Enfamil contains enough Omega-3 DHA based on WHO (World Health Organization) recommendations: 0.2% to 0.36% of total fatty acids. on Similac Advance and is not available, look for Gerber Good Start Gentle, Enfamil Infant, Pure Bliss, Happy Baby or store brand. Similac 360 Total Care Infant Formula, with 5 HMO Prebiotics, Our Closest Formula to Breast Milk,. So theres not much, if any, confusion. It has most of the nutrients that can be found in breast milk as well. %PDF-1.7
Beginning May 1 st, 2023, Substitute Formulas will no longer be issued. And no genetic modifications help to give that extra peace of mind that its a good choice for your baby. Check Price at Walmart How many cans of Similac Advance will be remaining after the substitute formula has been purchased? Not suitable for infants with galactosemia. They may taste different. A non-GMO and gluten-free formula for the safety of your baby. During this time, you may see slight changes in stool pattern, gas, and/or spitting up. Similac 360 Total Care 30.8 oz, en polvo 070074681177 Similac Sensitive 12.0 oz or or 12.5 oz, en polvo Similac 360 Total Care Sensitive 30.2oz, en polvo 070074681238 . ; `21fzL&harLJ,2%Ei8u
|Q FMz,FMzf,DWs]xBQCTAl13 The formula is made with goat milk protein. 197 0 obj
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^# T/,:! It also contains a dual prebiotic blend for immune support. It could factor in any of the points weve mentioned above, from whether your child can have cows milk to whether you need to be able to buy it in-store. Published: Oct. 17, 2022, 2:23 p.m. Abbott is recalling some 2-ounce bottles of liquid Similac Ready-to-Feed baby formula because the caps may not have sealed properly, according to the U.S. Food . Similac 360 Total Care Sensitive Infant Formula, Ready-to-Feed, 8-fl-oz Bottle (Case of 6) 208 4.6 out of 5 Stars. .G+T`N/O#:#6FGE ;()n+n{:O$dJV B%sPZ2VfB>(&_iT*4~vqdh*'h5h,)kavEft^' /cZB)k s DRI2F"!2>T03qQ1 eV`We51 Use clean hands to twist on nipple and ring. Clean Nutrition. Has their Advantage prebiotic. Similac Pro-Sensitive. Unlike the Holle, which is from the U.K. and can only be purchased online for U.S. residents, the Kabrita is a goat milk formula thats actually from the U.S. Its also free from antibiotics, heavy metals, and hormones. We buy, test, and share our thoughts on baby products. Oatmeal vs Rice Cereal: Which Is Best For Your Baby? For the in-depth scientific stuff, its best to contact a nutritionist or pediatrician for some expert advice in this field. Less than 0.5% of: Human Milk Oligosaccharides (2'-Fucosyllactose, Lacto-N-Tetraose, 3-Fucosyllactose, 6'-Sialyllactose, 3'-Sialyllactose)*, Schizochytrium Sp. Similac 360 Total Care Sensitive (Replaces lactose with corn syrup; has their 360 prebiotic additions), No strict equivalent, see Pro formulas or enspire Gentlease, No store brand equivalent, see Pro formulas, Similac Total Comfort (corn starch, broken down cows milk (whey). But nutritionally, they're the same.". Slowly add 1 powder single (17.2 g) to bottle. For the other store brands, see Advance/Advantage formulas. All ingredients have been carefully added to the formula so that its easily digestible for babies, so make sure you always avoid regular milk and stick to the formula. This is definitely an appealing selling point. 2 days. Has broken down whey and also non-broken down milk proteins. You can return to this site by returning to this tab. This is a subreddit for Moms, Dads, and any caregiver who is using or has used formula in any way to feed their kiddos. Similac Total Comfort Stage 1 28.9 oz powder 2 cans 8427030003795 If you cannot find the 12.4 oz size of Similac Soy Isomil, If you cannot find the 12.0 oz size of Similac Sensitive, you can select one the following Similac brand substitute formulas until April 30, 2023: If you cannot find the 12.0 oz size of Similac Total Comfort, Key ingredients found in breast milk including 5 HMO prebiotics. She believes it's important to help mothers find the light in difficult situations while parenting. In the case of an allergic reaction, it may take longer than three to five days for the allergic reaction to completely go away. Also similar to Enfamil Neuropro and Similac Advantage. Kendamil vs Similac: Which Baby Formula Is Best? These formulas add rice starch which thickens in the stomach to help reduce the amount of spitting up. Similac Pro Advance adds one component of breast milk (one human milk oligosaccharide) to