TO: Illinois WIC Pharmacy & Grocer-with-Pharmacy Vendors
FROM: Stephanie Bess, M.S., R.D., LDN
Associate Director, Office of Family Wellness
SUBJECT: Updated WIC Formulary - Effective July 1, 2025
DATE: July 18, 2025
The Illinois WIC Program has updated its formulary effective July 1, 2025, to include a revised list of medically prescribed specialty formulas available to participants with a valid prescription.
Key Updates
- The updated WIC Formulary is now in effect. A copy is attached to this memo.
- Participants may continue to redeem benefits for previously approved formulas through September 30, 2025, if they were already loaded to their card.
- Beginning October 1, 2025, only formulas included on the attached WIC Formulary will be on WIC benefit issuances.
Vendor Responsibilities
As a WIC-authorized pharmacy or grocer-with-pharmacy vendor, you are required to comply with the stocking and ordering requirements outlined in your contract:
- You must be able to order each prescribed formula listed on the formulary in at least one flavor.
- All prescribed products must be available for participant purchase within 2 business days of the initial request.
- Failure to meet this requirement is considered a violation of your WIC vendor contract and may result in sanctions.
We recommend reviewing your ordering system and ensuring your staff know how to order all products listed on the formulary. The Approved Product List (APL) will be updated accordingly by the state. Vendors are responsible for pulling down the APL at least every 48 hours to be in compliance with EBT Operating Rules.
Questions?
For questions about ordering or redeeming WIC formulas, contact us at DHS.WICVendor@illinois.gov or call 844-901-0962.
Thank you for your continued partnership in supporting Illinois WIC families.
Illinois WIC Program Formulas (effective July 1, 2025)
Note that each row represents a specific prescription, and participants cannot redeem a formula that is not explicitly prescribed to them and listed on their benefits.
Contract Formulas
| Formula |
Size |
Form |
UPC |
| Enfamil Infant |
12.5 oz |
Powder |
300871365421 |
| Enfamil Infant |
13 oz |
Concentrate |
300871367418 |
| Enfamil NeuroPro Infant |
32 oz |
Ready-to-Feed |
300875121412
300875121542
|
| Enfamil Gentlease |
12.4 oz |
Powder |
300875100691 |
| Enfamil NeuroPro Gentlease |
32 oz |
Ready-to-Feed |
300875115626 |
| Enfamil Reguline |
12.4 oz |
Powder |
300875111321 |
| Enfamil ProSobee |
12.9 oz |
Powder |
300871214415 |
| Enfamil ProSobee |
13 oz |
Concentrate |
300871195417 |
| Enfamil ProSobee |
32 oz |
Ready-to-Feed |
300875123645 |
| Enfamil AR |
12.9 oz |
Powder |
300870201423 |
Medically Prescribed Formulas
| Formula |
Size |
Form |
UPC |
| Enfamil NeuroPro EnfaCare |
13.6 oz |
Powder |
300875122082 |
| Similac NeoSure |
13.1 oz |
Powder |
070074574318 |
| Similac NeoSure |
32 oz |
Ready-to-Feed |
070074574561 |
| Similac Alimentum |
12.1 oz |
Powder |
070074647128 |
| Similac Alimentum |
32 oz |
Ready-to-Feed |
070074575131 |
| Nutramigen with Probiotic LGG |
12.6 oz |
Powder |
300871239418 |
| Nutramigen |
32 oz |
Ready-to-Feed |
300875115640 |
| PediaSure No Fiber |
8 oz (6-pks) |
Ready-to-Feed |
Berry - 070074538198
Vanilla - 070074580500
Banana - 070074580531
Strawberry - 070074580562
Chocolate - 070074580593
S'mores - 070074669205
|
| PediaSure With Fiber |
8 oz (6-pks) |
Ready-to-Feed |
Strawberry - 070074563695
Vanilla - 070074580623
|
