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Alabama WIC Formulary with Qualifying Conditions Effective 04/01/2026 Prod ID Product RFO Description Qualifying Conditions Staff Guidance Manufacturer/ Packaging 186 (PWD)

188 (CON)

187 (RTU) Enfamil Infant (12.5 oz. Powder)

Enfamil Infant (13oz. Concentrate)

Enfamil NeuroPro Infant (32 oz. RTU)

90.00

26.00

32.00 Milk-based Infant Formula: 20 cal/oz, milk-based with prebiotics; 60:40 whey-to- casein ratio; not intended for infants or children with galactosemia.

Similar to Similac Advance (AL WIC does not cover Similac products; only for reference)

Allergens: Milk and Soy Current contract standard milk-based infant formula.

Over age 1 with medical need for a milk-based product with one or more of the following: 1. Prematurity (<37 weeks)/LBW 2. Developmental delays (sensory & motor) 3. Oral-motor feeding issues/aversions Requirements for Ages Over 12 months: Medical documentation and prescription must be on file

Limitations: Can only issue to infants and children through 23 months old.

Staff may only issue Enfamil NeuroPro Infant RTU when it meets criteria outlined in Chapter 5 of the WIC Procedure Manual (5.3). Contract formulas must be redeemed at the store unless unavailable or there is an access issue.

Mead Johnson Powder: 6 cans/case

Concentrate: 12 cans/case

RTU: 6 bottles/case 184 (PWD)

185 (RTU) Enfamil Gentlease (12.4 oz. Powder)

Enfamil NeuroPro Gentlease (32 oz. RTU) 90.00

32.00 Milk-based Infant Formula: 20 cal/oz, milk-based with 20% of carbohydrates from lactose; contains partially hydrolyzed nonfat milk and whey protein with 60:40 whey-to- casein ratio; not intended for infants or children with galactosemia.

Similar to Similac Total Comfort and Good Start SoothePro (AL WIC does not cover Similac products; only for reference)

Allergens: Milk and Soy Current contract partially hydrolyzed milk- based formula. Intolerance to Enfamil Infant, digestive issues, and/or colic.

Over age 1 with medical need for a milk-based product with one or more of the following: 1. Prematurity (<37 weeks)/LBW 2. Developmental delays (sensory & motor) 3. Oral-motor feeding issues/aversions Requirements for Ages Over 12 months: Medical documentation and prescription must be on file

Limitations: Can only issue to infants and children through 23 months old.

Staff may only issue Enfamil NeuroPro Gentlease RTU when it meets criteria outlined in Chapter 5 of the WIC Procedure Manual (5.3). Contract formulas must be redeemed at the store unless unavailable or there is an access issue.

Mead Johnson Powder: 6 cans/case

RTU: 6 bottles/case 66 Enfamil AR (12.9 oz. Powder) 91.00 Milk-Based Infant Formula: 20 cal/oz, milk-based with rice starch; contains prebiotics, 20:80 whey-to-casein ratio; not intended for infants or children with galactosemia.

Allergens: Milk and Soy Current contract added rice starch milk- based formula. Intolerance to Enfamil Infant or spitting up and/or reflux.

Over age 1 with medical need for a milk-based product with one or more of the following: 1. Prematurity (<37 weeks)/LBW 2. Developmental delays (sensory & motor) 3. Oral motor feeding issues/aversions Requirements for Ages Over 12 months: Medical documentation and prescription must be on file

Limitations: Can only issue to infants and children through 23 months old. Contract formulas must be redeemed at the store unless unavailable or there is an access issue.

Mead Johnson 6 cans/case 181 (PWD)

182 (CON)

208 (RTU) Enfamil ProSobee (12.9 oz. Powder)

Enfamil ProSobee (13 oz. Concentrate)

Enfamil ProSobee (32oz. RTU) 92.00

26.00

32.00 Soy-Based Infant Formula: 20 cal/oz, lactose-free, soy-based.

Similar to Similac Soy Isomil (AL WIC does not cover Similac products; only for reference)

Allergens: Soy Current contract standard soy-based infant formula.

Over age 1 with medical need for a soy-based product with one or more of the following: 1. Cow's milk allergy or intolerance 2. Galactosemia Requirements for Ages Over 12 months: Medical documentation and prescription must be on file

Limitations: Can only issue to infants and children through 23 months old.

Staff may only issue Enfamil ProSobee RTU when it meets criteria outlined in Chapter 5 of the WIC Procedure Manual (5.3). Contract formulas must be redeemed at the store unless unavailable or there is an access issue.

Mead Johnson Powder: 6 cans/case

Concentrate: 12 cans/case

RTU: 6 bottles/case