Memorandum #21-046 TO: WIC Regional Directors WIC Local Agency Directors FROM: Amanda Hovis, Director Nutrition Education/Clinic Services Unit Nutrition Services Section DATE: May 21, 2021 SUBJECT: Formula Resource Update Formula Approval Resources: The following Formula Approval resources have been updated and will be posted by their effective date, 6/1/2021. • Formula Code List • Formulary • Nutrition Assessment Requirement Guide • Texas WIC Maximum Quantity Table for Women and Children The June updated resources will be available here soon. Changes include: 1. Addition of eleven new products: • Code 627 Equacare Jr • Code 628 Essential Care Jr • Code 629 KetoVie 4:1 Peptide • Code 630 KetoVie 4:1 • Code 631 KetoVie 3:1 • Code 632 KetoVie 4:1 Unflavored • Code 633 ENU Shake • Code 634 ENU Pro3+ • Code 635 COMPLEAT Pediatric Organic Blends • Code 636 COMPLEAT Pediatric Peptide 1.5 • Code 637 Peptamen Jr HP 1.2 This institution is an equal opportunity provider. 2. Code 556 Pediasmart Soy has been discontinued and will no longer be available to issue effective 6/1/2021. If you have questions, please contact the Formula Team via email at:
[email protected] This institution is an equal opportunity provider. FORMULA CODE LIST JUNE 2021 Formula Level: LA = Local Agency approval. SA = State Agency approval Note: Shaded items have packaging challenges. E=Exempt Approval Formula Formula Description Packaging/Flavors Smallest Available Unit/Comments S=Std Level- LA- Code (If left blank, smallest available unit is 1.) MF=WIC Local SA- Elig