Requires State Medical Documentation Form
TENNESSEEWomen, Infants and Children Program*
Products Approved Regardless of Contract Holder
*No endorsement of any brand or product by the USDA is implied or intended. State approval is subject to change.
LB2679-TN REV 10/18 ©2018 Mead Johnson & Company, LLC
†Also approved with medical documentation are Pregestimil® 20 and 24 Cal, Enfamil® Human Milk Fortifier, Portagen® and Enfaport™.
Enfaport and Portagen are Drop Ship Formulas (DSF).
†Also approved with medical documentation are PregestimilEnfamil