WIC Formula Policy

Please call our WIC office at 330-723-9688, option 4, with any questions

Please read the letter from The Ohio Department of Health explaining the WIC policy for formula use.

Ohio WIC Prescribed Formula and Food Request Form: This is the most current WIC prescription form with effective date of October 2023. This allows the WIC program to provide food benefits to WIC participants for specialized formula covered through the WIC program after being completed by a physician. Participants must have a qualifying medical diagnosis and be evaluated by a WIC Health Professional to receive a specialized formula through WIC.

Ohio WIC Approved Formulas: Read a brief description of each formula WIC provides and the appropriate medical conditions treated with each formula.