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Health Care Providers
Health Care Providers play a critical role in the success of the Alabama's WIC Program's mission. When you refer patients to WIC, you are helping make a difference in the health of Alabama's women, infants, and children. The participants served by WIC are most vulnerable to the effects of poor nutrition and are most likely to benefit from WIC services. Your patients who participate in WIC will receive free, professional nutrition services including nutrition education and counseling, breastfeeding education and support, as well as healthy supplemental foods and referrals to critical social services and medical providers. Your help is needed to reach all potentially eligible clients.WIC Eligibility
Who is eligible for WIC? More families than you might think. WIC serves Alabama residents who are:
- Pregnant;
- Breastfeeding, for up to one year postpartum;
- Women who are not breastfeeding, for six months postpartum; and
- Children under five years old.
These residents must also meet WIC income guidelines and have a medical or nutritional need. The guideline is 185% of the poverty level set by the federal government and is based on household size. Medical and nutritional needs are determined at the WIC certification appointment. Examples of qualifying needs include:
- Medical conditions that affect food intake or nutrition status;
- Abnormal height or weight measurements;
- Low intake of essential nutrients; or
- Conditions that predispose a person to inadequate nutrition patterns like lead poisoning, teen pregnancy, alcohol or drug abuse.
WIC Formulary
The Alabama WIC Program provides contract formulas for WIC Infants who are not fully breastfeeding. An Alabama WIC Formula Prescription form is required for WIC to provide an infant (birth through 11 months old) a formula other than a contracted formula. Children 12 months and older and women need a prescription form in order to receive any formula or WIC eligible nutritional from WIC. All prescriptions are subject to WIC approval and provision based on program policy and procedures. The Alabama WIC Formulary and WIC Prescription Forms have been revised as of April 1, 2026. Please discard and do not use any previous versions of these forms. Anthropometric data is now required for any increased calorie infant formula or increased calorie supplement.
WIC Prescription Forms
- Alabama WIC Infant Formula Prescription (ADPH-WIC-111a)
- Alabama WIC Child/Woman Formula Prescription (ADPH-WIC-111b)
- Alabama WIC Hospital Special Formula Notification (ADPH-WIC-114)(to be used for WIC participants being discharged on a special formula)
Health Care Provider Resources
WIC 100 How WIC Can Help (English, Spanish)
WIC 104 Referral/Medicaid Information
Outreach Flyer (WIC Certification Process Overview)
WIC District Nutrition Directors
WIC Supports Breastfeeding
A major goal of the WIC Program is to improve infant nutrition by encouraging and supporting breastfeeding. All WIC staff are trained to promote breastfeeding and provide the necessary support new breastfeeding mothers and infants need for success. Visit the Alabama WIC Breastfeeding page for more.
Page last updated: March 30, 2026
