Texas wic formulary

TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE June 2021 Formula Name Category Description. Qualifying Conditions. Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer. Alfamino Infant Elemental. 20 cal/oz when mixed 1 scoop to 1 oz

CAD Search. NDC Label Name. CAD Drug NDC. HCPCS Code*. *Miscellaneous HCPCS codes may have multiple corresponding drugs and NDCS listed. HCPCS Description. Relation start date. Enter the date in MM/DD/YYYY format, including leading 0 if needed (e.g., 03/15/2017). Relation End Date.Staying abreast of current events is always important, but it can become essential to stay informed when there’s something serious going on in your local area. Texas residents can ...Helping moms meet their breastfeeding goals. The WIC program recommends exclusive breastfeeding for up to six months and continued breastfeeding for two years or as long as mutually desired by mother and infant. Exclusively breastfeeding WIC moms get an enhanced food package, and WIC encourages our health partners to adopt policies and create ...All food package changes are the responsibility of a CA or WCS. For WCS, refer to Policy FD:13.0, FD:16.0, FD: 16.1 and FD:19.0 for further instructions regarding food package changes which include formula. III. Individual participant food package benefits will be aggregated on the Texas WIC card. After all family members’ food packages are ...Policy Manual - Texas Health and Human ServicesWhether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. For 24/7 breastfeeding support, call 855-550 … WIC health partners should fill out the Medical Request for Formula form to request WIC formulas for their patients. Once completed, fax the form to your patient’s local WIC clinic, or print it for the patient to bring to the clinic. Local WIC clinical staff have to review all medical requests for formula, which are subject to approval based ... TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE June 2021 Formula Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert Manufacturer Name period unless otherwise indicated. Alfamino Infant Elemental 20 cal/oz when mixed 1 scoop to 1 oz 1) Malabsorption syndrome Formula history required.

Policy. When issuing approved exempt formula to women, infants, and children for valid medical conditions, in compliance with policy FD 16.0, authorized WIC staff must: Issue appropriate quantities of formula within maximum monthly allowances (MMA) as indicated by federal regulation. Quantities issued cannot be increased to offset reduced final ... Food Packages - Effective August 1, 2022. Fully Breastfeeding Infants (6 months to 11 months) Fully Breastfeeding Infants (6 months to 11 months) Infant cereal. Fully Breastfeeding Infants (6 months to 11 months) 24 ounces. TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE February 2020 Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer Alfamino Infant Elemental 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based elemental. 43% of …WIC Services. The Women, Infants & Children (WIC) Program is a federally assistance program administered by the Texas Health and Human Services Commission (HHSC) through a network of over 500 local WIC clinics across the state that provides access to healthy food, nutrition education, and healthcare resources to low-income pregnant …The Texas WIC Program encourages mothers to breastfeed their babies for the first year of life, with the addition of complementary foods around six months. When infant formula is necessary or requested, WIC provides contracted formulas or requires a medical request for therapeutic formulas. All requests are subject to approval and provision ...B. Formula and WIC Supplemental Foods. Requested length of issuance: 3 months 6 months Other: Name of Formula(s) Amount per Day. Unit Size: ... STATE of TEXAS-WIC Office; Administrative Assistance only; 4616 West Howard Lane, Suite 840; Austin, Texas 78728. 512-552-6783. 512-751-7537. 512-547-8105. 512-243-4850:

CAD Search. NDC Label Name. CAD Drug NDC. HCPCS Code*. *Miscellaneous HCPCS codes may have multiple corresponding drugs and NDCS listed. HCPCS Description. Relation start date. Enter the date in MM/DD/YYYY format, including leading 0 if needed (e.g., 03/15/2017). Relation End Date.“But so far, Congress has failed to provide WIC the additional funding it needs to avoid turning away eligible young children and pregnant and postpartum adults with low incomes.” WIC is a federally funded assistance program that helps low-income families with young kids pay for healthy foods like produce and milk, as well as formula.Choose Any Brand. 15 oz. to 16 oz. can. Regular, low sodium or organic. Any type of bean. Fat-free refried beans are allowed. Not WIC Approved: Baked beans, soups, added ingredients like meat, vegetables or oil. Shopping Tip: Canned green beans, wax beans and lima beans count as fruit and vegetable benefits.Mar 7, 2023 ... Learn about using your Texas WIC Card at checkout. /// Learn more about WIC foods, WIC shopping and family friendly recipes: ...Lactose-free Milk. New size available – 96 oz. container. Women and children 2-5 years old get skim or 1% milk and one-year-old children get whole milk. Tell staff at your WIC office if you would like lactose-free milk instead of regular milk, then choose any brand. These foods became available on October 1, 2022.Learn about the approved foods and food packages for WIC participants in Texas. Find out the nutritional benefits, variety and quantity of foods for different age groups and breastfeeding status.

