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Contract Infant FormulaGerber Good Start Gentle Nestlé HealthCare NutritionGerber Good Start Soy Nestlé HealthCare NutritionGerber Good Start SootheNestlé HealthCare NutritionGerber Graduates Gentle (age 9-11 months)Nestlé HealthCare NutritionGerber Graduates Soy (age 9-11 months)Nestlé HealthCare NutritionGerber Graduates Soothe (age 9-11 months)Nestlé HealthCare NutritionNon-Contract Formulas/Nutritionals Requiring Medical Documentation:FormulaManufacturerA-SoyPBM ProductsAcerflexNutricia Add-InsNutricia AdveraAbbott NutritionAlitraQAbbott NutritionBenecalorieNestlé NutritionBeneproteinNestlé NutritionBoostNestlé NutritionBoost BreezeNestlé NutritionBoost Glucose ControlNestlé NutritionBoost High ProteinNestlé NutritionBoost Kid EssentialsNestlé NutritionBoost Kid Essentials 1.5Nestlé NutritionBoost Kid Essentials 1.5 w / fiberNestlé NutritionBoost PlusNestlé NutritionBoost Nutritional PuddingNestlé NutritionBright Beginning SoyPBM ProductsCalcilo XDAbbott NutritionCarnation Breakfast EssentialsNestlé NutritionCarnation Breakfast Essentials, No Sugar AddedNestlé NutritionCompleatNestlé NutritionCompleat PediatricNestlé NutritionCompleat Pediatric Reduced CalorieNestlé NutritionComplex MSUD Amino Acid BarsApplied Nutrition CorporationCrucial Nestlé NutritionCyclinex 1Abbott NutritionCyclinex 2Abbott NutritionDuocalNutricia EleCare JrAbbott NutritionEleCare (for Infants)Abbott NutritionEnfamil A.R.Mead JohnsonEnfamil EnfaCareMead JohnsonEnfamil Human Milk Fortifier Acidified LiquidMead JohnsonEnfamil Premature 20 with ironMead JohnsonEnfamil Premature 20 with ironMead JohnsonEnfamil Premature 24 with ironMead JohnsonEnfaport Mead JohnsonEnliveAbbott NutritionEnsure Nutrition ShakeAbbott NutritionEnsure High ProteinAbbott NutritionEnsure PlusAbbott NutritionEnsure PuddingAbbott NutritionEO28 SplashNutricia Fiber Source HNNestlé NutritionGerber Good Start NourishNestlé NutritionGerber Good Start Premature 24Nestlé NutritionGlucernaAbbott NutritionGlutarex-1Abbott NutritionGlutarex-2Abbott NutritionHominex-1Abbott Nutrition Hominex-2Abbott NutritionIntroliteAbbott NutritionIsoSource 1.5Nestlé NutritionIsoSource HNNestlé NutritionI-Valex-1Abbott NutritionI-Valex-2Abbott NutritionJevityAbbott NutritionKetoCal 3:1Nutricia KetoCal 4:1Nutricia Ketonex-1Abbott NutritionKetonex-2Abbott NutritionKetoVieCambrooke TherapeuticsKetoVolveSolace NutritionL-Emental Hormel Health LabsL-Emental HepaticHormel Health LabsL-Emental PediatricHormel Health LabsLipistartVitaflowLophlex LQNutriciaLo*ProMed-Diet LabsMCT OilNestlé NutritionMCT ProcalVitaflowMethionaidNutricia MicrolipidNestlé NutritionMonogenNutricia MSUD AnalogNutriciaMSUD MaxamaidNutriciaMSUD MaxamumNutriciaMSUD-1NutriciaMSUD-2NutriciaNeocate Infant DHA & ARANutricia Neocate JuniorNutricia Neocate Junior with PrebioticsNutriciaNeocate NutraNutriciaNeocate SplashNutriciaNepro with Carb SteadyAbbott NutritionNitro-ProHormel Health LabsNovaSourceRenalNestle NutritionNutramigen Mead JohnsonNutramigen with Enflora LGGMead JohnsonNutramigen ToddlerMead JohnsonNutren 1.0Nestle NutritionNutren 1.0 with FiberNestlé NutritionNutren 1.5Nestlé NutritionNutren 2.0Nestlé NutritionNutren GlytrolNestlé NutritionNutren JuniorNestlé NutritionNutren Junior FiberNestlé NutritionNutren PulmonaryNestlé NutritionNutren Replete with FiberNestlé NutritionNutriHepNestlé NutritionOsmoliteAbbott NutritionOsmolite HNPlusAbbott NutritionPediaSureAbbott NutritionPediaSure w/FiberAbbott NutritionPediaSure 1.5 CalAbbott NutritionPediaSure 1.5 Cal with fiberAbbott NutritionPediaSure EnteralAbbott NutritionPediaSure Enteral w/Fiber and scFOSAbbott NutritionPediaSure Peptide 1.0 CalAbbott NutritionPediaSure Peptide 1.5 Cal Abbott Nutrition Pepdite JuniorNutriciaPeptamenNestle NutritionPeptamen 1.5Nestlé