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Prod ID Product RFO Description Qualifying Conditions Staff Guidance Manufacturer/ Packaging 211 Enfamil Reguline (12.4 oz. Powder) 90.00 Milk-based Infant Formula: 20 cal/oz, milk-based with 50% carbohydrates from lactose; contains prebiotics, partially hydrolyzed nonfat milk and whey protein; not intended for infants or children with galactosemia.
Similar to Similac Total Comfort. (AL WIC does not cover Similac or Gerber products, only for reference)
Allergens by Nature: Milk and Soy Current contract partially hydrolyzed milk- based formula with prebiotics. Intolerance to Enfamil Infant, digestive issues, and/or constipation.
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 Prod ID Product RFO Description Qualifying Conditions Staff Guidance Manufacturer/ Packaging 178 (CI) Alfamino Infant (14.1 oz. Powder) 96.00 Elemental/Amino Acid: 20 cal/oz; hypoallergenic amino acid based, 43% of fat is MCT oil.
Mixing Instructions: 1 scoop to 1 oz water
Similar to Elecare DHA/ARA, Neocate Infant DHA/ARA, Neocate Syneo and PurAmino. 1. Cow’s milk protein allergy (CMPA) 2. Multiple food allergies 3. Eosinophilic GI disorders 4. Malabsorptive conditions 5. Short bowel syndrome (SBS) 6. Food protein-induced enterocolitis syndrome (FPIES) Limitations: Can only issue to infants and children through 23 months old.
Recommendations: A protein hydrolysate formula (Alimentum, Extensive HA, Nutramigen, Pepticate, or Pregestimil) is recommended before issuing unless medically contraindicated. Nestle 6 cans/case 179 (CI) Alfamino Junior (14.1 oz. Powder) 62.00 Elemental/Amino Acid: 30 cal/oz; hypoallergenic amino acid based, 63% of fat is MCT oil.
Mixing Instructions: 1 scoop to 1 oz water
Similar to Elecare Jr, Neocate Jr and Puramino Jr. 1. Cow’s milk protein allergy (CMPA) 2. Multiple food allergies 3. Eosinophilic GI disorders 4. Malabsorptive conditions 5. Short bowel syndrome (SBS) 6. Food protein-induced enterocolitis syndrome (FPIES) Limitations: Can only issue to children 12 months to 5 years old. Nestle 6 cans/case unflavored vanilla 153 (CI) Beneprotein (8 oz. Powder) 27.00 Modular: contains 6 grams of high-quality whey protein in every scoop. Nutritionally incomplete.
1 scoop: 7g powder, 25 cal, 6g protein
Allergens by Nature: Milk, Soy 1. Elevated protein requirements for renal (dialysis), burns, surgery, cancer or wound management 2. Malnutrition Limitations: Can only issue to children from 12 months to 5 years old and women.
Requirements: Modular formulas must be approved by District Nutrition Director or State WIC Office Nestle 6 cans/case unflavored