WIC for Healthcare Providers
Information and resources for healthcare providers regarding the Special Supplemental Nutrition Program for Women, Infants, and Children
Partnerships with Medical Providers are critical to the success of the WIC Program. The Special Supplemental Nutrition Program for Women, Infants, and Children is a nutrition assistance program created to safeguard the health of low-income women, infants, and children up to age 5. WIC participants must have a nutritional risk to be eligible. WIC staff conduct a nutritional assessment and provide relevant nutrition and health education, referrals to health care and social service programs and prescribe checks for nutritious foods to supplement participant diets.
We hope this Healthcare Providers page helps you better understand the New Hampshire WIC Program and will improve coordination of your patients’ care with our nutrition staff at the local WIC agency.
A series of WIC Healthcare Provider Fact Sheets about the program were developed to answer common questions health care providers may have about WIC:

NEW! Healthcare Provider Fact Sheet and shareable social media posts that educate on the importance of early enrollment in WIC during pregnancy.
- Early Enrollment in WIC During Pregnancy Healthcare Provider Fact Sheet
- Early Enrollment in WIC During Pregnancy Social Media Posts
If you are unable to access the photos for the social media posts, please contact WIC@dhhs.nh.gov for assistance.
Healthcare Provider Resources
- Request Standard Formula- No Foods Form
- Request Special Formula and Foods- Medicaid/WIC Form
- Preparing Ready-To-Feed Or Liquid Concentrate Formula
- Preparación de la Fórmula para Bebés Lista para Usar O Líquida Concentrada
- Mixing Powder Infant Formula
- Preparación de la Fórmula para Bebés en Polvo
- NH Early Childhood Health Assessment Record
WIC Infant Formula contract – effective October 1, 2016
In order to contain program costs, the WIC Program is required to bid for standard infant formula.
Effective October 1, 2016, the New Hampshire WIC Program provides Abbott Laboratories® Similac® Advance®, Similac® Isomil® Soy, Similac Sensitive®, or Similac Total Comfort® for healthy infants from birth to twelve months of age; whose mothers choose not to breastfeed or partially breastfeed or for whom breastfeeding is medically contraindicated.
For those participants with an appropriate and documented nutrition-related ICD-10 code medical diagnosis, WIC provides special/exempt formulas, such as hypoallergenic, hyper caloric, elemental, and metabolic formulas.
For more information on WIC’s current infant formula contract effective October 1, 2016, please see the following documents:
- WIC Formula Foods Documentation Quick Guide
- NH WIC Formulas/Food Detailed Overview
- Approved NH WIC Formulary
Although small differences in protein, fat, and carbohydrate exist among all standard formulas, there are no medically proven advantages of any particular brand name formula over another. While parents/guardians or health care providers may have a personal preference for a particular brand of formula, funding constraints and WIC regulations limit the issuance of non-contract, special/exempt formulas only to participants with qualifying or serious medical conditions.