How to Request Noncontract, Metabolic Formulas, Soymilk or Tofu

Mother and child

Kentucky WIC contract formulas are available without medical documentation:
to WIC participants under 12 months of age.

Good Start (Gentle)  Gerber Good Start     Good Start (Soy)  Gerber Good Start Soy      

Good Start (Soothe)  Gerber Good Start Soothe   

Click here to view WIC Formula Policies.

How to Request Noncontract Formulas
  1. Before making your request, consult the Kentucky WIC Formulary which provides a list of all the formulas that WIC can issue, and the appropriate reasons for issuance. Please note that some of these formulas are not immediately available, as they sometimes must be drop-shipped, ordered through pharmacies, etc.
  2. Be aware that WIC requires retrials with WIC Contract Formulas unless medically contraindicated. If a request is approved for a standard noncontract formula (like Enfamil or Similac), WIC will automatically provide a standard contract formula for retrial at the end of the approved time period (1 to 3 months), unless an appropriate reason is indicated on the request form.

    Example: WIC approves a request for Enfamil Premium for 3 months. At the end of the 3-month approval period, WIC will issue the comparable contract formula,Good Start Gentle, for retrial, along with instructions for making a transition to the new formula.

    If a retrial with a standard contract formula is medically contraindicated, please provide the reason on the Medical Request Form for Formula/Food.
  3. Download and complete the appropriate request form:

Medical Documentation for Exception for WIC Program Foods Forms:

One year or less

One - five years

Breastfeeding Postpartum

Formula Manufacturers


How to Request Metabolic Formulas
  1. Please be aware that all requests for metabolic formulas must come from a MD, APRN, DO, or PA. All requests are also subject to approval by the Kentucky WIC program.
  2. Before making your request, consult the Kentucky WIC Formulary which provides a list of all the formulas that WIC can issue, and the appropriate reasons for issuance. Many of these formulas are not immediately available, as they sometimes must be drop-shipped, ordered through pharmacies, etc.
  3. Download and complete the appropriate request form.

2011 KY WIC Resource Guide for Formula

One year and less

One - five years


How to Request Soymilk or Tofu

WIC participants receive monthly benefits for a variety of foods, depending on their participant category (infant, child, pregnant woman, etc.). Physicians can request that WIC omit certain foods or modify a patient’s WIC food package to include soy milk and/or tofu. The medical provider will need to fill out a Medical Documentation form if requesting soymilk or tofu for Children. 

One year and less

One - five years