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Products prescribed for inborn-errors of metabolism. (e.g., PKU) require a completed Texas WIC Medical Request for Metabolic Formula/Food (stock no, EF-16-03-13158) from a qualified metabolic Center listed on the back of the metabolic prescription form. If center is not listed, contact the SA. The metabolic form is available at.Avg Mnthly Participant Count / Average Pate per Participant. 857,404. $ 14.49. Monthly Average General Administration $. $ 12,426,140. * Initial Funding Average Participation (Oct22-Mar23) ** Annualize Gen Adm funding excludes incentives (1) If a LA serves more than one county and the average participation per county is less than 1,000 and the ...WIC Product: Enfamil Infant 12.5 oz (663) - NTE $19.26 WIC Product: Enfamil Gentlease 12.4 oz (668) - NTE $20.01: 070074575414 SIMILAC SENSITIVE PWD 12.5OZ: ... Texas WIC Subject: Vendor Formula Alternatives January 2023 Keywords: Texas, WIC, Vendor, Formula, Alternatives, January, 2023 ...Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. For 24/7 breastfeeding support, call 855-550 …Top 5 Things Moms Love About Texas WIC. Contact Us. Resources. WIC In the News. ... Formula Prescriptions. ... call the Texas Lactation Support Hotline at 855-550-6667.formula may issue the food and formula previously issued in the other state for one month and refer them to a Texas HCP for a new prescription. Document formula and reason needed. Ensure the reason is comparable to the Texas WIC Formulary. b. Contact the state agency if there are questions about the appropriate supplemental foods needed. B.

Breastfeeding and Formula Feeding. WIC is here to help you meet your breastfeeding goals. Starting or increasing formula can decrease your breastmilk supply. If you need help maintaining your supply, please talk to someone at your local WIC clinic or call the free 24/7 Texas Lactation Support Hotline at 855-550-6667. WIC Policy and Procedures Manual 4 . Texas WIC Health and Human Services Commission Effective: December 1, 2017 Policy No. FD: 13.0 (T) D. In-State Transfers – If a participant received an alternate contract formula with prescription and transfers to another local clinic in Texas, the gaining clinic may use the RX expiration date available in TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE February 2021. Formula Name Category Description. Qualifying Conditions formula. New Electronic Fillable Forms for Returned and Donated Formula . Policy FD:19.0 requires signed documentation of returned and donated formula. Updated forms are now available electronically, including: • Returned Formula Log Form: for documenting all returned formula. • WIC Formula Donation Form: for documenting formula donated to ...Aug 1, 2023 · SUBJECT: Formula Approval Resources . The following Formula Approval resources have been updated and are posted as of 8/1/2023. • Texas WIC Formulary • Nutrition Assessment Requirement Guide • Texas WIC Maximum Quantity Table for Infants • Texas WIC Maximum Quantity Table for Women and Children Real moms, Amber and Nguyen, from The Mom Team discuss how to safely mix your baby’s formula. Learn how to safely store and mix your baby’s formula. The moms...Avg Mnthly Participant Count / Average Pate per Participant. 857,404. $ 14.49. Monthly Average General Administration $. $ 12,426,140. * Initial Funding Average Participation (Oct22-Mar23) ** Annualize Gen Adm funding excludes incentives (1) If a LA serves more than one county and the average participation per county is less than 1,000 and the ...Avg Mnthly Participant Count / Average Pate per Participant. 857,404. $ 14.49. Monthly Average General Administration $. $ 12,426,140. * Initial Funding Average Participation (Oct22-Mar23) ** Annualize Gen Adm funding excludes incentives (1) If a LA serves more than one county and the average participation per county is less than 1,000 and the ...Jan 19, 2023 · Alternate Formulas Extended Through February 28. Texas WIC will continue allowing alternative brand formulas through February 28, 2023. WIC participants are being informed that when Enfamil and Similac Soy Isomil formula is unavailable, they may get alternative options. It is very likely February will be the last month that alternative formula ...

