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