their regular formula. Your device is now connected to the internet. Baby's Only Toddler Formula | Amazon Check out the lowest price on AmazonOR check direct via Natures One here. At first, your baby will need a bottle every 2-3 hours. Standard cows milk formula made from cows that genetically produce a milk protein more similar to human milk protein than other cows do. Copyright Covenant Care Pediatrics| All Rights Reserved. Some of these also have partially broken-down milk proteins, which may help some babies with fussiness. There are plenty on the market, so you shouldnt be stuck for a choice. SFGATE spoke to a pediatrician about how the store brand formulas in the infographic compared to name brand formulas. ALSO replaces lactose with corn syrup. hCG GzQ$7G38bRPH^E@ Its great that they use completely organic ingredients in their formula you literally cant go wrong with going organic. Learn more about us. October 2022 - Abbott 2 fl oz Ready-to-Feed Liquid Products. Answer: As a general rule of thumb, babies need around 2 ounces of formula each day for every pound of body weight. WIC Retailer Updated Formula List 3-1-2023 End Date: 4/30/23 Category Sub-category Item Subbed UPC Formula Substitute 21 082 Similac Advance 12.4 oz Powder 070074680644 Similac 360 Total Care, powder 20.6 oz 070074680859 Similac Advance, powder - 20.6 oz 070074680897 Similac Pro Advance, powder 20.6 oz 070074533605 Similac Advance, powder - 23.2 oz 070074660806 Similac Pro [] Similac 360 Total Care 30.8 oz 2.5 70074681177 Similac Advance 30.8 oz 2.5 70074585864 Similac Pro-Advance 30.8 oz 2.5 70074664385 Tippy Toes Advantage Premium 23.2 oz 1.5 36800496613 . Find Enfamil formula equivalents to Similac products. "They may be emulsified differently. 20.6 oz tub: $30.99; $1.50 per oz; Non-GMO formula; Free from artificial growth hormones; Five HMO prebiotics that are structurally identical to those in breast milk; May be purchased with SNAP (Supplemental Nutrition Assistance Program) from select stores; Similac . The ingredients are geared towards replicating breast milk and to be honest, they do a good enough job of it. Find The Answer Here. Similac Sensitive - 12.5 oz Always My Baby Sensitivity Premium 22.5 oz 1.5 688267184055 CVS Health Sensitivity 22.5 oz 1.5 0050428430316 33.2 oz 2.5 050428534144 Enfamil NeuroPro Sensitive Powder 19.5 oz 1.5 300875124529 Similac 360 Total Care Sensitive 30.2 oz 2.5 70074681238 Similac Pro-Sensitive 29.8 oz 2 70074664408 endobj
Pickup & Same Day Delivery available on most store items. "From a strictly nutritional standpoint, especially in this country, formula is under the aegis of FDA," Dr. Robert C. Zaglin, a pediatrician in Daly City, Calif., told SFGATE. Replaces lactose with corn syrup. After using this particular formula, some babies might have a change for the better in digestive issues. Products are donated to us, but we have to be extremely careful because we're liable, since it's a baby.". For more information on how larger sizes will be removed from your WIC benefits see details in Exchange Sizes below. endobj
No Corn syrup or palm oil make Bobbie stand out as a unique domestic organic option. Yes, slightly more expensive, but the quality ingredients are worth every penny. If you cannot find any substitutes in that section, consider trying the second section in this category.Amazon Mama Bear Tender 3. Plus, she always loves a good excuse to go shopping. If your eWIC card shows Similac Sensitive Fussiness and Gas 12.5 oz. Similac for spit-up. 18 Nov 2021 --- Abbott is launching its Similac 360 Total Care infant formula with five human milk oligosaccharides (HMOs) identical to those found in human breast milk. They also contain DHA, nucleotides, and prebiotics. The World Health Organization recommends infant formulas contain between .3% and .5% DHA for brain health . "Similac 360 Total Care is the first infant formula in the US to offer a blend of five of the most abundant HMOs across the three categories of HMOs present in breast milk," Rachael Buck, PhD senior research fellow at . The brand themselves say that this formula is modeled after the complete nutrition and gentleness of breast milk, meaning there is a strive for their formula to be as close as possible to breast milk. 1 0 obj