Families with Formula-Fed Infants. Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your. baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. (starting 2/1/21)

IF YOUR TEXAS WIC CARD doesn’t work, call your local WIC staff or take it to the clinic. IF YOUR WIC CARD IS LOST OR STOLEN. call and report it to 1-800-942-3678 so WIC can cancel your card and protect your benefits. It can take up to 3 days for the WIC clinic to get you a new card.Your automobile lender's name appears on your vehicle title as the lien holder until you pay off the loan. While you do not have to get a new title for your vehicle after you make ...Top 5 Things Moms Love About Texas WIC. Contact Us. Resources. WIC In the News. Apply. ... Formula Prescriptions. Infant Feeding Options. Partner Resources. Texas Ten ...Code 606 Ensure Clear RTU now includes Blueberry and Mixed Fruit. All information within the Formula Code List is now in the Formulary. The former Formula Code List will be discontinued, and all future updates will be revised on the Texas WIC Formulary. Staff may join us for a live training on 10/4/21 or 10/5/21 to go over the new formulas as ...August 2023. Enfamil A.R. 667. Milk-based Infant Formula: 20 cal/oz, milk-based with rice starch; contains prebiotic GOS (Galacto-oligosaccharides) and polydextrose (PDX); 20:80 whey-to-casein ratio; not intended for infants or children with galactosemia. Similar to Similac for Spit-Up.Finding an affordable home in Texas can be a daunting task. With the cost of living rising, it can be difficult to find a home that fits within your budget. Fortunately, there are ...May 4, 2024 · Making the Formula. 1. Start with a clean surface. Wipe down the area where you will prepare the bottles. 2. Wash your hands for 20 seconds with soap and warm water. 3. Read the instructions on the formula label to find out how much water and formula you should mix. formula may issue the food and formula previously issued in the other state for one month and refer them to a Texas HCP for a new prescription. Document formula and reason needed. Ensure the reason is comparable to the Texas WIC Formulary. b. Contact the state agency if there are questions about the appropriate supplemental foods needed. B.

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The Texas WIC Program encourages mothers to breastfeed their babies for the first year of life, with the addition of complementary foods around six months. When infant formula is necessary or requested, WIC provides contracted formulas or requires a medical request for therapeutic formulas. All requests are subject to approval and provision ... WIC Temporary Product: Enfamil NEURO INF BOX PWD 31.4OZ (680) - NTE $54.10 WIC Temporary Product: ENF NEURO INFANT PWD BOX 36.4OZ (697) - NTE $69.72 WIC Temporary Product: Similac Soy Isomil PWD 30.8 oz (674) - NTE $43.65 Generic Hypoallergenic Formula Options - available indefinitely UPC Generic Hypoallergenic OptionsMar 7, 2023 ... Aprende a cómo encontrar la leche y el yogur que sea parte de tus beneficios WIC de Texas. /// Conoce más acerca de los alimentos WIC, ...Texas WIC . Health and Human Services Commission . Effective May 1 , 202 3 Policy No. FD:1 6 .1 . FD:16.1 – Issuance of Formula Food Packages and Transfer Scenarios . WIC Policy and Procedures Manual 1 . Issuance of Formula Food Packages and Transfer Scenarios Purpose . To ensure that Texas WIC participants receive the infant formula, TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE February 2020 Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer Alfamino Infant Elemental 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based elemental. 43% of fat is MCT See the Texas WIC Formulary for available therapeutic formulas, which require health partners to fill out a Texas WIC Medical Request for Therapeutic formula. WIC approval is required. See the …Policy Manual - Texas Health and Human Services WIC health partners should fill out the Medical Request for Formula form to request WIC formulas for their patients. Once completed, fax the form to your patient’s local WIC clinic, or print it for the patient to bring to the clinic. Local WIC clinical staff have to review all medical requests for formula, which are subject to approval based ... ….

