a great place to find affordable housing. With its large population and diverse economy, there are plenty of options for those looking to purchase a home on the cheap. Her..., Additional Medicaid Contact Information. Medicaid Clients and Health Professionals: Call the phone number on the reverse side of the ProviderOne Services Card: 800-562-3022. Medicaid (Health and Recovery Services Administration) Enteral Nutrition Billing Instructions (PDF) New WIC Approved Infant Formula starting on April 2024.