![]() If Medi-Cal or Medi-Cal Managed Care will not cover a formula, WIC may be able to provide one of the above formulas.įor questions or assistance regarding a therapeutic formula for your infant, text 91997. WIC requires the health care provider to submit an authorization/referral to the patient’s Medi-Cal Managed Care plan or a prescription for the patient to take to a pharmacy that accepts Medi-Cal. On your next visit to GCM, present your EBT, SNAP, or WIC card upon. New Pediatric Referrals are required every six months while infants and children receive WIC and formulas for medical conditions from any source. The program supports those receiving food assistance (SNAP) benefits by visiting. ![]() ![]() The WIC program helps coordinate care with health care providers to provide these formulas to WIC-eligible infants and children along with WIC services and other allowed WIC foods.Īll infants and children receiving WIC services and medically necessary formulas from any source are required to submit a completed Medical Formula and Nutritionals Request Form form signed by their physician. 10/22 Florida Department of Health, WIC Program This institution is an equal opportunity provider. ![]() WIC does not provide all of the food your child needs. Some infants may require therapeutic formulas for medical conditions. Note: WIC is a supplemental nutrition program.
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