Skip to content
WIC Home

Health Care Providers


Send an Enteral Prescription Nutrition Request

Medical Providers can submit ENPR requests electronically or with a paper form. Click here for FORMS.

Medical Professionals Frequently Asked Questions (FAQ's)


Current Recommendations for Infant and Children's Diets are Listed Below


(240 KB)
Dietary Recommendations for Children and Adolescents: A Guide for Practitioners

(111 KB)
AAP Policy on Breastfeeding and the Use of Human Milk

(116 KB)
AAP Policy on Iron Fortification in Infant Formulas

 


FAQ's Regarding Hemoglobin Testing

 

How often does the Alaska WIC Program perform hematological testing?

WIC performs hematological testing to obtain a hemoglobin value during the initial certification visit for each WIC applicant.

  • Pregnant women are tested once during their certification as a pregnant woman.
  • Breastfeeding women are tested once during their certification as a breastfeeding woman.
  • Postpartum women are tested once during their certification as a postpartum woman.
  • Infants are not tested before 9 months of age. If the first test is normal, the infant will not be tested again until 6 months later.
  • Children are tested once a year.


What hemoglobin values are considered by WIC to be abnormal and/or high risk?

Abnormal

High Risk

Pregnant Women
1st Trimester
<11.0 < 9.0
Pregnant
2nd Trimester
<10.5 < 9.0
Pregnant Women
3rd Trimester
<11.0 < 9.0
Postpartum/Breastfeeding <12.0 < 9.0
Infants/Children

 

6-24 months of age

<11.0 <9.0
24-60 months of age <11.1 <9.0


How can a physician receive a patient's hemoglobin value?

A physician may receive a patient's hemoglobin value from WIC in several ways.

  • The physician may send a release form signed by the participant or parent/guardian to WIC to provide the hemoglobin value.

 

Can WIC use a physician's hemoglobin value?

WIC can use a hemoglobin value taken by the health care provider when the value and date are provided by the physician's office.

The hemoglobin value must be no older than 90 days before the WIC certification visit.

 


FAQ's Regarding Infant Formula

Why does the WIC Program only provide iron fortified infant formula for WIC participants?

The Alaska WIC Program supports the American Academy of Pediatrics (AAP) policy that exclusive breastfeeding is the ideal nutrition and sufficient to support optimal growth and development for full-term infants during the first 6 months after birth and should be continued with the addition of age-appropriate introduction of solid foods and juices, at least through the first 12 months, and thereafter for as long as mutually desired (AAP, Work Group on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 1997; 100: 1035-1039).

In the absence of human milk, iron-fortified infant formula is an appropriate substitute for feeding the full-term infant during the first year of life. Low-iron formulas exist because iron is perceived by some to cause constipation and other feeding problems. Well-controlled studies have consistently failed to show any increased risk of feeding intolerance with the use of iron-fortified formulas ( Pediatric Nutrition Handbook, 4th edition, 1998 ).

 


Why does the Alaska WIC Program encourage the use of certain infant formula?

Alaska and 21 other states entered into an agreement with Abbott Laboratories (Ross Products Division) to provide the Similac Advance with Iron and the Similac Sensitive as the sole source milk-based formula for WIC participants.  Mead Johnson provides the Enfamil ProSobee as the soy-based formula beginning October 1, 2012.

The agreement is a federally mandated cost containment system. It provides a savings to the Alaska WIC Program. This savings allows the Alaska WIC Program to serve additional caseload with the WIC grant.

In accordance with federal regulations, WIC-eligible formulas are mainly issued in a concentrated liquid or powdered forms. The issuance of a ready-to-feed formula is limited to exceptions when there is an unsanitary or restricted water supply, there is poor refrigeration, the infant caretaker may have difficulty in correctly diluting a concentrated liquid or powdered product, or the product is available in only a ready-to-feed form. For more information on infant formulas click here.

All other standard milk-based or soy-based infant formulas require the completion of the Enteral Nutrition Prescription Request Form by a physician, certified nurse practitioner with prescriptive authority, or physician assistant with prescriptive authority . For more information, click here.


How can a special formula be prescribed for a WIC participant?

A WIC participant who is prescribed any formula other than Similac Advance with Iron, Similac Isomil Advance Soy or Similac Sensitive must have a completed ENPR Form. The form may also be obtained from the local WIC clinic. The form must be completed by a physician or health care provider with prescriptive authority. It must include the participant's name, diagnosis, formula prescribed, and original signature/date.

The form may either be returned to the participant to give to WIC staff, mailed directly to the WIC clinic, or sent electronically via this link. The form may be faxed to the WIC clinic, with the original sent by mail, when the participant must receive issuance of drafts for the formula quickly.

Any special formula can be issued in either concentrate or powder form, provided it is manufactured in that form. The issuance of a ready-to-feed formula is limited to exceptions when there is an unsanitary or restricted water supply, there is poor refrigeration, the infant caretaker may have difficulty in correctly diluting a concentrated liquid or powdered product, or the product is available in only a ready-to-feed form.

 

 


FAQ Regarding WIC and the Provision of Whole Milk

 

Why does the Alaska WIC Program not allow cow's milk for WIC participants until one year of age?

The Alaska WIC Program does not allow cow's milk before the age of one. The Committee on Nutrition of the American Academy of Pediatrics (AAP) recommends the consumption of breast milk or iron-fortified infant formula, along with age-appropriate solid foods and juices, during the first twelve months of life. The AAP recommends that whole cow's milk and low-iron formulas not be used during the first year of life (AAP, The Use of Whole Cow's Milk in Infancy, Pediatrics, 1992, 89:1105-1109).

Why does the Alaska WIC Program not encourage reduced fat milk for WIC participants until two years of age?

The Alaska WIC Program recommends for children age 12 to 23 months whole milk for the type of milk used in the WIC food package.. Per recommendations of the Expert Panel on Blood Cholesterol Levels in Children and Adolescents (National Cholesterol Education Program/NIH), The American Academy of Pediatrics Committee on Nutrition, and The American Heart Association Nutrition Committee, fat and cholesterol should not be restricted during the first two years of life (AAP, Pediatric Nutrition Handbook, 1993, page 44; NIH, Report of the Expert panel on Blood Cholesterol Levels in Children and Adolescents, 1991, page 1).

 

 


To address technical problems or make suggestions regarding this site, please email:
wic@alaska.gov

Other contact information:
Family Nutrition Services State of Alaska/DHSS/DPA
Address:

130 Seward St
PO Box 110612
Juneau, AK 99801

Main office:
Fax:

(907) 465-3100
(907) 465-3416