The golden rule to remember is all children are different, so dont be disheartened if they arent too pleased with your first choice in the formula. Abbott Nutrition is voluntarily recalling three types of infant formula after four babies became sick with bacteria infections after consuming the products. This formula is a no-nonsense blend. More than ever we're committed to being your partner in parenthood with quality ingredients, nutritious food and expert guidance. Cap bottle; shake well; attach nipple and ring. Remember that each store brand are made by the same company and are EXACTLY the same formula in a different package for each store. Achange in a baby's diet often needs an adjustment period. current price $9.82. 23.2oz. Consult MD/RD for appropriate substitutes Extensively hydrolyzed protein Idaho WIC will return to offering the standard formulas listed below: If you need to locate formula for your baby, here are suggestions. This blend also contains extra iron and DMA, another acid that aids the development of the eyes and brain. Add. Departments. They also usually replace lactose with corn starch, which makes them like the sensitive formulas as well. To promote natural defense, there are 2 prebiotics present, Antibiotics, gluten, and GMO-free formula, It is a milk-based powder drink filled with iron, You will find Lactoferrin and MFGM components here. Seems like the new Kirkland Pro-care, Up & Up advantage premium and Parents Choice advantage premium all dont have palm oil. Default Store View. No compromises: Made with real, whole foods (92% whole plants), it meets the highest standard for nutrition and your standard for a clean label. That said, I also recognize that its not the most affordable option (or most AVAILABLE option) depending on your circumstances. Remove protective band; twist off and clean cap. Similac 360 Total Care 30.8oz Sensitive 12.5oz Parent's Choice Sensitivity 12.0oz Comfort Sensitivity 22.5oz Comfort Sensitivity 33.2oz or 29.8 oz.) Read more says: But its also true that your baby might be reluctant to the, The formula is a milk-based powder filled with iron, and nutrients like DHA and choline, 4 cans of this infant formula make up the package, You will find the weight of each can to be close to 27.7 ounces, You will get the SNAP (Supplemental Nutrition Assistance Program) benefit while purchasing it, Recommended for babies ages from 0 to 12 months, An easy-to-digest protein combination for your childs sensitive tummy, Choline and DHA work together to support brain development, Has been clinically proven to lessen fussiness, gas, or crying of your baby, Specially formulated to suit the nutritional need of even a newborn, Some consumers complain that their cans arrived dented, You will get 6 packs of the powdered item, each worth 20 ounce, It can be fed to babies ages up to 12 months, Per 100 calories, 2.2-grams protein content is present, This is one of the few formulas that contains HMO (human milk oligosaccharides). Click Here for Recall Information: 2 fl oz Ready-to-Feed Liquid Recall (Oct 2022) or Powder Formula Recall (Feb 2022), To access content offline on your mobile device, tap {{safariIcon}} and then "Add to Home Screen. . Actually slightly more expensive than Similac, Uses non-GMO ingredients (so its not genetically modified), Contains ingredients found in breast milk. Tippy Toes Hypoallergenic Infant (Price Chopper), Well Beginnings Hypoallergenic Infant (Walgreens), Similac Isomil Soy: Infant Comparable Formulas, NOTE: SIMILAC ISOMIL SOY INFANT PRODUCTS ARE NOT INCLUDED IN THE SIMILAC RECALL, ALTERNATIVES ARE BEING MADE AVAILABLE TO PURCHASE WITH WIC BENEFITS. The information in this database is intended to supplement, not substitute for, the expertise and judgment . hbbd```b``
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Participants may redeem the following alternate non-contract formulaswithout medical documentation or changes to their food package. "The problem we're facing is people are being brand specific.". i%E6jQIG This is something to bear in mind. If you are looking for some wider options, continue reading for some widely available (but variable quality) options. Please be aware that the website you have requested to view is intended for Healthcare Professionals and may not be owned or maintained by Abbott. Not for infants or children with galactosemia. * HMO, not from human milk. Source of DHA. Source of ARA. Gerber Good Start GentlePro | Amazon There are no artificial colors, flavors, or additives. Empty formula shelves at Shop Rite in Marlboro, N.J. That's why she's dedicated to helping you find the best baby buys on a budget!