The Texas Drug Code Index includes program-specific formularies for Medicaid, the Children’s Health Insurance Program (CHIP), the Children with Special Health Care Needs (CSHCN) Services Program, the Healthy Texas Women (HTW) Program, and Kidney Health Care (KHC) Program. HHSC requires managed care organizations to adhere to …The cost of living in Texas varies from city to city. Still, there are commonalities across the state, like the absence of state income taxes. Calculators Helpful Guides Compare Ra...WIC Policy and Procedures Manual 4 . Texas WIC Health and Human Services Commission Effective: December 1, 2017 Policy No. FD: 13.0 (T) D. In-State Transfers – If a participant received an alternate contract formula with prescription and transfers to another local clinic in Texas, the gaining clinic may use the RX expiration date available inThe WIC food packages provide supplemental foods designed to address the specific nutritional needs of income-eligible pregnant, breastfeeding, and non-breastfeeding postpartum individuals, infants, and children up to five years of age who are at nutritional risk. WIC participants receive a monthly benefit from one of seven science-based food ...Alternate Formulas Extended Through February 28. Texas WIC will continue allowing alternative brand formulas through February 28, 2023. WIC participants are being informed that when Enfamil and Similac Soy Isomil formula is unavailable, they may get alternative options. It is very likely February will be the last month that alternative formula ...Texas WIC . Health and Human Services Commission . Effective May 1 , 202 3 Policy No. FD:1 6 .1 . FD:16.1 – Issuance of Formula Food Packages and Transfer Scenarios . WIC Policy and Procedures Manual 1 . Issuance of Formula Food Packages and Transfer Scenarios Purpose . To ensure that Texas WIC participants receive the infant formula,Contact Us. For more information about the WIC program call 800-942-3678 or email WICG [email protected] WIC Formula Changes Take Effect Oct. 1. On Oct. 1, Texas WIC’s new formula contract went into effect. Texas WIC’s contract for milk-based formulas has switched from Abbott Laboratories, the makers of Similac, to Mead Johnson, the makers of Enfamil products. The new contract is only for milk-based formulas. Texas wic formulary, TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE JULY 2018 . Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert ., Explore Our Classes. WIC's online classes make it easy for you to learn about a variety of nutrition and breastfeeding topics. Click and learn classes are available anytime — day or night. Take them at your own pace. Live classes are 30-60 minutes long and offered at set days and times. Chat with other parents and WIC experts in real time., permanent US formula and will continue to be available at Texas WIC for the foreseeable future. Pepticate may be ordered through drop ship vendors. Please confirm availability of this formula with your selected drop ship vendor prior to releasing a drop ship order for this formula. Some supply of Pepticate may also be available at local Walmarts. , Texas WIC mothers in our survey reported initiating breastfeeding at a notably higher rate than the national average (91.6% versus 83.2%, 2022 CDC Breastfeeding Report Card). Survey respondents had a very favorable view of the infant feeding support they received from WIC, with just over 90 percent rating it as good or very good., TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE June 2021 Formula Name Category Description. Qualifying Conditions. Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer. Alfamino Infant Elemental. 20 cal/oz when mixed 1 scoop to 1 oz, Modular: 1 scoop = 1 tablespoon = 8.6 g = 35 cal; 4.1 cal/g; standard serving 2 scoops per 1/2 cup food or water; 40 scoops per can; nutritionally incomplete; macronutrient distribution range per 100 g: 54% carbohydrate, 25% protein, 21% fat; 8% of fat is MCT oil; enriched with L-leucine, 29 vitamins and minerals. Available in PWD (12oz can)., Download and print individual WIC policies and procedures, or print the entire manual. ... CS:12.0 Texas WIC Income Guidelines (Rev. 04/01/24) CS:15.0 Certifying Authority ... FD:16.1 Issuance of Formula Food Packages and Transfer Scenarios (Rev. 05/01/23) FD:18.0 Drop Shipment of Formula ..., Texas WIC mothers in our survey reported initiating breastfeeding at a notably higher rate than the national average (91.6% versus 83.2%, 2022 CDC Breastfeeding Report Card). Survey respondents had a very favorable view of the infant feeding support they received from WIC, with just over 90 percent rating it as good or very good., WIC Policy and Procedures Manual 4 . Texas WIC Health and Human Services Commission Effective: December 1, 2017 Policy No. FD: 13.0 (T) D. In-State Transfers – If a participant received an alternate contract formula with prescription and transfers to another local clinic in Texas, the gaining clinic may use the RX expiration date available in, TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE OCTOBER 2018 Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer Alfamino Infant Elemental 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based elemental. 43% of …, Find the latest Texas WIC formulary and formula approval resources for WIC providers and families. Download PDFs or Excel files of food packages, formula guides, forms and aids, and nutrition assessment requirements. See more, RX required for contract and non-contract formulas. Higher amount of formula, no foods due to inability to eat solids-e.g., preemie (FD: 16.1) This food package can be issued prior to 6 months when advance issuing. 896 / 460 fl oz reconst conc 913 / 474 oz RTF 960 / 552 oz reconst powder. 