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EXHIBIT A: FORMULAS PROVIDED BY THE LOUISIANA WIC PROGRAM The Louisiana WIC Approved Formulary is the only reference source of WIC approved special formulas and is located at http://www.wic.dhh.louisiana.gov.
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Step 1: Obtain the Louisiana WIC approved form.
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Who needs form louisiana wic approved?

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Individuals who wish to participate in the Louisiana WIC program and utilize its benefits.
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Families or individuals who meet the eligibility criteria for the Louisiana WIC program.
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Pregnant women, postpartum women (up to 6 months after giving birth), breastfeeding women (up to 1 year after giving birth), and infants and children up to the age of 5.
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Those seeking assistance with obtaining nutritious foods, nutrition education, and support for breastfeeding.
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Form Louisiana WIC approved is a document that lists the approved food items eligible for purchase with WIC benefits in Louisiana.
Participants of the WIC program in Louisiana are required to use form Louisiana WIC approved when shopping for WIC approved food items.
Form Louisiana WIC approved is typically filled out by selecting the eligible food items and quantities from the approved list provided by the Louisiana WIC program.
The purpose of form Louisiana WIC approved is to ensure that WIC participants are able to purchase nutritious food items that are approved by the program.
Information such as the WIC participant's name, WIC ID number, and the selected food items and quantities must be reported on form Louisiana WIC approved.
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