1 Hill DR, Chow JM, Buck RH. The simple fact is not all babies react well to cows milk and can develop allergies from a really young age. Everyday NutritionTummy TroublesAllergiesPrematureSpecial Dietary Needs. Once mixed, feed immediately or cover and refrigerate; Store unopened packets at room temperature; avoid extreme temperatures. stream
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*YL0,B Matches for "enfamil 360 total care and pampers 360 total care" 6 results. If you are really having trouble finding your baby's formula, any formula below is fine for a healthy baby. Similac 360 Total Care Infant Formula, with 5 HMO Prebiotics, Our Closest Formula to Breast Milk, Similac Total Comfort Infant Formula, Imported, Easy-to-Digest Baby Formula Powder, Non-GMO, 820 g Enfamil Gentlease Baby Formula, Reduces Fussiness, Gerber Good Start Baby Formula Powder, GentlePro Gerber Good Start Baby Formula Powder, SoothePro, 5 Best Forward Facing Baby Carrier For Your Little One, Colgate Crib Mattress Expert Reviews: Pros and Cons For 2022. The Answer is Holle. LAla|yS>)%hY;g}ru03c"`&%BfXDz3KKN|]rI*Y0Is3g#,k`eI; Our 360 Total Care formula has the closest prebiotic blend to breast . Its a chemical-free, whole foods, minimally processed ingredients approach. Store brand Gentle. These are standard, cows milk formula with lactose milk sugar. These include DHA, RHA, iron, and folic acid. Add. Its cheap, gluten-free, and non-GMO. Enspire is one of the most popular choices when it come to their range of baby formulas. Kabrita Goat Milk Formula Features. Kabrita also features multiple stages from infant through toddler. You cant argue with the price. Similac 360 Total Care *. SNAP EBT eligible. Last modified June 3, 2022, How to Deal with Fatigue During Pregnancy, How To Choose Childrens Clothes And Shoes Online, Best Forehead Thermometer For Kids and Adults | Top 5, How To Potty Train A Child Useful Tips For Parents, How To Choose A Bandage For Pregnant Women, Top 10 Universal Car seat Base Expert Reviews & Buying Guide For 2022, Best 9 Pull Ups For Sensitive Skin In 2022, Graco Extend2fit Vs Chicco Nextfit | Which is Best for You, Top 10 Disney Baby Car Seats Expert Reviews For 2022, 5 Best Baby Wrap Carriers for Plus Size Mom to Fight Postpartum Babywearing Challenges. 1 min read. 2-FL HMO. Answer: Its definitely fine to alternate between the two if you need to. endobj
For more information visit our State WIC page, Get a Facilities, Picnic, or Park Use Permit, USDA Non-Discrimination Statement for WIC, Well Beginnings Advantage HMO (Walgreens), Parents Choice Complete Comfort Powder (Walmart), Always My Baby Sensitivity Premium (Stop & Shop), Parents Choice Sensitivity HMO (Walmart), Parent's Choice Sensitivity Non-GMO (Walmart), Tippy Toes Sensitivity Premium (Price Chopper), Well Beginnings Sensitivity Non-GMO (Walgreens). Monday - Friday: 8 a.m. to 8 p.m. EST/EDT. Endorsed by leading pediatricians and nutritionists. Best Generic: Earths Best Organic Dairy Infant Powderhas to be our top GENERIC choice; you get so much for your money! This is equivalent to $1.85 per bottle). This gives a wide range of choices and will allow you to tailor your babys formula depending on their preferences or requirements. Dairy Free (2) results . Your baby's health depends on carefully following these directions. Any cow's milk formula below in groups 1-4 is ok to substitute. There are many options out there, but when it comes to providing complete nutrition for your little one, Enfamil NeuroPro is our best baby formula. 