MDH Medical Formula Order Form

Please note:
  • Check the Medical Formulas Available at Local Agencies list.
  • Per Federal Regulations, only one month of formula may be ordered at a time per participant.
  • Refer to Minnesota WIC Medical Formula Amounts Guide for formula-specific information.
  • Ensure formula order and packing slip match. Discrepancies must be reported within 24 hours.
  • If you have questions about the ordering process, email or call 651-201-4404.
  • Other questions about formula, contact your State WIC Consultant.
  • Due to rapidly changing inventory levels, RUSH orders are unable to be honored.

Please review the availability of the following products before placing your order through MDH.

Status of some formulas are improving and the list below is updated to include limited availability or unavailable items only:

Amino Acid Based Formulas - Comparable Infant Formula
Pur Amino Infant (14.1 oz) powder (Mead Johnson) - Intermittently available.

Amino Acid Based Formulas – Comparable Toddler Formula
PurAmino Junior Unflavored 14.1 oz powder (Mead Johnson) - Not available.
PurAmino Junior Vanilla (14.1 oz) powder (Mead Johnson) – Not available until end of May 2024 or later.
Hypoallergenic Formulas – Infant formula generally available in retail but can be ordered
Pregestimil 16oz Powder (Mead Johnson) – Not available
Premature Based Formulas – generally available in retail but can be ordered
No known shortages at this time.
Misc items  
Nutramigen Toddler with Enflora LGG (powder and RTF) – Not available
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