Special Diet Infant Formulas

These infant formulas are made for kids with medical issues.
Give the parent/guardian a Medical Statment for Meal Accommodations (see the Forms section).
The doctor must document a disability or issue affecting a major bodily function.

Preemie formulas have extra calories for growth.

Examples include: Enfamil EnfaCare, Enfamil Premature, Similac Neosure, Similac PM 60/40

Hydrolyzed protein formulas - some proteins are broken down.

Examples include: Comforts Hypoallergenic, Enfamil Nutramigen, Gerber Good Start Extensive HA, Meijer Hypoallergenic, Pregestimil, Parent's Choice Hypoallergenic, Similac Alimentum, Up & Up Hypoallergenic, Well Beginnnings Hypoallergenic

Amino acid formulas - all proteins are broken down.

Examples include: EleCare, Neocate, PurAmino

Metabolic formulas - Formulas for kids with metabolic disorders

Examples include: Phenyl free, MSUD, etc.

Formula after 13 months of age

If a child needs formula after 13 months of age, we will need a new physician statement to show there is a medical need to continue infant formula.
A Physician Statement is required for ANY "Toddler" formulas for kids over 1 year old. This includes Nestle Nido, Pediasure, etc.

Formulas made OUTSIDE the U.S. that are NOT FDA-APPROVED are NOT creditable.

NOT CREDITABLE: Hipp
NOT CREDITABLE: Holle

Complete list of FDA Exempt Infant Formulas

A Physician Statement is required to claim FDA Exempt formulas.

FDA Exempt Formula List

Formula List Updated 4-14-25

Special Diet Infant Formulas

Complete list of FDA Exempt Infant Formulas

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