02/14/2023 08:53 am GMT. We know how important it is to find the best baby gear, so we're here to help. This is due to the container size. Empty formula shelves at Walgreens in Englishtown, N.J. Once opened, store quart bottle in refrigerator. Contains milk, soy, prebiotics, ARA, DHA, etc. Abbott Similac recall list October 2022. Finally. Anytime. $19.98. Designed to support the immune system, brain development, and digestive health. Similac 360 Total Care* is the first and only infant formula with 5 HMOs, a prebiotic blend previously only found together in breast milk. The smaller the particles, the less of a challenge the formula poses to the gut barrier and digestion. Parent's Choice Non-GMO Powder Baby Formula, 32.2 oz Tub. Contains lactose Has broken down whey ONLY Wal-Mart Parents Choice and Meijer brands carry this formula. $YrxLmI=8${2i>Vfy[I,=0Y$+E Clean Conscience. Similac Probiotic Tri-Blend. While purchasing, youll get a SNAP (Supplemental Nutrition Assistance Program) benefit. ZU. We've got a comprehensive FDA approved list of interchangeable baby formulas when yours is not available. ' Standard cows milk formula. Invert cap; press down to pierce foil, then turn cap a half turn. Omega 3 DHA and Omega 6 ARA fatty acids naturally found in breast milk to support brain and eye development, Iron for healthy development. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
We earn a commission if you click this link and make a purchase at no additional cost to you. Advantage Infant Formula is an iron-fortified milk-based infant formula with complete nutrition for baby's first year Non-GMO; prebiotics; growth, eye & brain development; no artificial growth hormones Compare to Similac PRO-ADVANCE Infant Formula. Similac 360 Total Care Powder / 30.8 oz (874 g) Can / 6 ct, Similac 360 Total Care Powder / 30.8 oz (873 g) Can / 4 ct, Similac 360 Total Care Powder / 0.60 oz (17.2 g) Packets / 4 x 16 ct, Similac 360 Total Care Powder / 36 oz (1.02 kg) Can /6 ct, Similac 360 Total Care Powder / 40 oz (1.13 kg) / 6 ct, Similac 360 Total Care Powder / 30.3 oz (859 g) / 4 ct, Similac 360 Total Care Powder / 20.6 oz (584 g) / 4 ct, Similac Total Comfort 360 Total Care / 2 fl oz (59 mL) Bottle w Nipple / 2 x 12 ct, Similac 360 Total Care Ready to Feed / 8 fl oz (237 mL) Bottle / 4 x 6 ct, Similac 360 Total Care Ready to Feed / 2 fl oz (59 mL) Bottle / 48 ct, Similac 360 Total Care Ready to Feed / 2 fl oz (59 mL) Bottle / 2 x 12 ct, Similac 360 Total Care Ready to Feed / 2 fl oz (59 mL) Bottle with Nipple / 4 x 6 ct, Similac 360 Total Care Ready To Feed / 32 fl oz (946 mL) Bottle / 6 ct.
Never use a microwave oven to warm formula. Serious burns can result. White also clarified that any parent considering a formula change needs to consult their pediatrician or a pediatric nutritionist. Store brand Soy. Some of the best Similac alternatives for your child are, Enfamil Gentlease Baby Formula, Reduces Fussiness, Crying, Gas and Spit-up in 24 hours, DHA & Choline to support Brain development, Value Powder Can, 27.7 Oz (Pack of 4), Gerber Good Start Baby Formula Powder, GentlePro Probiotics, Stage 1, 20 Ounce (Pack of 6), Gerber Good Start Baby Formula Powder, SoothePro, Stage 1, 1.2 Pound (Pack of 6) Packaging may vary, Enfamil Infant Formula, Milk-based Baby Formula with Iron, Omega-3 DHA & Choline, Powder Can, 21.1 Oz, Pack of 4 (Total 84.4 Oz), Enfamil Enspire Gentlease Baby Formula with Lactoferrin, Non-GMO, and MFGM for Brain Support and Immune Health, Reduces Fussiness, Crying, Gas & Spit-up in 24 hours, Refill Box, 29 Oz (Pack of 4), (4-Pack) Else Plant-Based Complete Nutrition Drink for Toddlers, 22 Oz., Dairy-Free, Soy-Free, Corn-Syrup Free, Gluten-Free, Non-GMO, Whole plants Ingredients, Vitamins and Minerals for 12 mo.+, Vegan, Organic, Burt's Bees Baby Organic Baby Formula, Ultra Gentle Formula, Easy To Digest, Infant Formula with Iron, Milk-Based Powder with Vitamin D, Vitamin E, Vitamin K, DHA, Calcium, 23.2 Oz (Pack of 4), Similac Advance Infant Formula with Iron, Baby Formula Powder, 30.8-oz Can. If yours is one of them, youll need to find a baby formula that contains soy milk, which is a great alternative to dairy. r^i^FYr&[|yI9$x4t eI)x\Z,YpE&V@`D}BB\ (Orange Colored Can), you can purchase the following: Similac Sensitive (12.5 oz. x][~7LFHnpqNMv{ ^MXU,^HJ|v8|pxc/|oWGM17j*5c:??U}zibUuUV_/e^|+?=~R+GgO3\mjIL-UZzqQ./UohjV2iBjJ G4*z(4nr?0zZ^kM|^~QUo`*x?VC
