WIC CARD AND FOOD BENEFITS WPPM #390-30 Subject: Distribution of Therapeutic Formula Item: Surplus Therapeutic Formula and WIC-Eligible Nutritionals Ordered through CDPH/WIC

California WIC Policy and Procedure Manual Page 1 of 2 May 22, 2023 PURPOSE: To establish procedures for handling surplus therapeutic formula (TF) and WIC-eligible nutritionals (WEN) ordered through CDPH/WIC. LAs may have surplus TF/WEN when a participant misses multiple appointments, receives a new prescription (Rx) for a different formula, receives TF/WEN from Medi-Cal, or a shipment exceeds the maximum amount issued. POLICY: I. Local agency (LA) staff are permitted to: A. Provide surplus TF/WEN to another participant with an Rx and appropriate diagnosis for the formula. Refer to WPPM 390-10. B. Donate surplus TF/WEN within 60 days of the expiration date. II. LA staff must: A. Track surplus TF/WEN and retain records for three years. B. Dispose of expired TF/WEN. III. LA staff must not accept donated formula from participants or the general public. PROCEDURES: I. Redistribution of Surplus TF/WEN A. Prior to providing surplus TF/WEN to another participant, LA staff must: 1. Ensure the participant has an appropriate diagnosis to warrant the issuance of the TF/WEN and an appropriate Rx for the product. Refer to WPPM 390-10. 2. Ensure the TF/WEN have 60 days or more until the expiration date. 3. Request approval and notify the CDPH/WIC formula team of the number of surplus cans of TF/WEN. Contact CDPH/WIC by: a. Email Formula@cdph.ca.gov or, b. Fax (916) 636-6238 II. Donation of Surplus TF/WEN A. LAs are only allowed to donate surplus TF/WEN that have not been provided to a participant. LA staff must not accept donated formula from participants or the general public.

WIC CARD AND FOOD BENEFITS WPPM #390-30 Subject: Distribution of Therapeutic Formula Item: Surplus Therapeutic Formula and WIC-Eligible Nutritionals Ordered through CDPH/WIC

California WIC Policy and Procedure Manual Page 2 of 2 May 22, 2023 B. If the LA chooses to donate surplus TF/WEN, the LA must: 1. Donate to a local food bank, hospital, community service organization, or a nonprofit emergency food program. 2. Ensure TF/WEN have 60 days or more until the expiration date. 3. Track donations of TF/WEN using the CDPH/WIC Formula Donation form or other LA-developed tracking form. III. Disposal of TF/WEN A. LAs must dispose of expired TF/WEN in a manner that ensures that the product cannot be consumed. LA staff must: 1. Track disposal of TF/WEN using the CDPH/WIC Formula Destruction form or other LA-developed tracking form. 2. Dispose of expired liquid formula using the following steps: a. Open expired container. b. Empty liquid from container into sink. c. Rinse and recycle container. 3. Dispose of expired powder formula using the following steps: a. Open expired container. b. Pour expired formula into garbage bag. c. Recycle container. d. Put garbage bag into dumpster. RESOURCE: Formula Destruction Form on Local Agency SharePoint Site Food Package Resources Formula Donation Form on Local Agency SharePoint Site Food Package Resources CROSS REFERENCE: WPPM 390-10 Provision of Therapeutic Formula and WIC-Eligible Nutritionals