NutritionPeptamen AFNestlé NutritionPeptamen JuniorNestlé NutritionPeptamen Junior FiberNestlé NutritionPeptamen Junior 1.5Nestlé NutritionPeptamen Junior with PrebioNestlé NutritionPeptamen OS Nestlé NutritionPeptamen OS 1.5 Nestlé NutritionPerativeAbbott NutritionPeriflex AdvanceNutriciaPeriflex InfantNutricia PKU Periflex Junior PlusNutricia Periflex JuniorNutriciaPeriflex LQ (previously Xphe Maxamum)NutriciaPhenex-1Abbott NutritionPhenex-2Abbott NutritionPhenylAde 40Drink MixApplied NutritionCorporationPhenylAde 60Drink MixApplied Nutrition CorporationPhenylAde Amino Acid BarsApplied Nutrition CorporationPhenylAde Amino Acid BlendApplied Nutrition CorporationPhenylAde Drink MixesApplied Nutrition CorporationPhenylAde Essential DrinkApplied Nutrition CorporationPhenylAde MTE Amino Acid BlendApplied Nutrition CorporationPhenyl-Free 2Mead JohnsonPhenyl-Free 2HPMead JohnsonPhlexy – 10 BarNutriciaPhlexy – 10 CapsulesNutricia Phlexy – 10 Drink MixNutricia PKU-ExpressVitaflo LimitedPKU-GelVitaflo LimitedPolycalNutriciaPortagenMead JohnsonPregestimil Mead JohnsonPregestimil 24Mead JohnsonProBalanceNestle NutritionProduct 3200ABMead JohnsonProduct 3232 AMead JohnsonProduct 80056Mead JohnsonProModAbbott NutritionPromoteAbbott NutritionPromote with FiberAbbott NutritionPro-PeptideHormel Health LabsPro-Peptide for KidsHormel Health LabsPro-Peptide VHNHormel Health LabsPro-PhreeAbbott NutritionPropimex-1Abbott NutritionPropimex-2Abbott NutritionProtifarNutricia North AmericaProViMinAbbott NutritionPulmocareAbbott NutritionPurAminoMead JohnsonRE/GENNutra/ BalanceRenalcal Nestlé NutritionResource 2.0Nestlé NutritionRCF (No Added Carbohydrate Soy Infant Formula Base With Iron)Abbott NutritionScandical Calorie BoosterAptalisScandishakeAptalisScandishake Lactose FreeAptalisScandishake Sugar FreeAptalisSimilac Expert Care AlimentumAbbott NutritionSimilac Expert Care for DiarrheaAbbott NutritionSimilac Expert Care NeoSureAbbott NutritionSimilac Human Milk Fortifier Abbott NutritionSimilac PM 60/40Abbott NutritionSimilac Special Care with Iron 20Abbott NutritionSimilac Special Care with Iron 24 Abbott NutritionSimilac Special Care with Iron 30Abbott NutritionSolCarbSolaceSuplena with Carb SteadyAbbott NutritionTolerexNestlé NutritionTwoCal HNAbbott NutritionTyrex-1Abbott NutritionTyrex-2Abbott NutritionUCD Anamix JuniorNutriciaUCD-2NutriciaVivonex PediatricNestlé NutritionVivonex PlusNestlé NutritionVivonex RTFNestlé NutritionVivonex T.E.N.Nestlé NutritionXLeu AnalogNutriciaXLeu MaxamaidNutriciaXLeu MaxamumNutriciaXLYS, XTrp AnalogNutriciaXLys, XTrp MaxamaidNutriciaXLys, XTrp MaxamumNutriciaXMet AnalogNutriciaXMet MaxamaidNutriciaXMet Maxamum NutriciaXMTVI AnalogNutriciaXMTVI Maxamaid NutriciaXMTVI Maxamum NutriciaXPhe , XTyr MaxamaidNutriciaXPhe MaxamaidNutriciaXPHE, XTyr AnalogNutriciaXPTM AnalogNutriciaReady-to-feed formula may be indicated in limited documented cases, such as:Unsanitary or restricted water supply Inadequate refrigerationCaregiver has a documented condition which inhibits the proper dilution of concentrated or powder formula.For participants in Food Package III with a qualifying medical condition and who are receiving exempt infant formulas or nutritionals (a) if the ready-to-feed form better accommodates the participant’s medical condition or (b) if the ready-to-feed form improves the participant’s compliance in consuming the prescribed formula.If a health care provider with prescriptive authority orders a product that is not on this list, contact the Nutrition Unit to determine whether the product is authorized for distribution through Georgia WIC.Special formulas may be acquired through the Nutrition Unit. See Georgia WIC Procedures Manual, Food Package Section for appropriate procedure and forms. ................
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