If your infant or child uses one of the following formulas, this change does not affect you.
- Similac Advance.
- Similac Sensitive.
- Similac Total Comfort.
- Similac Soy Isomil.
- Enfamil A.R. (with medical documentation WIC-27).
To make things better for our WIC participants who require special formula, effective July 1, your child's doctor will work with your insurance company to provide it with a qualifying condition or diagnosis. This will be a positive change for a few reasons:
- Your child's doctor would send a prescription to a pharmacy or a company that will mail the special formula straight to you, if that option is available.
- You could receive more special formula per month than what is offered by WIC.
- Your child's doctor is familiar with this process.
How do you make this change?
Contact your child’s doctor and ask them to send a prescription for the special formula to a pharmacy or a durable medical equipment (DME) company. The company providing the formula will bill your insurance, and you will pick up the formula at a pharmacy or receive it in the mail, if that option is available with the selected formula provider.
Who do you contact if you have questions?
Contact your child's doctor if you have questions about which formula would be best for your child.
Contact your insurance provider if you have questions about coverage. You can find your provider's customer service number on your insurance card.
If you are insured through MO HealthNet, you can contact your care manager. If you don't use a care manager, you can call the number on your insurance card or one of the following:
- Healthy Blue: 888-757-9375.
- Home State Health: 855-694-4663.
- United Healthcare: 866-351-6827.
- MO HealthNet participant services: 800-392-2161.
What if you are uninsured?
The initial step is to apply for MO HealthNet to see if you qualify. You can apply online on the Missouri Department of Social Services web page or by calling 855-373-9994.
If you don't qualify for MO HealthNet and you don't have private health insurance, WIC will still provide the special formula prescribed by your child's doctor, on the WIC-approved list, up to the allowed amount. Please work with your WIC local agency if this is the case.
What if you applied for MO HealthNet and are waiting for approval?
WIC will continue to supply the special formula your child's doctor prescribes, on the WIC-approved list, monthly while you complete your application. It is your responsibility to submit the required documents to the Missouri Department of Social Services to process your application before your WIC coverage month runs out.
Why is WIC making this change?
This change allows WIC to provide nutritious food to more eligible participants. Health insurance companies can provide special formula, and WIC can provide healthy food! If you are interested in learning more, you can read the federal policy memo connected with this change.