POLICY NOTICE

Iron-fortified Infant Formulas Which Do Not Require a Medical Statement

Although a medical statement is not required for the following iron-fortified formulas, you should only provide an infant with the formula recommended to the infant's parent/guardian by the infant's health care provider.

Wyeth Nutritionals International (Wyeth) produces iron-fortified infant formulas for distribution to retailers wishing to market them under private labels. The list of Wyeth-produced formulas includes milk-based and soy-based powdered infant formula in 1-pound cans for sale in the United States only under private brand labels of either individual grocery/drug store chains or mass merchandisers [the milk-based formula may become available in some markets in a 2-pound, 3-ounce (35 ounces) or 1-kilogram can; and, milk-based and a soy-based concentrated liquid formula in 13-ounce cans available through select stores (i.e., Wal-Mart) under a private brand label.

Milk-based Infant Formulas

• Carnation Good Start
• Enfamil With Iron
• Enfamil AR
• Lactofree
• Similac With Iron
• Similac Lactose Free

Wyeth-produced Private Label Store Brand Milk-based Infant Formulas (all in powder form unless otherwise noted)

• Albertson's Baby Basics Infant Formula
• Babymil Infant Formula Powder (sold through a variety of stores)
• Food Lion Infant Formula
• Fred Meyer Infant Formula Powder
• Hill Country Fare Infant Formula (sold through H.E. Butt or H.E.B.)
• Kroger Infant Formula
• Meijer Infant Formula Powder
• Parents' Choice Infant Formula (sold through Wal-Mart in powder and concentrated liquid forms)
• Perfect Choice Infant Formula (sold through Ralph's)
• Smith's (Food and Drug Centers) Infant Formula Powder
• Target Infant Formula

Soy-based Infant Formulas

• Carnation Alsoy
• Isomil
• Prosobee

Wyeth-produced Private Label Store Brand Soy-based Infant Formulas (all formulas are in powder form unless otherwise noted)

• Albertson's Baby Basics Soy Infant Formula
• Babysoy Soy Protein Infant Formula Powder (sold through a variety of stores)
• Food Lion Soy Protein Infant Formula
• Fred Meyer Soy Protein Infant Formula Powder
• Kroger Infant Formula Soy
• Meijer Soy Protein Infant Formula Powder
• Parent's Choice Soy Infant Formula (sold through Wal-Mart in powder and concentrated liquid form)
• Perfect Choice Soy Protein Infant Formula (sold through Ralph's)
• Target Soy Infant Formula

"Follow-up" Iron-fortified Formulas ONLY When Served to Infants at the Prescribed Ages

Infants 4 months of age or older *You must have a signed medical statement to serve these formulas to infants less than 4 months of age.

• Carnation Follow-up Formula (milk-based)
  This formula is specifically designed for infants 4 to 12 months of age and older who are eating cereal and other baby foods.
• Carnation Follow-up Soy Formula (soy-based)
  This formula is specifically designed for infants 4 to 12 months of age and older who are eating cereal and other baby foods.

Infants 6 months of age or older *You must have a signed medical statement to serve these formulas to infants less than 6 months of age.

• Enfamil Next Step Toddler Formula (milk-based)
  This formula is designed as an alternative to cow's milk for the older infant (6 months or age or older, per the manufacturer) or toddler. It is not being marketed as an alternative to Enfamil With Iron or other iron-fortified infant formulas which are designed for infants from birth to 12 months of age.
• Enfamil Next Step Toddler Formula (soy-based)
  This formula is designed as an alternative to cow's milk for the toddler with milk sensitivities.

Infant Formulas Which Must Have A Medical Statement

You must have a medical statement which includes the recommended formula and is signed by a recognized medical authority to serve the following infant formulas at any time:

• Low-iron infant formulas
  These formulas contain less than one (1) milligram of iron per 100 kilocalories. Examples include low-iron versions of Enfamil and Similac. The labels on these formulas do not indicate that they are fortified with iron.
• Follow-up formulas served to infants less than a specified age
  These formulas are designed for older infants or toddlers who are consuming solid foods and are not intended for dietary use as a sole source of food for infants (see above section regarding "Follow-up" Infant Formulas for the specific listing).
• Exempt infant formulas
  These specialty infant formulas are intended for use by infants who have an inborn error of metabolism or low birth weight or who otherwise have an unusual medical or dietary problem. Examples include Nutramigen, Pregestimil, Alimentum, and Lofenalac.

Please contact your Area Program Office if you have any questions.