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\c~QS/udizw$UQl=+/4ohz#B7^=Xud9yG6:~YO0"Hg9=tt~lpe Most babies adapt to their new diet within three to five days. Please check your internet connection and available storage space. Seems like the new Kirkland Pro-care, Up & Up advantage premium and Parent's Choice advantage premium all don't have palm oil. They may be able to share the days they receive inventory. Proudly crafted in The Netherlands with no GMO ingredients, Kabrita Goat Milk Toddler Formula is naturally easier to digest than cow milk, mild in taste, and rich in critical nutrients. It has a total of 30 nutrients to support your baby's development. If your babys formula was recalled, consider the products below according to your necessity. These are not exactly equivalent; Similac adds one thing to make their formula premium; Enfamil adds something different. Just as youd do with cow milk-based formula. Click Here And Decide Yourself, Copyright 2019-2023. Ask your baby's doctor if you need to boil (sterilize) nipples and rings before use. Enfamil Neuropro (adds 3 prebiotics plus some other minor things to be patterned after mature breast milk., Similac 360 Total Care adds 5 prebiotics (human milk oligosaccharides) to their standard cows milk, lactose formula. But Dr. Zaglin said he'd simply advise his patients to try store brand formula. Choline and DHA are present for the development of an infants brain. Monday - Friday: 8 a.m. to 8 p.m. EST/EDTSaturday: 9 a.m. to 5:30 p.m. EST/EDT, Contact us with any questions or comments, Find helpful advice and answers to parents' most common questions, Intended for U.S. The child must have a qualifying medical diagnosis. We earn a commission if you click this link and make a purchase at no additional cost to you. This makes Babys Only a strong choice for your childs health. The main thing to keep in mind is why youve chosen your particular formula instead of Similac. The products included in the recall have a multi-digit number starting with the first two digits 22 through 37 . The image has since been reshared and began trending across the country, including by the Austin Diaper Bank, Rock Island County Health Department and the National Diaper Bank Network. Babies do not have lactose intolerance. Were going to kick things off with Enfamil Enspire Infant Formula a formula priced very similarly to Similac (Check out the latest price on Amazon). Less than 0.5% of: Human Milk Oligosaccharides (2'-Fucosyllactose, Lacto-N-Tetraose, 3-Fucosyllactose, 6'-Sialyllactose, 3'-Sialyllactose)*, Schizochytrium Sp. If youre switching over, this formula will make the transition fairly painless. Please note that due to availability concerns we have added larger container sizes than what is typically WIC approved. Price and affordability is always a big consideration, but as the baby formula is so important for your babys health and growth, we dont recommend making it the main deciding point when choosing the right one for your child. This formula uses Omega-3 DHA and Omega-6 ARA in its ingredients, which are both said to aid in the development of your childs eyes and brain. Ask your baby's doctor if you need to use cooled, boiled water for mixing and if you need to boil (sterilize) bottles, nipples and rings before use. Made from ingredients produced organically. Similac Alimentum. Please consult your child's pediatrician before making any changes. This particular formula also has expiration dates which are further into the future than other similar formulas. Key ingredients found in breast milk including 5 HMO prebiotics. State WIC has authorized use of the following non-contract brands and formulas until shortages related to the recall are resolved. Town of East Hartford740 Main Street, East Hartford, CT 06108 (860) 291-7100Town Hall Hours of Operation: 8:30am - 4:30pm Monday - Friday, DisclaimerGovernment Websites by CivicPlus , Participants may redeem the following alternate non-contract formulaswithout medical documentation or changes to their food package.