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WIC Retailer Application

Thank you for your interest in becoming an authorized Missouri WIC retailer. Here you will find everything you need to know to determine if your store meets the minimum criteria and stocking requirements.

To be an authorized Missouri WIC retailer, you must:

  • Meet the Full-Service Selection Criteria Stocking Requirements.
    • In addition, you will be assigned to meet the Tier 1 or Tier 2 stocking requirement for WIC-approved food based on your application.
  • Have passed a sanitation inspection within the past year.
  • Been in business in the current location for at least a year.
  • Be registered with the Missouri Secretary of State’s Office.
  • Pass a pre-agreement site visit.
  • Complete an in person new retailer training.
  • Submit a copy of an infant formula invoice.

The full criteria is located in the WIC Retailer Manual and guided by the Code of Federal Regulations (CFR) 246.12.

In addition to the stocking requirements, authorized WIC retailers are required to purchase all infant formula from approved licensed or authorized retailers, distributors or wholesalers. Any distributor or wholesaler not on this list may contact the WIC state agency to request consideration for inclusion.

If you are interested in becoming an authorized Missouri WIC retailer, please complete the WIC Retailer and Authorization Application and email the completed form to MOWICVendorGroup@health.mo.gov or mail to:

WICNS
Attn: Retailer Unit
P.O. Box 570
Jefferson City, MO 65102-0570

Other forms needed to complete your application will be emailed to you after the application is received. These forms include:

  • Price list.
  • Communication form.

After your application and forms are approved, you are required to attend an in-person new retailer training and pass an in-person pre-agreement visit from a member of the WIC retailer team.

Frequently asked questions