34 / 17 cans formula 28 / 14 cans formula # cans powder ... , TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE July 2022. Formula Name Formula Code Description Qualifying Conditions. Staff Guidance Manufacturer/ Packaging* Alfamino Infant 593. Elemental: 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based. 43% of fat is MCT, TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE July 2022. Formula Name Formula Code Description Qualifying Conditions. Staff Guidance Manufacturer/ Packaging* Alfamino Infant 593. Elemental: 20 cal/oz when mixed 1 scoop to 1 oz water; hypoallergenic amino acid based. 43% of fat is MCT, Families with Formula-Fed Infants. Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. (starting 10/1/22), Families with Formula-Fed Infants. Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your. baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. (starting 2/1/21), formula may issue the food and formula previously issued in the other state for one month and refer them to a Texas HCP for a new prescription. Document formula and reason needed. Ensure the reason is comparable to the Texas WIC Formulary. b. Contact the state agency if there are questions about the appropriate supplemental foods needed. B., permanent US formula and will continue to be available at Texas WIC for the foreseeable future. Pepticate may be ordered through drop ship vendors. Please confirm availability of this formula with your selected drop ship vendor prior to releasing a drop ship order for this formula. Some supply of Pepticate may also be available at local Walmarts., Heat water to at least 158 F/70 C. To do this, boil the water and then let cool for 5 minutes. Being careful to avoid burns, pour the correct amount of heated water into a clean and sterile bo le. Add the correct amount of formula right away, atach nipple and ring to the botle, and shake well to mix., TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE August 2023. Formula Name Formula Code Description Qualifying Conditions. Staff Guidance Manufacturer/ Packaging* Benecalorie 528. Modular: 220 cal/oz; 330 cal per 1.5 oz ctnr; lactose and cholesterol-free; 7 g of milk protein as calcium, Formula . No Shading = Issued to Women and Children Only Revised March 2024. TXIN WOMEN AND CHILDREN MAXIMUM FORMULA QUANTITIES TABLE MARCH 2024. Formula . 1. MARCH ..., Texas WIC appreciates the decisive leadership vendors have shown to ensure food is available to infants in Texas. For questions regarding this Vendor News Flash, please contact the Vendor Management Unit’s Vendor Outreach Branch at. [email protected]. or 1-800-252-9629. Find more WIC vendor …, How to Apply for WIC in texas. 1. Apply Online or on the Phone. To start the application process online or over phone, call your local WIC Office. The representative will walk you through what information is needed to determine eligibility which typically includes proof of address; benefits programs income-tax identification number etc.., Texas WIC Medical Request for Therapeutic Formula. The Texas WIC Program encourages mothers to breastfeed their babies for the frst year of life, with the addition of complementary foods around six months. When infant formula is necessary or requested, WIC provides contracted formulas or requires a medical request for therapeutic formulas., The Texas Drug Code Index includes program-specific formularies for Medicaid, the Children’s Health Insurance Program (CHIP), the Children with Special Health Care Needs (CSHCN) Services Program, the Healthy Texas Women (HTW) Program, and Kidney Health Care (KHC) Program. HHSC requires managed care organizations to adhere to …, Texas WIC Medical Request for Therapeutic Formula. The Texas WIC Program encourages mothers to breastfeed their babies for the frst year of life, with the addition of complementary foods around six months. When infant formula is necessary or requested, WIC provides contracted formulas or requires a medical request for …, RX required for contract and non-contract formulas. Higher amount of formula, no foods due to inability to eat solids-e.g., preemie (FD: 16.1) This food package can be issued prior to 6 months when advance issuing. 896 / 460 fl oz reconst conc 913 / 474 oz RTF 960 / 552 oz reconst powder. 34 / 17 cans formula 28 / 14 cans formula # cans powder ..., Texas WIC Formula Changes Take Effect Oct. 1. On Oct. 1, Texas WIC’s new formula contract went into effect. Texas WIC’s contract for milk-based formulas has switched from Abbott Laboratories, the makers of Similac, to Mead Johnson, the makers of Enfamil products. The new contract is only for milk-based formulas., Texas homestead exemptions only need to be filed once, within two years after your homestead property taxes are due. After you file and receive your exemption, you don't need to re..., Families with Formula-Fed Infants. Whether you need to temporarily supplement or prefer to use formula, WIC staff can help you choose which WIC-approved formula is right for your. baby. If you are breastfeeding and formula feeding, WIC staff can help you maintain your milk supply and work through any breastfeeding challenges. (starting 2/1/21) , Aug 1, 2023 · SUBJECT: Formula Approval Resources . The following Formula Approval resources have been updated and are posted as of 8/1/2023. • Texas WIC Formulary • Nutrition Assessment Requirement Guide • Texas WIC Maximum Quantity Table for Infants • Texas WIC Maximum Quantity Table for Women and Children , TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE JULY 2018 . Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer . Calcilo XD Special Medical Conditions 20 cal/oz, lactose and vitamin D-free, low-calcium; nutritionally complete ..., TEXAS WIC FORMULARY AND MEDICAL REASONS FOR ISSUANCE JULY 2018 . Formula Name Category Description Qualifying Conditions Staff Instructions - May issue for 1 cert period unless otherwise indicated Manufacturer . Calcilo XD Special Medical Conditions 20 cal/oz, lactose and vitamin D-free, low-calcium; nutritionally complete ...