WIC contracted formulas (as of July 2025):
- Enfamil Infant* 12.5 oz powder or 13 fl oz liquid concentrate
- Enfamil Gentlease 12.4 oz powder
- Enfamil Reguline 12.4 oz powder
- Enfamil A.R. 12.9 oz powder
- Similac Soy Isomil 12.4 oz powder or 13 fl oz liquid concentrate
* This should be the milk based formula of first choice.
To request therapeutic formula
- Send a prescription to Shield or Delta Drugs (Rx form)
- Include any relevant growth charts, clinic notes, lab results
- Delta Drugs
- Fax: 866-700-6401
- Phone 818-309-2884 or 800-700-6401
- Send a reqest to WIC to temporarily provide therapeutic formula while waiting for the pharmacy (Request form)